@article{oai:air.repo.nii.ac.jp:00000604,
 author = {高山, 賢路 and 齋藤, 千鶴子 and 佐藤, 真貴子 and 熊谷, ナミコ and 浅沼, 義博 and 久保田, 均 and 皆川, 洋至 and 渡部, 亘 and 井樋, 栄二 and TAKAYAMA, Masamichi and SAITOH, Chizuko and SATO, Makiko and KUMAGAI, Namiko and ASANUMA, Yoshihiro and KUBOTA, Hitoshi and MINAGAWA, Hiroshi and WATANABE, Wataru and ITOI, Eiji},
 issue = {1},
 journal = {秋田大学医学部 保健学科紀要},
 month = {Mar},
 note = {クリニカルパスを使用することで処置,介助,リハビリテーション(以下,リハビリ)のケア実施日が早くなったか,さらに入院日数がどれくらい短縮したかを明らかにする目的で,クリニカルパスを使用していない人工股関節全置換術(total hi parthroplasty ; THA)患者15例(以下,コントロール群)とクリニカルパスを使用した8例(以下,パス群)とを比較検討した.処置項目では,パス群の抗生剤投与期間が平均7日有意に短縮した.介助項目では,ヘッドアップ30度開始日が平均1日,ヘッドアップ自由開始日が平均3日,端座位開始日が平均2日有意に短縮した.リハビリ項目では,リハビリ室訓練が平均9日,全荷重立位が平均15日,松葉杖歩行が平均11日有意に開始日が早まった.平均入院日数は,術前14日,術後11日,全体で26日,パス群で有意に短縮していた.パス群8例の術後経過はすべて良好で,入院日数の短縮が術後成績に影響することはなかった.セメントTHAを行う患者にクリニカルパスを適用すれば,介助,リハビリの開始時期が早くなり,結果として入院日数短縮につながった, The effect of clinical path implementation was assessed in terms of postoperative treatment, care and rehabilitation process, and length of hospital admission. The objects of the study were patients who underwent total hip arthroplasty (THA) with cement for osteoarthrosis of the hip. Fifteen patients who underwent THA without clinical path implementation were denoted as the control group, while eight patients who underwent THA with clinical path implementation were denoted as the path group. Based upon the patient records, various parameters were compared between these two groups. Regarding postoperative treatment, the duration of antibiotics administration was shortened by seven days in the path group. In the postoperative period 30_ bed elevation, free bed elevation and sitting on the bed for the first time were significantly accelerated by 1,3, and 2 days respectively in the path group. Regarding the rehabilitation process, the duration of rehabilitation room exercise, standing up practice, and walking on crutches were significantly shortened by 9,15, and 11 days respectively in the path group. The preoperative, postoperative and total length of hospital admission were significantly shortened by 14,11 and 26 days respectively in the path group. All eight patients in path group had a good postoperative prognosis, so shortening the length of hospital admission had caused no adverse effects. It Is revealed that, by clinical path implementation in patients after THA with cement, the postoperative care and rehabilitation process was accelerated and length of hospital admission was significantly shortened.},
 pages = {34--39},
 title = {クリニカルパスによる入院日数短縮の要因 : 人工股関節全置換術について},
 volume = {13},
 year = {2005}
}