摘要
目的探究自我效能联合加速康复外科干预在老年全髋关节置换围手术期病人中的应用。方法选取2016年1月至2019年1月期间我院收治的356例老年全髋关节置换围手术期病人为研究对象,依据随机数字表法将其分为观察组(n=178)和对照组(n=178)。2组病人均给予加速康复外科干预,观察组在此基础上给予自我效能干预。比较2组病人干预前、后的自我效能评分、Harris评分,并比较2组病人的输血率、总失血量、第1天血红蛋白降低值、下床活动时间、术后住院时间、护理满意度、下肢深静脉血栓及肺栓塞发生率。结果干预后2组病人的自我效能评分均显著提高,且观察组高于对照组病人;干预后2组病人的疼痛和关节畸形评分均较干预前降低,且观察组低于对照组(P<0.05),2组病人的关节活动、日常活动能力与步态和Harris总分均升高,且观察组高于对照组(P<0.05);观察组病人的总下床活动时间、术后住院时间均低于对照组病人,护理满意度高于对照组病人,差异具有统计学意义(P<0.05)。观察组病人的下肢深静脉血栓发生率低于对照组病人,差异具有统计学意义(P<0.05)。结论自我效能联合加速康复外科干预能够有效提高自我效能,降低输血量,促进恢复,降低下肢深静脉血栓的发生率,提高膝关节功能和护理满意度。
Objective To explore the application of self-efficacy combined with accelerated surgical intervention in the elderly perioperative patients undergoing total hip arthroplasty.Methods A total of 356 elderly patients undergoing total hip arthroplasty were enrolled in our hospital from January 2016 to September 2019.They were divided into observation group(n=178)and control group according to random number table method(n=178).Both groups were given accelerated surgical intervention,and the observation group was given self-efficacy intervention additionally.The self-efficacy scores and Harris scores of the two groups were compared before and after intervention.The blood transfusion rate,total blood loss,1 d hemoglobin reduction,time to get out of bed,postoperative hospital stay,nursing satisfaction,the incidence of deep vein thrombosis of lower limbs and pulmonary embolism were compared between the two groups.Results After the intervention,the self-efficacy scores of the two groups were significantly improved,and especially in the observation group.The pain and joint deformity scores of the two groups were lower than those before the intervention,especially lower in the observation group.The daily activity ability and gait and Harris total scores were increased significantly in two groups,especially in the observation group.The total outpatient activity time and postoperative hospital stay time in the observation group were lower than those in the control group,and the nursing satisfaction was higher than that in the control group(P<0.05).The incidence rate of deep venous thrombosis in lower limbs in the observation group was lower than that in the control group(P<0.05).Conclusions Self-efficacy combined with accelerated surgical intervention can effectively improve self-efficacy,reduce blood transfusion,promote recovery,reduce the incidence of deep venous thrombosis of lower extremities,and improve knee function and nursing satisfaction.
作者
胡亚丽
代娟
石磊
程龙利
HU Ya-li;DAI Juan;CHENG Long-li;SHI Lei(Department of Orthopedics,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Department of Medical Record Statistics,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)
出处
《实用老年医学》
CAS
2019年第11期1131-1134,共4页
Practical Geriatrics
基金
重庆医科大学附属第二医院2017年度护理骨干科研资助计划[重医二院〔2017〕207号-10]
关键词
全髋关节置换
老年人
自我效能
加速康复外科
total hip replacement
aged
self-efficacy
accelerated rehabilitation surgery
