关键词: 术前准备；院前检查；关节置换

Abstract: Objectives: To explore the effect of one-stop rapid pre-operative preparation mode in patients undergoing total joint arthroplasty. Methods: Retrospective cohort study was conducted. Patients with joint replacement surgery from December 2017 to May 2018 were assigned as the control group, and patients from June to November 2018 as the experiment group. The control group followed the traditional admission procedure and preoperative preparation mode. The experiment group implemented a one-stop quick preoperative preparation mode, which included setting up a combined hospital enhanced-recovery surgical outpatient clinic, putting forward the pre-operative examination, carrying out pre-hospital health screening and treatment by medical and nursing team for patients undergoing total joint arthroplasty. The average hospital stay, unplanned discharge rate, hospitalization satisfaction of the two group were compared. Results: Patients in the experiment group had lower average hospital stays [0~8(5.68±0.86) d vs 0~10 (6.83±1.24) d], lower unplanned discharge rates (4.9% vs 15.6%), and improved hospitalization satisfaction [ (94.39±4.32) points vs (92.30±4.89) points] than the control group, the differences between the two groups were statistically significant (P<0.05). Conclusions: One-stop rapid pre-operative preparation mode can improve the hospitalization service flow, reduce the unplanned hospital discharge rate and improve satisfaction rate and medical experience of the patients.

Key words: pre-operative preparation; pre-hospital examination; total joint arthroplasty