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全髋关节置换术患者行围手术期强化护理对BI指数影响研究

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目的 全髋关节置换术患者行围手术期强化护理对日常生活活动能力表(Barthel Index,BI)指数影响的研究.方法 选取2022年1月—2023年9月赤峰市医院收治的286例全髋关节置换术患者为研究对象,根据不同的护理模式分为观察组和对照组,各143例,观察组进行围手术期强化护理,对照组进行常规护理.对比两组患者的功能锻炼依从率、BI指数、不良情绪评分及护理满意度.结果 观察组的功能锻炼依从率为96.51%(138/143),高于对照组的83.22%(119/143),差异有统计学意义(χ2=13.852,P<0.001);护理后,观察组BI指数(87.78±9.21)分明显高于对照组(74.56±8.56)分,差异有统计学意义(t=15.059,P<0.05);护理后,观察组不良情绪评分明显低于对照组,差异有统计学意义(P<0.05);观察组的护理满意度高于对照组,差异有统计学意义(P<0.05).结论 通过围手术期强化护理干预可以提高全髋关节置换术患者的日常生活活动能力,进一步改善患者的不良情绪,并提高患者的锻炼依从率,且整体满意度较高.
A Study on the Impact of Enhanced Operating Room Nursing on BI Index in Patients Undergoing Total Hip Replacement Surgery
Objective To study the effect of perioperative intensive nursing on Barthel Index(BI)in patients with total hip replacement.Methods A total of 286 patients with total hip arthroplasty admitted to Chifeng City Hospital from January 2022 to September 2023 were selected as the research objects.According to different nursing modes,they were divided into observation group and control group,143 cases in each group.The observation group received inten-sive perioperative nursing,while the control group received routine nursing.The functional exercise compliance rate,BI index,bad mood score and nursing satisfaction were compared between the two groups.Results The functional exer-cise compliance rate of the observation group was 96.51%(138/143),which was higher than 83.22%(119/14)of the control group,and the difference was statistically significant(χ2=13.852,P<0.001).After nursing,the BI index of the observation group(87.78±9.21)points was significantly higher than that of the control group(74.56±8.56)points,and the difference was statistically significant(t=15.059,P<0.05);after nursing,the score of bad mood in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was sta-tistically significant(P<0.05).Conclusion Intensive nursing intervention during perioperative period can improve the activities of daily living of patients undergoing total hip arthroplasty,further improve the patients'bad mood,and im-prove the patients'exercise compliance rate,and the overall satisfaction is high.

Total hip arthroplastyBarthel IndexComplicationsPerioperative periodIntensive care

邵亚东

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赤峰市医院,内蒙古 赤峰 024000

全髋关节置换术 日常生活活动能力 并发症 围手术期 强化护理

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(34)