Objective: To systematically review the effect of clinical nursing pathway (CNP) in patients with knee replacement arthroplasty. Methods: Databases including PubMed、EMbase、The Cochrane Library、EBSCO、CNKI、Wanfang and VIP Data were electronically searched. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies. Then, meta-analysis was performed using RevMan 5.3 software. Results：A total of 14 RCTs involving 1123 patients. The results of meta-analysis showed that: CNP compared with the control group, the knee function score and the achievement rate of knowledge were increased, the incidence of postoperative complications was decreased, the time of hospitalization was decreased and the patients’ nursing satisfaction was increased.Conclusion: CNP can improve the knee function score and the achievement rate of knowledge, reduce the incidence of postoperative complications and the time of hospitalization, as well as it can improve the patients’ nursing satisfaction. Due to the limited quality and quantity of the included studies, the above conclusions need more high quality studies to verify.

目的：评价临床护理路径应用于全膝关节置换患者的效果。方法：计算机检索PubMed、EMbase、The CochraneLibrary、EBSCO、CNKI、万方、维普和中国生物医学文献等数据库。由2名研究者对符合标准的文献进行资料提取及质量评价，采用RevMan5.3软件进行meta分析。结果：共纳入14项研究，总计1 123例患者。Meta分析结果显示：临床护理路径与常规护理相比，患者的膝关节功能评分及健康教育知识知晓率更高，并发症发生率更低，住院时间更短，护理满意度更高。结论：临床护理路径能提高患者的膝关节功能评分及健康教育知识知晓率，能降低并发症发生率，缩短患者住院时间，提高患者的满意度。受纳入研究数量和质量所限，上述结论尚需开展更多高质量研究予以验证。