文章摘要

家庭访视在髋关节置换术后延续护理中的应用及其对患者髋关节功能、并发症的影响

作者: 1石 红, 1周 文娟, 1钱 冬梅
1 海安人民医院骨科,江苏 海安 226600
通讯: 石 红 Email: shhzc123456@126.com
DOI: 10.3978/j.issn.2095-6959.2020.04.025

摘要

目的:研究家庭访视在髋关节置换术后延续护理中的应用及对患者髋关节功能、并发症的影响。方法:将海安人民医院行髋关节置换术的76例患者随机分为观察组和对照组,每组38例。髋关节置换术后延续护理中予以常规护理,设为对照组;观察组予以家庭访视护理。护理干预3个月后,采用Harris髋关节评分系统评价患者髋关节功能,统计术后并发症的发生率。结果:2组髋关节功能优良率差异具有统计学意义(P<0.05)。2组深静脉血栓、肺部感染、髋关节脱位、褥疮并发症的总发生率差异均具有统计学意义(P<0.05)。结论:髋关节置换术后延续护理中予以患者家庭访视护理可有效提高患者的髋关节功能,降低术后并发症的发生率。
关键词: 髋关节置换术;延续护理;家庭访视;髋关节功能;并发症

Application of home visits in the continuing nursing after hip arthroplasty and its effect on patients’ hip function and complications

Authors: 1SHI Hong, 1ZHOU Wenjuan, 1QIAN Dongmei
1 Department of Orthopaedics, Hai’an People’s Hospital, Hai’an Jiangsu 226600, China

CorrespondingAuthor:SHI Hong Email: shhzc123456@126.com

Abstract

Objective: To study the application of home visits in the continuous nursing after hip replacement and the effect on hip function and complications. Methods: Seventy-six patients undergoing hip arthroplasty were randomly divided into an observation group and a control group, with 38 cases in each group. In the continuation nursing after hip replacement, routine control nursing was given to the control group, and home visit single nursing was given to the observation group. After 3 months of nursing intervention, the Harris hip score system was used to evaluate the hip function of the patients, and the incidence of postoperative complications was counted. Results: The difference in the excellent hip joint function between the 2 groups was statistically significant (P<0.05). The difference in the total incidence of deep venous thrombosis, pulmonary infection, hip dislocation, and decubitus complication between the two groups were statistically significant (P<0.05). Conclusion: Single-patient home visits during continuous nursing after hip replacement can effectively improve hip function and reduce the incidence of postoperative complications.
Keywords: hip replacement; continued care; home visits; hip function; complications