Application of Collaborative Nursing Model Based on Rapid Rehabilitation Concept in Elderly Hip Replacement Patients
Objective To investigate the impact of a collaborative nursing model based on the concept of fast recov-ery on rehabilitation outcomes in elderly patients undergoing hip replacement surgery.Methods Convenience sampling was employed to select 105 patients who underwent elective hip replacement surgery at Affiliated Tai-zhou People's Hospital of Nanjing Medical University from January 2023 to February 2024.The control group(n=52)consisted of patients treated between January and July 2023,while the observation group(n=53)included patients treated between August 2023 and February 2024.The control group received traditional orthopedic peri-operative nursing,while the observation group received a collaborative nursing model based on the concept of fast recovery in addition to standard care.Rehabilitation outcomes and incidence of complications were com-pared between the two groups.Results Patients in the observation group exhibited shorter postoperative time for first flatus,oral intake,ambulation,and length of hospital stay compared to those in the control group.Moreover,after surgery,Harris scores were higher in the observation group than in the control group.Additionally,inci-dence rates of gastrointestinal reactions,urinary retention,pressure ulcers,delirium,and lower limb deep vein thrombosis were lower in the observation group than in the control group;all differences were statistically signifi-cant(P＜0.05).Conclusion Application of a collaborative nursing model based on fast recovery concepts can effec-tively reduce postoperative complications and shorten time for first flatus occurrence as well as oral intake initia-tion period along with early ambulation initiation period among elderly patients undergoing hip replacement sur-gery.Furthermore,it promotes patient rehabilitation significantly and is highly recommended for clinical imple-mentation.
hip replacementrapid rehabilitationcollaborative nursing model
万方数据
维普
