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关节置换术加速康复策略
$76.74
本书为所有关节置换的利益相关者提供了适合的知识点。为医师,介绍了如何选择合适患者在门诊骨科手术室行关节置换术,术中如何减少失血、手术技巧、先进仪器的操作,术后如何管理并发症等。为护士,描述了如何高效管理消毒手术器械、如何开展居家护理等。为麻醉师,讲解了Z佳疼痛控制和精准麻醉。为康复师,展示了专项评估、康复指导及健康教育等方面的内容。为医院管理者,解答了如何选址建立或改建日间手术中心(ambulatery surger...
本书为所有关节置换的利益相关者提供了适合的知识点。为医师,介绍了如何选择合适患者在门诊骨科手术室行关节置换术,术中如何减少失血、手术技巧、先进仪器的操作,术后如何管理并发症等。为护士,描述了如何高效管理消毒手术器械、如何开展居家护理等。为麻醉师,讲解了Z佳疼痛控制和精准麻醉。为康复师,展示了专项评估、康复指导及健康教育等方面的内容。为医院管理者,解答了如何选址建立或改建日间手术中心(ambulatery surgery center,ASC)/ 门诊骨科手术室,如何建立门诊骨科综合护理套房、优化流程,如何限制供应商的数量来减少植入物的种类、减少库存、提高消毒供应中心效率,如何激励医师提高效率、提高医疗团队整体服务质量和能力、推进加速康复可能面临的问题、改善患者预后具体操作步骤,如何通过绩效分配共享等内容。
本书引进自世界ZM的 Springer 出版社,由美国 Giles R. Scuderi 博士等ZM专家联合编写,由国内关节置换领域的ZM专家孙永强团队联袂翻译而成,是一部有关关节置换加速康复的经典学术著作。
全书共 22 章,全方位介绍了关节置换术加速康复现况、费用支付模式、策略及进展,医院对关节置换术加速康复的支持及流程优化,关节置换患者加速康复领域的质量管控及改进措施等方面的内容;详细论述了加速康复背景下患者的风险评估及筛选、关节置换术加速康复临床路径及提高效率的有效措施、患者术后康复措施及效果提升等内容;涵盖了该领域临床研究的Z新进展,同时解答了医师及患者关注较多的问题,如现阶段医院如何为加速康复背景下的关节置换手术提供应有的流程、后勤支持,医护人员应如何提升自己对加速康复患者的照护能力,哪类关节置换患者适合加速康复,如何确保康复背景下关节置换患者的安全,如何持续开展关节置换患者加速康复领域的质量改进,如何在加速康复背景下将关节置换与医疗保险有机结合等。本书编写思路清晰、图文并茂、内容丰富、实用性强,非常适合骨科医生、护士、医院管理者阅读参考,是一部不可多得的骨科工具书。
孙永强,主任医师,教授,博士生导师。河南省中医院(河南中医学院第二附属医院)骨伤病诊疗中心主任;中国医师协会骨科医师分会关节外科工作委员会委员;中华医学会骨科专业委员会髋关节工作委员会委员;中华中医药学会骨伤科专业委员会委员。
第 1 章 关节置换术的流程变革一、概述二、选择患者三、患者教育与管理 四、多学科团队的专业性五、医院和日间外科中心六、创新技术七、供应链管理八、用工趋势九、结论第 2 章 认识不同的支付模式一、概述二、了解常见的替代支付模式(APM)三、APM 成功实施的关键四、目前的证据五、结论第 3 章 门诊关节置换项目的保险合同一、概述二、愿景和战略三、绑定支付的界定四、潜在的合作伙伴五、执行情况六、收益分成七、医师标兵八、结论第 4 章 制订关节置换术工作项目一、概述 二、患者参与是关键三、决策共享和现代关节阵营四、择患择术,恰当五、出院标准和居家照护监测六、门诊部 : 一个专注于改善的地方七、专门的外科团队第 5 章 