摘要
目的观察围术期预见性护理对全髋关节置换术(THR)患者术后关节脱位的预防效果。方法选取2018年4月-2020年4月于我院行THR治疗的90例患者,采用随机数字表法分为对照组和观察组,各45例。对照组采用传统围术期护理,观察组实施围术期预见性护理,比较两组术后下床活动时间、住院时间、术后并发症、Harris髋关节功能评分、关节恢复效果、并发症情况以及术后髋关节脱位发生率。结果观察组术后下床活动时间及住院时间均短于对照组(P<0.05);观察组术后并发症发生率为4.44%,低于对照组20.00%,差异有统计学意义(P<0.05);术后6个月两组Harris髋关节功能评分均高于术前,且观察组Harris髋关节功能评分高于对照组,差异有统计学意义(P<0.05);术后1年观察组关节功能恢复优良率为93.33%,高于对照组的77.78%,差异有统计学意义(P<0.05);观察组术后髋关节脱位发生率为2.22%,低于对照组的15.56%,差异有统计学意义(P<0.05)。结论围术期预见性护理可有效缩短THR患者的术后恢复时间,降低其术后并发症及脱位的发生风险,促进患者髋关节功能的恢复。
Objective To observe the preventive effect of perioperative predictive nursing on joint dislocation after total hip arthroplasty(THR).Methods A total of 90 patients who underwent THR treatment in our hospital from April 2018 to April 2020 were selected and divided into a control group and an observation group according to a random number table method,with 45 cases in each group.The control group received traditional perioperative nursing,while the observation group received perioperative predictive nursing.The postoperative ambulation time,hospitalization time,postoperative complications,Harris hip function score,joint recovery effect,complications and incidence of postoperative hip dislocation were compared between the two groups.Results The postoperative ambulation time and hospitalization time of the observation group were shorter than those of the control group(P<0.05).The incidence of postoperative complications in the observation group was 4.44%,which was lower than 20.00% in the control group,and the difference was statistically significant(P<0.05).The Harris hip function scores of the two groups at 6 months after operation were higher than those before operation,and the Harris hip function score of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).One year after operation,the excellent and good rate of joint function recovery in the observation group was 93.33%,which was higher than 77.78% in the control group,and the difference was statistically significant( P <0.05).The incidence of postoperative hip dislocation in the observation group was 2.22%,which was lower than 15.56% in the control group,and the difference was statistically significant(P<0.05).Conclusion Perioperative predictive nursing can effectively shorten the postoperative recovery time of THR patients,reduce the risk of postoperative complications and dislocation,and promote the recovery of hip joint function.
作者
刘宁
LIU Ning(Nursing Department of Dagang Hospital of Tianjin Binhai New Area,Tianjin 300270,China)
出处
《医学信息》
2022年第4期190-192,共3页
Journal of Medical Information
关键词
全髋关节置换术
围术期
预见性护理
术后髋关节脱位
Total hip replacement
Perioperative period
Predictive nursing
Postoperative hip dislocation
