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基于King互动达标理论的多学科团队合作在老年半髋关节置换术后康复的应用
引用本文:丁玲.基于King互动达标理论的多学科团队合作在老年半髋关节置换术后康复的应用[J].蚌埠医学院学报,2021,46(9):1304-1308.
作者姓名:丁玲
作者单位:安徽省合肥市庐江县人民医院 骨科, 231500
摘    要:目的评价基于互动达标理论的延续性护理在老年半髋关节置换术后康复中的应用效果。方法以80例接受半髋关节置换术的病人为研究对象,随机分为研究组(n=40)与对照组(n=40);对照组接受常规延续性护理,研究组接受基于互动达标理论的延续性护理方案。比较2组病人出院后服药依从性、关节功能康复、日常生活能力与并发症发生情况。结果术后1个月与术后3个月研究组服药依从性高的比例均高于对照组(P < 0.05)。研究组出院后3、6个月Harris评分、生活自理能力Barthel指数均明显高于对照组(P < 0.01)。研究组出院后深静脉血栓、假体脱位、感染累计发生率为5.0%,与对照组的12.5%差异无统计学意义(P>0.05)。结论基于互动达标理论的延续性护理可提升老年半髋关节置换术后康复效果。

关 键 词:延续性护理    互动达标理论    多学科合作    老年    半髋关节置换术    康复
收稿时间:2021-02-11

Application value of the multi-disciplinary team based on King's interactive attainment theory in the rehabilitation of the elderly with hemi-hip replacement
DING Ling.Application value of the multi-disciplinary team based on King's interactive attainment theory in the rehabilitation of the elderly with hemi-hip replacement[J].Journal of Bengbu Medical College,2021,46(9):1304-1308.
Authors:DING Ling
Affiliation:Department of Orthopedics, Lujiang People's Hospital, Lujiang Anhui 231500, China
Abstract:ObjectiveTo evaluate the application effects of continuous nursing based on the King's interactive attainment theory in the rehabilitation of elderly patients after hemi-hip replacement.MethodsEighty patients treated with hemi-hip replacement were randomly divided into the study group (n=40) and control group (n=40). The control group was treated with conventional continuous programme, and the study group was treated with multi-disciplinary team continuous nursing based on the King's interactive attainment theory. The medication compliance, joint function rehabilitation, activities of daily living and complications were compared between two groups.ResultsThe ratio of high compliance at 1 month and 3 months after operation in study group were higher than that in control group (P < 0.05). The Harris score and self-care ability Barthel index in study group were significantly higher than those in control group after 3 months and 6 months of discharge (P < 0.01). The difference of the cumulative incidence rate of DVT, dislocation of the prosthesis and infection after discharge between the study group(5.0%) and control group (12.5%) was not statistically significant (P>0.05).ConclusionsThe continuous nursing based on the King's interactive attainment theory can improve the rehabilitation effects of the elderly after hemi-hip replacement.
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