摘要
目的探析对老年全髋关节置换术治疗患者应用基于快速康复外科理念引导的临床护理路径干预效果。方法纳入2021年1月至2022年6月间本院收治确诊为老年股骨颈骨折拟用全髋关节置换术治疗患者80例,筛选后以随机分组原则,将收治患者分为对照组(围术期常规护理)、观察组(围术期快速康复外科理念制定临床护理路径),每组40例。对两组患者术后恢复情况(下床活动、尿管拔除、住院)、髋关节功能(Harris评分)、日常生活能力(ADL评分)、术后并发症事件(关节脱位、肺部感染、深静脉血栓)作为护理效果判断因子。结果观察组患者术后恢复各项评价因子所需时间短于对照组(P<0.05);术后当天两组患者自理能力分数评价无显著差异(P>0.05),术后第3天、术后1周观察组患者自理能力评价分数高于对照组(P<0.05)。术前两组患者髋关节功能Harris评分无显著差异(P<0.05),术后1个月、术后6个月观察组评分分数高于对照组(P<0.05)。观察组患者术后并发症事件发生率低于对照组(P<0.05)。结论对老年全髋关节置换术患者应用基于快速康复外科理念的临床护理路径干预模式,有利于术后康复,恢复患者髋关节功能和生活能力,安全性高,更受到患者青睐。
Objective To explore the effect of clinical nursing path intervention guided by the concept of rapid rehabilitation surgery on elderly dog hip replacement patients.Methods Included were 80 elderly patients with femoral neck fracture who were admitted to our hospital from January 2021 to June 2022 and planned to be treated with total hip arthroplasty.After screening,the patients were divided into control group(perioperative routine nursing)and observation group(perioperative rapid rehabilitation surgery concept to develop clinical nursing path)according to the principle of random grouping,with 40 patients in each group.The postoperative recovery(getting out of bed activity,catheter removal,hospitalization),hip joint function(Harris score),ability of daily living(ADL score),and postoperative complications(joint dislocation,pulmonary infection,deep vein thrombosis)of the two groups of patients were taken as the judgment factors of nursing effect.Results The time needed for patients in the observation group to recover various evaluation factors was shorter than that in the control group(P<0.05);There was no significant difference in the scores of self-care ability between the two groups on the day after operation(P>0.05).The scores of self-care ability in the observation group were higher than those in the control group on the third day and one week after operation(P<0.05).There was no significant difference in Harris score of hip joint function between the two groups before operation(P<0.05).The score in the observation group was higher than that in the control group 1 month and 6 months after operation(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).Conclusion The application of the clinical nursing path intervention mode based on the concept of rapid rehabilitation surgery to the elderly patients with total hip replacement is conducive to postoperative rehabilitation,recovery of the hip joint function and living ability of patients,with high safety and more favored by patients.
作者
喻玲艳
王冬梅
万艳华
田少娟
方蕾
YU Lingyan;WANG Dongmei;WAN Yanhua;TIAN Shaojuan;FANG Lei(Orthopedics Department of the Second Affiliated Hospital of Nanchang University,Nanchang 330006,China)
出处
《中国老年保健医学》
2022年第6期158-161,共4页
Chinese Journal of Geriatric Care
基金
江西省卫生健康委科技计划项目(编号:202210513)。
关键词
快速康复外科理念
临床护理路径
全髋关节置换术
应用效果
The concept of rapid rehabilitation surgery
Clinical nursing path
Total hip replacement
Application effect
