Purpose: In association with the revision of the medical payment system, enhancing the contents of records to improve patient satisfaction is an important issue that should be prioritized. In this study, a survey was conducted to ascertain nutrition management recording methods and the statuses of clinical pathway usage and current nutrition management records.

Methods: A questionnaire was sent to 113 facilities in June 2015. Responses were obtained from 90 facilities (a response rate of 79.6%). The data were analyzed using IBM SPSS Statistics 22 and evaluated.

Results: Seventy-one facilities adopted the clinical pathway. 58 facilities (81.7%) achieved “standardization of medical care” and 42 facilities (59.2%) achieved “improvement of operations.” Regarding recording methods used in nutrition management and dietary therapy, 86 of 90 facilities (95.6%) used nutrition management plans. The major recording methods were “problem-orientated medical records (POMRs)” and “simplified method”; each was used in 43 facilities (47.8%). As points for improvement in record contents for team care, 60 of 90 facilities (66.7%) responded “information sharing” and 46 facilities (51.1%) responded “utilization in communication between staff members.”

Conclusion: The present study shows that the clinical pathway has been widely adopted by medical facilities, achieving standardization of medical care and improvement of operations. For nutrition management records, further review is necessary, including sharing of information for team care and improvement of the record contents.

　The purpose of this study was to analyze the post-lumbar laminectomy clinical pathway in patients with degenerative lumbar diseases on the basis of healthrelated quality of life. A total of 90 patients who had received lumbar laminectomies for degenerative lumbar diseases (including canal stenosis and degenerative spondylolisthesis) at our hospital between 2003 and 2013 (61 men and 29 women, ages 40-79) participated in this study. We analyzed factors projected to correlate to physical component summary (PCS), mental component summary (MCS) and role/social component summary (RCS) in SF-36 one year post-operation with multifactorial analysis, which included age, gender, hospital stay length, SLR test, presence or absence of pain, neurological symptoms, sensory disorders and therapeutic exercise after leaving our hospital. Gender and age correlated with PCS. The presence or absence of therapeutic exercise after leaving our hospital correlated with MCS. The presence or absence of pain when leaving our hospital and age correlated with RCS.These results suggest that the post-lumbar laminectomy clinical pathway may need to take these factors into account.