多模式延伸护理在老年髋关节置换术后康复中的应用效果
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摘要
目的探讨多模式延伸护理在老年髋关节置换术后康复中的应用效果。方法选取2017年1月～2018年1月在我院行髋关节置换术的患者92例,根据出院后护理方式不同分为观察组和对照组,每组46例,给予对照组常规术后护理,观察组在对照组基础上给予多模式延伸护理,于出院时、术后3个月、术后6个月,通过Barthel指数和Harris髋关节评分比较干预前后两组患者生活质量、髋关节恢复和患者对护理满意度情况。结果出院时,两组患者的Barthel指数评分、Harris髋关节评分比较,差异均无统计学意义(P>0.05);干预3个月、6个月后,观察组患者Barthel指数评分明显高于对照组,差异具有统计学意义(术后3个月t=32.370,术后6个月t=22.300,P<0.05);同时,观察组患者Harris髋关节评分也明显高于对照组,差异具有统计学意义(术后3个月t=9.079,术后6个月t=12.820,P<0.05);干预后,观察组患者满意度91.3%,明显高于对照组患者67.4%,差异具有统计学意义(χ2=8.026,P<0.05)。结论在老年髋关节置换术后实施多模式延伸护理可促进患者髋关节恢复,提高其生活质量,同时也提升护理满意度。
Objective To investigate the effect of multimodal extended nursing on rehabilitation after hip replacement in elderly patients. Methods A total of 92 patients who underwent hip replacement in our hospital from January 2017 to January 2018 were enrolled. The patients were divided into observation group and control group according to different post-discharge nursing methods, with 46 patients in each group. The control group was given routine postoperative care.The observation group was given multi-mode extended care on the basis of treatment of the control group. The quality of life, hip recovery and nursing satisfaction were compared between the two groups before and after intervention by Barthel index and Harris hip score at discharge, 3 months after surgery and 6 months after surgery. Results At the time of discharge, there was no significant difference in Barthel index and Harris hip score between the two groups(P>0.05).After 3 months and 6 months, the Barthel index score of the observation group was significantly higher than that of the control group. The difference was statistically significant(t=32.370 at 3 months postoperatively, t=22.300, P<0.05 at 6 months postoperatively). At the same time, the hip Harris score of the observation group was also significantly higher than that of the control group, and the difference was statistically significant(t=9.079 at 3 months postoperatively, t=12.820 at 6 months postoperatively, P<0.05). After intervention, the satisfaction rate of the observation group was 91.3%,which was significantly higher than that of the control group(67.4%). The difference was statistically significant(χ2=8.026, P<0.05). Conclusion Multi-mode extended care after elderly hip replacement can promote hip recovery, improve their quality of life, and improve nursing satisfaction.
Objective To investigate the effect of multimodal extended nursing on rehabilitation after hip replacement in elderly patients. Methods A total of 92 patients who underwent hip replacement in our hospital from January 2017 to January 2018 were enrolled. The patients were divided into observation group and control group according to different post-discharge nursing methods, with 46 patients in each group. The control group was given routine postoperative care.The observation group was given multi-mode extended care on the basis of treatment of the control group. The quality of life, hip recovery and nursing satisfaction were compared between the two groups before and after intervention by Barthel index and Harris hip score at discharge, 3 months after surgery and 6 months after surgery. Results At the time of discharge, there was no significant difference in Barthel index and Harris hip score between the two groups(P>0.05).After 3 months and 6 months, the Barthel index score of the observation group was significantly higher than that of the control group. The difference was statistically significant(t=32.370 at 3 months postoperatively, t=22.300, P<0.05 at 6 months postoperatively). At the same time, the hip Harris score of the observation group was also significantly higher than that of the control group, and the difference was statistically significant(t=9.079 at 3 months postoperatively, t=12.820 at 6 months postoperatively, P<0.05). After intervention, the satisfaction rate of the observation group was 91.3%,which was significantly higher than that of the control group(67.4%). The difference was statistically significant(χ2=8.026, P<0.05). Conclusion Multi-mode extended care after elderly hip replacement can promote hip recovery, improve their quality of life, and improve nursing satisfaction.
