多学科协作护理在老年髋关节置换术中的应用分析
Clinical practice and effect analysis of multidisciplinary collaborative clinical nursing in elderly patients undergoing hip Joint replacement
郑云秀 1欧阳萍 1罗婷 1冷慧琴 1潘文锋 1罗运仓2
作者信息
- 1. 宜春市上高县中医院 江西上高 336400
- 2. 颍上县人民医院 安徽颍上 236299
- 折叠
摘要
目的:探讨多学科协作护理在老年髋关节置换术中的应用效果.方法:选定在医院接受髋关节置换术的66例高龄患者,用随机数表法分为对照组(常规护理,33例)和观察组(MDT临床护理,33例),对比两组手术相关指标、自我护理能力、疼痛程度及围手术期并发症发生率.结果:观察组患者手术、苏醒时间及术中出血量均优于对照组(P＜0.05);观察组患者ESCA评分比对照组更高(P＜0.05);观察组患者干预后24 h、48 h的VAS分值均低于对照组(P＜0.05);观察组患者围手术期并发症发生率低于对照组(P＜0.05).结论:MDT临床护理用于行髋关节置换术的老年患者,可优化手术相关指标,缓解术后疼痛,有利于改善患者自我护理能力,减少术后并发症.
Abstract
Objective:To explore the application effect of multidisciplinary cooperative nursing in elderly hip replacement.Methods:Sixty-six elderly patients who underwent hip replacement in a hospital were randomly divided into control group(routine nursing,n=33)and observation group(MDT clinical nursing,n=33)by digital table method,and the operation-related indexes,self-care ability,pain degree and perioperative complications of the two groups were compared.Results:The operation,recovery time and blood loss in the observation group were lower than those in the control group(P＜0.05).The ESCA score in the observation group was higher than that in the control group(P＜0.05).The VAS scores of 24 hours and 48 hours after intervention were lower in the observation group(P＜0.05).The incidence of perioperative complications in the observation group was lower(P＜0.05).Conclusion:MDT clinical nursing for elderly patients undergoing hip replacement can optimize the operation-related indexes,relieve postoperative pain,improve patients'self-care ability and be less affected by the risk of complications.
关键词
多学科协作/临床护理/老年/髋关节置换术Key words
multidisciplinary collaboration/clinical nursing/old age/undergoing hip Joint replacement引用本文复制引用
基金项目
宜春市科技计划指导性项目(2023ZDJH2984)
2019年度阜阳市卫生健康委科研立项课题(卫科教2019258号)
出版年
2024
NETL
NSTL
万方数据