日间手术中心关节置换术工作流程一、概述二、为什么是 ASC(日间手术中心)三、患者和病例选择四、麻醉 五、患者流动 六、灭菌处理部(SPD)七、术后照护和随访八、转诊协议和 23h 观察 九、结论第 6 章 医院关节置换工作流程 一、概述二、为什么要在医院中进行日间关节置换手术三、文化的变迁四、医院效率五、清晰的路径 六、从 ASC(日间手术中心)汲取经验七、结论第 7 章 患者风险评估和优化一、概述二、患者选择与风险评估 三、多学科协同照护四、结论第 8 章 加速康复外科 (ERAS):不断优化的实践应用一、术前注意事项二、术中注意事项三、术后注意事项第 9 章 术前临床路径一、概述二、患者选择三、术前教育四、结论第 10 章 门诊髋、膝关节置换术后临床路径 一、概述二、理想的患者三、麻醉四、管理围术期用药、疼痛和术后恶心五、输血和液体管理六、物理疗法七、作者的加速康复方案第 11 章 麻醉的选择与变化 一、概述二、患者选择和术前照护三、术前镇痛四、术中治疗五、围术期的考虑六、恶心呕吐的处理七、术后镇痛八、区域和局部阻滞麻醉九、运动、物理治疗和团队合作十、结论第 12 章 髋关节置换术的效率一、手术效率的重要性二、与手术时间相关的治疗结果三、手术前效率四、手术计划策略五、手术安排时间六、术中效率七、器械八、高效手术技术九、切口闭合技术 十、术中疼痛控制十一、术后效率十二、技术和效率十三、结论第 13 章 膝关节置换术的效率一、概述二、止血带 三、手术入路四、假体的考量五、计算机辅助外科手术六、个体定制化工具七、基于加速计的导航八、术前模板测量九、模板引导器械(TDI)十、一次性器械使用 十一、切口闭合 十二、引流管 十三、导尿管十四、结论第 14 章 创新技术在日间关节置换的应用一、概述二、术前阶段三、术中阶段四、术后在院阶段五、出院后阶段六、结论第 15 章 关节置换术中的多模式镇痛策略一、概述 二、术前镇痛三、术中麻醉四、术中镇痛辅助治疗五、术后镇痛六、结论第 16 章 术后即刻康复治疗一、麻醉方案和围术期结局二、术后疼痛管理及康复三、影响即刻康复的围术期因素四、假体的类型:骨水泥假体与非骨水泥假体五、物理治疗注意事项六、护理协调注意事项第 17 章 术后即刻康复治疗的里程碑一、术前康复二、住院患者术后康复三、出院规划和出院后康复四、后期康复五、关节置换术后的康复时间轴六、肌肉萎缩、恢复和障碍七、未来的发展方向八、出院环境九、标准化需求十、风险分层和运动强度第 18 章 专业护理机构:可共享的合作关系一、概述二、择期关节置换术后入住专业护理机构的趋势三、出院目的地对疾病结局、并发症和再入院的影响四、专业护理机构与成本控制之间的关系五、择期关节置换术后早期出院目的地六、改进的空间:现在是时候选择合作伙伴了七、结论第 19 章 关节置换术患者调查问卷第 20 章 患者结果报告测量(PROM)的患者满意度一、概述 二、患者满意度因素三、现行的患者结果报告措施四、评价患者满意度五、预测患者满意度六、患者结果报告测量的益处七、整合手术中心的患者结果报告测量八、解读患者结果报告测量九、患者结果报告测量和患者满意度第 21 章 加速康复质量指标一、评估加速康复方案的指标二、出院后目的地三、死亡率四、其他并发症发生率五、患者结果报告指标六、特定功能结果七、明确的出院功能标准八、镇痛药物用量九、花费的有效性十、HCAHPS 评分与患者满意度vi十一、结果与标准基线比较十二、作者的建议第 22 章 应用循证,改进措施一、概述 二、预防感染三、减少失血四、多模式麻醉和镇痛五、功能性结局六、结论附录 术语中英对照
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