引文
[1]姚红亚,周维锋.综合性护理干预对老年人工髋关节置换术患者焦虑心理及术后骨愈合的影响[J].中国现代医生,2015,53(29):143-146.
[2]Katchy AU,Anyaehie UE,Nwadinigwe CU,et al.Total hip replacement in sickle cell disorder:A preliminary report of challenges and early outcome of 21 consecutive patients[J].Niger J Clin Pract,2018,21(4):492-495.
[3]杜丽媚,潘孝云.基于Orem自护理论的老年股骨头坏死全髋关节置换术护理效果分析[J].中国现代医生,2017,55(33):149-152.
[4]李海霞.全髋关节置换术中心理护理发挥的临床结果[J]中国健康心理学杂志,2017,25(7):1070-1073.
[5]王春红,樊星虹.基于家庭系统治疗法的延续护理干预对老年髋关节置换术出院患者的影响[J].齐鲁护理杂志,2016,22(18):29-31.
[6]石广卉,王姣,杜玲,等.临床路径在高龄股骨颈骨折患者人工髋关节置换术围术期护理中的应用[J].实用临床医药杂志,2017,21(4):216-217.
[7]刘小谊,张爱峰,孙桂英.老年患者人工髋关节置换术的围手术期护理体会[J].中国实用医药,2016,(6):231-232.
[8]杨丽娟.综合护理在全髋关节置换术治疗老年股骨颈骨折患者中的应用效果观察[J].中国现代医生,2016,54(9):148-150.
[9]潘爱芬,赵向琴,眭文洁.1例全髋关节置换术中并发急性肺栓塞患者的抢救及护理[J].中华护理杂志,2016,51(9):1150-1152.
[10]李晶.手术室护理路径在髋关节置换术患者的护理效果及并发症观察[J].临床医学研究与实践,2017,2(19):149-150.
[11]梁小娃.探讨护理干预对人工髋关节置换术患者围术期康复的影响[J].中国医药科学,2017,7(22):137-139.
[12]徐蕴芳,周宜芳.全髋关节置换术患者的延续性护理[J].解放军护理杂志,2016,33(17):50-52.
[13]Marconi D,Vigorita V,Bryk E.Histological findings in six failed metal-on-metal implants[J].J Long Term Eff Med Implants,2017,27(1):85-96.
[14]Dawson D,Milligan D,Callachand F,et al.Hip hemiarthroplasty vs total hip replacement for displaced intracapsular hip fractures:Retrospective age and sex matched cohort study[J].Ulster Med J,2018,87(1):17-21.
[15]林春红.综合护理在老年患者人工髋关节置换术围手术期中的效果观察[J].齐齐哈尔医学院学报,2016,37(22):2840-2842.
[16]Vardhan H,Tripathy SK,Sen RK,et al.Epidemiological profile of femoral head osteonecrosis in the north indian population[J].Indian J Orthop,2018,52(2):140-146.
[17]朱丽雅,邱彩英,李利敏.Barthel指数评定量表在慢性感染性疾病患者护理中的应用[J].护理与康复,2016,15(5):449-451.
[18]李锐军,蔡荣辉,何智勇.全髋关节置换术后关节功能4种定量指标变化及Harris评分分析[J].中国骨科临床与基础研究杂志,2017,9(2):81-85.
[19]盛晓娟.护理延伸对人工全髋关节置换术患者居家康复效果的研究[J].当代护士(中旬刊),2017,(11):34-36.
[20]谭娟.延伸护理对人工髋关节置换术后患者的效果观察[J].中国当代医药,2017,24(28):186-189.
[21]陈颖,蔡燕颜,陈进星.院外延伸护理对老年髋关节置换术后康复的影响观察[J].齐齐哈尔医学院学报,2015,36(7):1081-1083.
[22]张海燕,郑春兰,纪宝琼.老年股骨颈骨折人工髋关节置换术的综合护理干预效果[J].中外医学研究,2017,15(3):77-78.
