Implementation of a nine-grid thinking model to optimize operating room nursing pathways for older adults undergoing total knee arthroplasty.

IF 1.6 4区医学

Journal of Orthopaedic Surgery Pub Date : 2026-05-01 Epub Date: 2026-06-30 DOI:10.1177/10225536261459490

Yuquan Tian, Meng Qi, Qing Wang, Huijun Zhang

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引用次数: 0

Abstract

ObjectiveTo assess the effectiveness of operating room nursing pathways based on the nine-grid thinking model in older adults undergoing total knee arthroplasty (TKA).Methods110 older adults scheduled for TKA were randomly assigned to either a control group, which received conventional operating room nursing, or a intervention group, which received nursing care guided by the nine-grid thinking model. Key outcomes included surgical efficiency, nursing quality, satisfaction among patients and physicians, incidence of complications, and rehabilitation outcomes were compared between the two groups.ResultsThe intervention group had significantly shorter surgical prep (t = 9.106), operative (t = 5.294), and turnover times (t = 14.110) than controls (p < 0.05). After the intervention, the intervention group scored higher on sterile technique (t = 21.850) and overall nursing performance (t = 12.440). Their nurses also reported greater satisfaction with admission education (t = 8.591), positioning (t = 11.940), and overall care (t = 7.182) (p < 0.05). Surgeons rated the intervention group higher for instrument prep (t = 9.629), intraoperative coordination (t = 13.860), instrument delivery (t = 11.490), and overall satisfaction (t = 16.670) (p < 0.05). Deep-vein-thrombosis incidence was lower (χ2 = 4.949), postoperative pain scores were lower (t = 39.980), and ambulation and functional-recovery scores were higher in the intervention group (all p < 0.05).ConclusionThe application of the nine-grid thinking model significantly enhanced the quality and efficiency of perioperative care for older adults undergoing TKA.

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实施九网格思维模型优化老年人全膝关节置换术的手术室护理路径。

目的评价基于九格思维模式的手术室护理路径在老年人全膝关节置换术中的应用效果。方法将110例老年患者随机分为对照组和干预组，对照组采用常规手术室护理，干预组采用九格思维模式指导护理。主要观察指标包括手术效率、护理质量、患者和医生满意度、并发症发生率和康复情况。结果干预组术前准备时间（t = 9.106）、手术时间（t = 5.294）、周转时间（t = 14.110）均显著短于对照组（p < 0.05）。干预后，干预组在无菌技术（t = 21.850）和整体护理表现（t = 12.440）方面得分较高。受访护士对入院教育（t = 8.591）、体位（t = 11.940）和整体护理（t = 7.182）的满意度也较高（p < 0.05）。干预组在器械准备（t = 9.629）、术中配合（t = 13.860）、器械交付（t = 11.490）和总体满意度（t = 16.670）方面评分较高（p < 0.05）。干预组深静脉血栓发生率较低（χ2 = 4.949），术后疼痛评分较低（t = 39.980），活动能力和功能恢复评分较高（均p < 0.05）。结论九格思维模式的应用显著提高了老年TKA围手术期护理的质量和效率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Orthopaedic Surgery Medicine-Surgery

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期刊介绍： Journal of Orthopaedic Surgery is an open access peer-reviewed journal publishing original reviews and research articles on all aspects of orthopaedic surgery. It is the official journal of the Asia Pacific Orthopaedic Association. The journal welcomes and will publish materials of a diverse nature, from basic science research to clinical trials and surgical techniques. The journal encourages contributions from all parts of the world, but special emphasis is given to research of particular relevance to the Asia Pacific region.