康复护理路径在髋关节置换术后患者中的应用价值分析
Application Value Analysis of Rehabilitation Nursing Path in Patients After Hip Replacement
郭艳 1马旭阳2
作者信息
- 1. 郑州市骨科医院下肢骨科,河南 郑州 450000
- 2. 郑州市骨科医院运动医学科,河南 郑州 450000
- 折叠
摘要
目的:探究康复护理路径对髋关节置换术后患者髋关节功能、日常生活能力以及术后并发症发生情况的影响.方法:选取2020年7月—2022年6月郑州市骨科医院行单侧髋关节置换手术治疗的106例髋关节疾病患者作为研究对象,按照入院时间将所有患者分为对照组和观察组,每组各53例.对照组实施常规围手术期护理干预,观察组在对照组常规护理措施应用的基础上实施临床护理路径干预.观察并比较两组患者干预前后髋关节功能、日常生活能力以及术后并发症发生情况.结果:干预后,观察组患者Harris评分高于对照组,差异有统计学意义(t=6.352,P＜0.05);干预后,观察组患者巴塞尔日常生活能力指标(MBI)指数高于对照组,差异有统计学意义(t=6.352,P＜0.05);观察组患者并发症发生率低于对照组,差异有统计学意义(x2=3.975,P＜0.05).结论:对髋关节置换术后患者实施临床康复护理路径后,患者髋关节功能恢复效果以及日常生活能力有所提高,且在康复护理路径的使用之后可以降低患者治疗期间并发症的发生风险,对促进患者康复具有较为直接的影响.
Abstract
Objective:To explore the influence of rehabilitation care pathway on hip function,daily living ability and the occurrence of postoperative complications in patients after hip replacement.Methods:106 patients with hip disease who received unilateral hip replacement surgery in the hospital from July 2020 to June 2022 were selected as examples,and all the patients were grouped according to the difference in admission time.Specifically,the patients could be divided into two groups for clinical care operations(n=53).The control group implemented routine perioperative care,and the study group implemented the clinical care pathway intervention based on the application of routine care measures in the control group.Before and after the intervention,hip function,daily living ability and postoperative complications were observed and compared between the two groups.Results:After intervention Harris score was higher than the control group(t=6.352,P＜0.05).After intervention,the MBI index of observation group was higher than that of control group,and the difference was statistically significant(t=6.352,P＜0.05).The incidence in observation group was lower than that in control group,and the difference was statistically significant(x2=3.975,P＜0.05).Conclusion:After hip replacement patients clinical rehabilitation nursing path,patients with hip function recovery effect and daily life ability,and after the use of rehabilitation nursing path can reduce the risk of complications during treatment of patients,so as to promote patient rehabilitation has a direct influence.
关键词
康复护理路径/髋关节置换术后/髋关节功能/假肢脱位/下肢静脉血栓/关节僵硬Key words
Rehabilitation care path/After hip replacement/Hip function/Prosthetic dislocation/Venous thrombosis in lower limbs/Joint stiffness引用本文复制引用
基金项目
河南省自然科学基金项目(202300410031)
出版年
2024
NETL
NSTL
万方数据