摘要
目的探讨跨理论模型家庭访视在人工髋关节置换术(THA)后的应用效果。方法选取2017年1月~2018年10月我院收治的60例THA患者作为研究对象,按照随机数字表法分为对照组和观察组,每组各30例。对照组采用常规家庭访视,观察组采用跨理论模型家庭访视,通过Harris髋关节评分量表比较两组护理前后髋关节功能改善效果,比较两组护理总满意度。结果护理前两组Harris评分比较,差异无统计学意义(P>0.05),护理后观察组Harris量表中疼痛评分[(41.62±1.35)分]、活动功能评分[(44.35±1.24)分]、关节活动度[(4.12±0.13)分]、肢体畸形[(3.67±0.16)分],明显高于对照组[(30.48±2.14)、(35.68±2.15)、(3.25±0.11)、(2.55±0.12)分],差异有统计学意义(P<0.05);观察组护理总满意度为93.33%,高于对照组的70.00%,差异有统计学意义(P<0.05)。结论THA患者术后行跨理论模型家庭访视有利于促进其髋关节功能恢复,对患者步态和正常行走功能的恢复具有积极影响,该种护理模式值得在临床推广应用。
Objective To investigate the application effect of cross-theoretical model family visits after hip arthroplasty (THA). Methods Altogether 60 patients undergoing THA in our hospital from January 2017 to October 2018 were selected and divided into control group and observation group according to random number table method, 30 cases in each group. The control group received routine family visits, the observation group received cross-theoretical model family visits. The Harris hip score scale was used to compare the pre- and post-nursing functional improvement effect of hip joint and total nursing satisfaction between the two groups. Results There was no statistically significant difference in Harris score between the two groups before nursing (P>0.05). The scores of pain ([41.62±1.35] points), activity function ([44.35±1.24] points), joint activity ([4.12±0.13] points), and limb deformity ([3.67±0.16] points) in the observation group were higher than those in the control group for (30.48±2.14),(35.68±2.15),(3.25±0.11) and (2.55±0.12) points, with statistically differences (P<0.05). The nursing total satisfaction of the patients in the observation group was 93.33%, higher than that of the control group (70.00%), with statistically difference (P<0.05). Conclusion Cross-theoretical model family visits after THA can promote the recovery of hip function and have a positive impact on the recovery of patients′ gait and normal walking function. Therefore, this nursing model is worthy for popularization and utilization in clinical practice.
作者
刘奋
韦燕芬
潘玉芳
区燕云
LIU Fen;WEI Yan-fen;PAN Yu-fang;OU Yan-yun(Department of Orthopaedic Surgery,the Fourth People′s Hospital of Nanhai District in Foshan City,Guangdong Province,Foshan 528200,China)
出处
《中国当代医药》
2019年第28期120-122,共3页
China Modern Medicine
基金
广东省佛山市医学类科技攻关项目(2017AB000872)
