首页|基于团队合作模式的疼痛干预对髋关节置换患者术后疼痛及功能恢复的影响

基于团队合作模式的疼痛干预对髋关节置换患者术后疼痛及功能恢复的影响

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目的 探讨基于团队合作模式的疼痛干预对髋关节置换患者术后疼痛及功能恢复的影响.方法 选取2022年1月至2023年8月北京积水潭医院择期行髋关节置换术患者88例为研究对象.按随机数字表法分为对照组和观察组,每组44例.对照组给予常规干预,观察组在对照组基础上给予基于团队合作模式的疼痛干预,均持续干预3个月.比较2组术后康复时间、疼痛程度、睡眠质量、髋关节功能,并统计2组干预期间并发症发生情况.结果 观察组首次下床活动时间、住院时间及完全负重时间均短于对照组,且术后不同时点的视觉模拟评分法(VAS)均低于对照组(P<0.05).观察组干预3个月时的匹兹堡睡眠质量指数(PSQI)评分低于对照组,且髋关节Harris中各维度评分及总分均高于对照组(P<0.05).观察组术后深静脉血栓、肺部感染、便秘的总发生率低于对照组(P<0.05).结论 基于团队合作模式的疼痛干预可缩短髋关节置换患者术后康复时间,减轻其术后疼痛程度,改善患者睡眠质量,同时还可促进髋关节功能恢复,降低并发症发生率.
Impact of pain intervention based on team collaboration mode on postoperative pain and functional recovery in patients with hip replacement
Objective To explore the impact of pain intervention based on team collaboration mode on postoperative pain and functional recovery in patients with hip replacement(HR).Methods Eighty-eight patients underwent HR at Beijing Jishuitan Hospital from January 2022 to August 2023 were randomized 1:1 to routine intervention(control group)or pain intervention based on team collaboration mode(observation group)for 3 months.The postoperative recovery time,pain degree,sleep quality and hip function of the two groups were compared,and the treatment-emergent adverse events(TEAEs)were assessed.Results The observation group had significantly shorter first time out of first out-of-bed activity time,hospital stay,and complete weight-bearing time,and lower visual analogue scale(VAS)at postoperative different time points relative to the control group(P<0.05).At 3 months of intervention,the observation group presented significantly lower the Pittsburgh Sleep Quality Index(PSQI)score and higher the Harris hip joint scores(dimensions and total scores)compared to the control group(P<0.05).The TEAEs such as postoperative deep vein thrombosis,pulmonary infection,and constipation in the observation group were significantly lower than those of the control group(P<0.05).Conclusion Pain intervention based on team collaboration mode in HR patients can shorten postoperative recovery time,reduce postoperative pain level,improve sleep quality,and promote the recovery of hip joint function,lower the incidence of complications.

hip replacementteam collaboration modepain interventionpostoperative painfunctional recovery

贾小雪、李春敏、刘媛媛、高齐涛、钟珊

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100035 北京市,首都医科大学附属北京积水潭医院矫形骨科

100035 北京市,首都医科大学附属北京积水潭医院康复医学科

髋关节置换 团队合作模式 疼痛干预 术后疼痛 功能恢复

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(18)
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