摘要
目的调查全髋关节置换(THA)患者术后3个月内髋关节功能变化情况,并探讨跌倒恐惧对髋关节功能恢复的影响。方法采用目的抽样法,选取2020年12月—2021年8月新疆维吾尔自治区人民医院的205例THA术后患者为研究对象,于患者首次下床活动时、术后1个月、术后3个月采用一般资料调查表、中文版国际跌倒效能感量表(FES-I)、Harris髋关节功能评分量表对患者进行调查。采用Pearson相关分析术后不同时期中文版FES-I得分与Harris髋关节功能评分的相关性,采用多重线性回归分析术后不同时期髋关节功能恢复的影响因素。结果205例THA术后患者首次下床活动时、术后1个月、术后3个月中文版FES-I得分分别为(32.24±6.05)、(30.94±6.04)、(28.48±3.52)分;Harris髋关节功能评分分别为(61.49±8.92)、(72.58±5.52)、(89.15±5.70)分;相关分析显示二者呈负相关(r值分别为-0.512、-0.523、-0.549;P<0.05)。多重线性回归分析结果显示,年龄、跌倒恐惧是THA患者术后首次下床活动时髋关节功能恢复的影响因素(P<0.05),可解释总变异的31.2%;性别、年龄、合并疾病数量、跌倒恐惧是THA患者术后1个月髋关节功能恢复的影响因素(P<0.05),可解释总变异的43.7%;性别、年龄、合并疾病数量、跌倒恐惧是THA患者术后3个月髋关节功能恢复的影响因素(P<0.05),可解释总变异的36.9%。结论THA患者术后3个月髋关节功能恢复整体呈上升趋势,不同时期跌倒恐惧对髋关节功能恢复的影响持续存在,患者跌倒恐惧水平越高其髋关节功能恢复水平越差。护理人员应在术后不同时期评估患者的跌倒恐惧状况,并加强对跌倒恐惧程度较高、老年患者、合并其他疾病患者的关注与指导,进而促进患者关节功能恢复。
Objective To explore the changes of hip joint function in patients with total hip arthroplasty(THA)within three months after operation,and to explore the impact of fear of falling on hip joint function recovery.Methods From December 2020 to August 2021,205 patients with THA after operation in the Xinjiang Uygur Municipal People's Hospital were selected as the study subject by objective sampling.The patients were investigated with the General Information Questionnaire,the Chinese version of Falls Efficacy Scale-International(FES-I),and the Harris Hip Score after the first activity out of bed,one month and three months after operation.Pearson correlation was used to analyze the correlation between the scores of FES-I in Chinese version and the scores of Harris Hip Score in different periods after operation,and multiple linear regression were used to analyze the influencing factors of hip joint function recovery in different periods after operation.Results After the first activity out of bed,one month and three months after operation,the FES-I scores of 205 patients after THA were(32.24±6.05),(30.94±6.04)and(28.48±3.52)respectively,and the scores of Harris Hip Score were(61.49±8.92),(72.58±5.52)and(89.15±5.70)respectively,and the correlation analysis showed that they were negatively correlated(r=-0.512,-0.523,-0.549;P<0.05).The results of multiple linear regression analysis showed that age and fear of falling were the influencing factors for the hip joint function recovery when THA patients got out of bed for the first time after operation(P<0.05),which could explain 31.2%of the total variation.Sex,age,number of concomitant diseases and fear of falling were the influencing factors of hip joint function recovery in THA patients one month after operation(P<0.05),which could explain 43.7%of the total variation.Sex,age,number of concomitant diseases and fear of falling were the influencing factors of hip joint function recovery in THA patients three months after operation(P<0.05),which could explain 36.9%of the total variation.Conclusions The recovery of hip joint function in THA patients shows an overall upward trend three months after operation.The impact of fear of falling on the recovery of hip joint function in different periods persists.The higher the level of fear of falling,the worse the recovery of hip joint function.Nurses should evaluate the patients'fear of falling at different periods after operation,and strengthen the attention and guidance to patients with high fear of falling,elderly patients,and patients with other diseases,so as to promote the recovery of patients'joint function.
作者
闵春燕
段菲
王淑勉
孙小卫
肖江琴
Min Chunyan;Duan Fei;Wang Shumian;Sun Xiaowei;Xiao Jiangqin(Nursing Department,Xinjiang Uygur Municipal People's Hospital,Urumqi 830000,China)
出处
《中华现代护理杂志》
2023年第3期324-329,共6页
Chinese Journal of Modern Nursing
基金
新疆维吾尔自治区自然科学基金项目(2021D01C145)。
关键词
关节成形术
置换
髋
跌倒恐惧
髋关节功能
影响因素
Arthroplasty,replacement,hip
Fear of falling
Hip joint function
Influencing factors
