关节置换术后老年患者髋关节功能恢复应用护理干预的效果观察OA
Observation on the Effect of Nursing Intervention on the Recovery of Hip Joint Function in Elderly Patients after Hip Replacement Surgery
目的:探讨老年髋关节置换术患者术后的髋关节功能恢复过程中应用护理干预的效果.方法:选取我院 2018 年-2021 年12 月收治的 98例行髋关节置换术治疗的老年患者为研究对象,通过双盲选法将其分为对照组和试验组,每组 49例.对照组采用常规护理,试验组采用针对性护理干预.比较 2 组护理前后不同时段的Harris评分、Barthel评分、髋臼位置、疼痛评分、自我能力评分.结果:护理前,2 组Harris评分、Barthel评分、髋臼外展角、髋臼前倾角、疼痛评分、自我能力评分比较,组间差异无统计学意义(P＞0.05).护理 15、30 和60d后,2 组Harris评分、Barthel评分及自我能力评分均较护理前升高,疼痛评分均较护理前下降,且试验组Harris评分、Barthel评分及自我能力评分均高于对照组,疼痛评分均低于对照组,差异有统计学意义(P＜0.05).护理 30、60d后,2 组髋臼外展角及髋臼前倾角均较护理前明显减小,且试验组小于对照组,差异有统计学意义(P＜0.05).结论:对于选择髋关节置换术治疗的老年患者,在其手术治疗后的髋关节功能恢复过程中应用针对性护理干预可以收获良好的护理效果,无论是对其术后髋关节功能方面的恢复还是对其术后生活质量的提高具有积极意义,可以进一步促进髋臼位置恢复,缓解患者疼痛,提高其自护能力.
Objective:To investigate the effect of nursing intervention in the process of hip function recovery in elderly patients after hip replacement.Methods:Ninety-eight elderly patients undergoing hip replacement treatment in our hospital from 2018 to December 2021 were selected as the exclusive study,and were divided into control group and experimental group by double blind selection method,with 49 cases in each group.The control group received routine nursing,and the experimental group received targeted nursing intervention.The Harris score,Barthel score,acetabular position,pain score and self-abili ty score before and after the two groups were compared.Results:Before nursing,there was no significant difference between the two groups in Harris score,Barthel score,acetabular abduction angle,acetabular anterior inclination angle,pain score and self-abili ty score(P＞0.05).1,30 and 60 d after care,Harris score,Barthel score and ESCA score in 2 groups were higher than before nursing,and pain score was lower than before care,and Harris score,Barthel score and ESCA score in the test group were higher than those in the control group in the above three post-care periods.VAS scores were lower than control group,the difference was statistically significant(P＜0.05).After 30 and 60 d of nursing,the acetabu-lar abduction angle and acetabular anterior inclination angle of 2 groups were significantly decreased compared with that before nurs-ing,and the experimental group was smaller than the control group,the difference was statistically significant(P＜0.05).Conclusion:For elderly patients who choose hip replacement treatment,the application of targeted nursing intervention in the process of hip function re-covery after surgical treatment can achieve good nursing effects,which has positive significance in both the recovery of hip function after surgery and the improvement of the quality of life after surgery,which can further promote the recovery of acetabular position and relieve the pain of patients.Improve their self-care ability.
吴晓慧
内蒙古自治区人民医院,内蒙古呼和浩特 010017
临床医学
髋关节置换术老年髋关节功能针对性护理干预生活质量髋臼位置疼痛自护能力
Hip Joint replacementOld ageHip joint functionTargeted nursing interventionsQuality of lifeAcetabular posi-tionPainSelf care ability
《中国伤残医学》 2024 (006)
140-143 / 4
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