Application effect of the concept of fast-track surgery in hip or knee replacement
Objective To explore the application effect of the concept of fast-track surgery in hip or knee replacement.Methods A total of 80 patients with hip or knee replacement were divided into an experimental group and a control group according to computer random grouping method,with 40 cases in each group.The control group received the traditional nursing mode,and the experimental group received nursing based on concept of fast-track surgery.Comparison was made on related scores[Hospital for Special Surgery(HSS)score,Visual Analogue Scale(VAS)score,Harris score,Tampa Scale for Kinesiophopia(TSK)score],range of motion(ROM),quality of life score and time indicators before and after nursing,hospitalization cost,complication rate,nursing satisfaction,nursing excellence rate,time to ROM recovery to 60,80,100,120°.Results After nursing,HSS score,VAS score,ROM,Harris score and TSK score in the experimental group were obviously better than those in the control group(P<0.05).After nursing,the experimental group had physiological function score of(93.82±5.21)points,mental health score of(92.07±5.15)points,emotional function score of(90.95±5.46)points,and vitality score of(90.87±5.09)points,which were significantly better than(84.71±4.21),(80.83±4.25),(81.52±4.49),and(81.01±4.32)points in the control group(P<0.05).In the experimental group,the time to first ambulation was(1.76±0.93)d,the time to catheter removal was(21.09±7.07)h,the hospitalization time was(7.17±2.01)d,the time of eating was(2.87±0.09)h,the time of first urination was(23.79±0.65)h,the hospitalization cost was(27024.17±2432.62)yuan,which were significantly better than(2.95±1.05)d,(43.52±16.31)h,(10.32±2.91)d,(5.81±0.59)h,(47.63±0.47)h,(32758.41±3593.89)yuan in the control group(P<0.05).The incidence of complications of 5.00%in the experimental group was better than 22.50%in the control group(P<0.05).The total satisfaction rate of 97.50%in the experimental group was obviously better than 77.50%in the control group(P<0.05).The excellent nursing rate of 97.50%in the experimental group was obviously higher than 77.50%in the control group(P<0.05).The time to ROM recovery to 60,80,100,120° in the experimental group was obviously shorter than those in the control group(P<0.05).Conclusion Application of concept of fast-track surgery in hip or knee replacement has good effect.
Concept of fast-track surgeryHip or knee replacementHip function
万方数据
维普