[23]周孝丽.老年股骨颈骨折髋关节置换术后针对性护理的效果观察[J].中外医学研究,2017,15(2):90-92.
[2]Katchy AU,Anyaehie UE,Nwadinigwe CU,et al.Total hip replacement in sickle cell disorder:A preliminary report of challenges and early outcome of 21 consecutive patients[J].Niger J Clin Pract,2018,21(4):492-495.
[3]杜丽媚,潘孝云.基于Orem自护理论的老年股骨头坏死全髋关节置换术护理效果分析[J].中国现代医生,2017,55(33):149-152.
[4]李海霞.全髋关节置换术中心理护理发挥的临床结果[J]中国健康心理学杂志,2017,25(7):1070-1073.
[5]王春红,樊星虹.基于家庭系统治疗法的延续护理干预对老年髋关节置换术出院患者的影响[J].齐鲁护理杂志,2016,22(18):29-31.
[6]石广卉,王姣,杜玲,等.临床路径在高龄股骨颈骨折患者人工髋关节置换术围术期护理中的应用[J].实用临床医药杂志,2017,21(4):216-217.
[7]刘小谊,张爱峰,孙桂英.老年患者人工髋关节置换术的围手术期护理体会[J].中国实用医药,2016,(6):231-232.
[8]杨丽娟.综合护理在全髋关节置换术治疗老年股骨颈骨折患者中的应用效果观察[J].中国现代医生,2016,54(9):148-150.
[9]潘爱芬,赵向琴,眭文洁.1例全髋关节置换术中并发急性肺栓塞患者的抢救及护理[J].中华护理杂志,2016,51(9):1150-1152.
[10]李晶.手术室护理路径在髋关节置换术患者的护理效果及并发症观察[J].临床医学研究与实践,2017,2(19):149-150.
[11]梁小娃.探讨护理干预对人工髋关节置换术患者围术期康复的影响[J].中国医药科学,2017,7(22):137-139.
[12]徐蕴芳,周宜芳.全髋关节置换术患者的延续性护理[J].解放军护理杂志,2016,33(17):50-52.
[13]Marconi D,Vigorita V,Bryk E.Histological findings in six failed metal-on-metal implants[J].J Long Term Eff Med Implants,2017,27(1):85-96.
[14]Dawson D,Milligan D,Callachand F,et al.Hip hemiarthroplasty vs total hip replacement for displaced intracapsular hip fractures:Retrospective age and sex matched cohort study[J].Ulster Med J,2018,87(1):17-21.
[15]林春红.综合护理在老年患者人工髋关节置换术围手术期中的效果观察[J].齐齐哈尔医学院学报,2016,37(22):2840-2842.
[16]Vardhan H,Tripathy SK,Sen RK,et al.Epidemiological profile of femoral head osteonecrosis in the north indian population[J].Indian J Orthop,2018,52(2):140-146.
[17]朱丽雅,邱彩英,李利敏.Barthel指数评定量表在慢性感染性疾病患者护理中的应用[J].护理与康复,2016,15(5):449-451.
[18]李锐军,蔡荣辉,何智勇.全髋关节置换术后关节功能4种定量指标变化及Harris评分分析[J].中国骨科临床与基础研究杂志,2017,9(2):81-85.
[19]盛晓娟.护理延伸对人工全髋关节置换术患者居家康复效果的研究[J].当代护士(中旬刊),2017,(11):34-36.
[20]谭娟.延伸护理对人工髋关节置换术后患者的效果观察[J].中国当代医药,2017,24(28):186-189.
[21]陈颖,蔡燕颜,陈进星.院外延伸护理对老年髋关节置换术后康复的影响观察[J].齐齐哈尔医学院学报,2015,36(7):1081-1083.
[22]张海燕,郑春兰,纪宝琼.老年股骨颈骨折人工髋关节置换术的综合护理干预效果[J].中外医学研究,2017,15(3):77-78.
[23]周孝丽.老年股骨颈骨折髋关节置换术后针对性护理的效果观察[J].中外医学研究,2017,15(2):90-92.