Abstract: Objective: To apply the whole-course nursing management mode to the inpatient management of hip and knee replacement patients, and explore its influence on medical efficiency index and hospitalization satisfaction guided by efficient medical treatment. Methods: The average hospitalization days and total hospitalization expenses of hip and knee arthroplasty patients who were not included in the whole process management mode (control group) from February to August, 2020 and included in the whole process management mode (experimental group) from September 2020 to March, 2021 were collected and statistically analyzed to compare the differences of efficiency indicators and the patient satisfaction of experimental group was investigated. Results: After application of whole-course nursing management mode, the average length of stay of patients with hip arthroplasty decreased from (7.69±2.32) days to (5.24±1.34) days (P<0.001), and the total cost of hospitalization decreased from (52436±6386) yuan to (47435±5383) yuan (P<0.001). The average hospitalization days of patients with knee arthroplasty were shortened from (8.68±2.92) days to (5.47±1.77) days (P<0.001), and the total hospitalization expenses were reduced from (45780±4012) yuan to (39796±4489) yuan (P<0.001). The satisfaction of hospitalized patients reached 100%. Conclusion: The whole process nursing management mode under efficiency medical treatment can significantly shorten the average length of stay, reduce the total cost of hospitalization, improve hospitalization satisfaction and promote medical efficiency.

Key words: efficient medical treatment; whole-course nursing management mode; hip replacement; knee replacement; whole-course manager