文章摘要

无缝隙护理在髋关节置换术围手术期的效果及对预后的影响

作者: 1王琼妹
1 琼海市人民医院手术室,海南 琼海 571400
通讯: 王琼妹 Email: 56203486@qq.com
DOI: 10.3978/j.issn.2095-6959.2020.09.037

摘要

目的:探讨围手术期无缝隙护理干预对髋关节置换术患者的近期效果,为患者的临床护理提供参考。方法:选择2017年5月至2019年2月于琼海市人民医院行髋关节置换术110例患者为研究对象。按照简单随机数表法分成观察组和对照组,各55例。对照组给予围手术期常规护理,观察组给予围手术期无风险护理干预。随访3个月,比较两组患者的Harris评分、视觉模拟评分法(Visual Analogue Scale,VAS)评分、日常生活能力量表(Activity of Daily Living,ADL)评分、首次下床时间、住院时间及并发症发生率。结果:两组患者术前Harris评分比较,差异无统计学意义(P>0.05);两组患者术后1个月和3个月的Harris评分均明显提高,观察组患者术后1个月和术后3个月的Harris评分明显高于对照组,差异有统计学意义(P<0.05)。术前比较可知,两组患者VAS评分与ADL评分的差异无统计学意义(P>0.05);两组患者术后1周VAS评分,术后3个月ADL评分明显下降,且观察组患者术后1周VAS评分,术后3个月ADL评分明显低于对照组,差异有统计学意义(P<0.05)。观察组患者首次下床时间和住院时间[(21.75±4.05) h,(11.36±1.64) d]均明显短于对照组[(37.94±5.42) h,(15.51±2.18) d],差异有统计学意义(P<0.05)。观察组患者压疮便秘、静脉血栓、切口感染、髋关节脱位等并发症的总发生率(5.45%)显著低于对照组(27.27%),差异有统计学意义(P<0.05)。结论:髋关节置换术患者采用围手术期无缝隙护理干预能促进患者髋关节功能康复,缩短卧床和住院时间,减轻术后疼痛,缓解不良情绪,减少并发症,具有推广应用价值。
关键词: 髋关节置换术;围手术期;无缝隙护理;疗效;髋关节功能

Effect of seamless nursing in perioperative period of hip replacement and its influence on prognosis

Authors: 1WANG Qiongmei
1 Department of Operating Room, Hainan Qionghai People’s Hospital, Qionghai Hainan 571400, China

CorrespondingAuthor: WANG Qiongmei Email: 56203486@qq.com

Abstract

Objective: To explore the short-term effects of hip replacement surgery in patients with perioperative seamless nursing intervention, and provide reference for clinical nursing of patients. Methods: One hundred and ten cases patients who underwent hip arthroplasty in the Hainan Qionghai People’s Hospital from May 2017 to February 2019 were enrolled. According to the simple random number table method, the observation group and the control group were divided into 55 cases each. The control group was given routine perioperative care, and the observation group was given a perioperative risk-free care intervention. After 3 months of follow-up, the Harris score, Visual Analogue Scale (VAS) score, Activity of Daily Living (ADL) score, first time to get out of bed, length of hospital stay, and complication rate were compared between the two groups. Results: There were no significant difference in Harris score between the two groups before operation (P>0.05). The Harris scores of the two groups were significantly improved 1 and 3 months after operation, and the Harris score at 1 and 3 months after operation of the observation group were significantly higher than that in the control group, and the differences were statistically significant (P<0.05). There were no significant difference in preoperative VAS and ADL scores between the two groups before operation (P>0.05). The VAS score at 1 week after operation and the ADL score at 3 months after operation were significantly decreased in the two groups, and the VAS score at 1 week after operation and the ADL score at 3 months after operation were significantly lower than those in the control group, and the difference was statistically significant (P<0.05). The first time of bed-out and hospitalization (21.75±4.05 h, 11.36±1.64 d) in the observation group were significantly shorter than those in the control group (37.94±5.42 h, 15.51±2.18 d), the differences were statistically significant (P<0.05). The complication rate of the observation group (5.45%) was significantly lower than that of the control group (27.27%), and the difference was statistically significant (P<0.05). Conclusion: Perioperative seamless nursing intervention in patients with hip arthroplasty can promote hip joint function rehabilitation, shorten bed rest, hospital stay, reduce postoperative pain, alleviate adverse emotions, reduce complications, and it has the value of promotion and application.
Keywords: hip replacement; perioperative period; seamless care; therapy effect; hip function