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系统化护理干预对全髋关节置换术后疼痛及功能康复的影响
引用本文:肖红.系统化护理干预对全髋关节置换术后疼痛及功能康复的影响[J].中国校医,2020,34(2):104-106.
作者姓名:肖红
作者单位:河南省驻马店市中心医院骨三科,河南 驻马店 463000
基金项目:河南省科技攻关计划(182102310463)髋关节不稳定的系统性临床评估及个性化治疗。
摘    要:目的 探究系统化护理干预对全髋关节置换术患者术后疼痛及功能康复的影响。方法 选取在某院90例进行全髋关节置换术患者作为研究对象,按照随机数字表法分为两组,各45例。对照组给予常规护理,观察组在对照组基础上实施系统化护理干预。对比两组患者术后疼痛情况及髋关节功能恢复优良率。结果 2组患者术后第1 d VAS评分比较(5.49±1.22 VS 5.53±1.34),差异无统计学意义(P>0.05),观察组术后第5 d VAS评分较低(2.41±0.63 VS 3.85±0.74,P<0.05)。与对照组相比,观察组髋关节功能恢复优良率较高(91.11% VS 73.33%,P<0.05)。结论 全髋关节置换术患者实施系统化护理干预可有效缓解术后疼痛感,提高髋关节功能评分,利于促进其术后康复,值得临床推广。

关 键 词:全髋关节置换术  系统化护理  术后疼痛  髋关节功能  
收稿时间:2019-03-27

Effect of systematic nursing intervention on pain and functional rehabilitation after total hip arthroplasty
XIAO Hong.Effect of systematic nursing intervention on pain and functional rehabilitation after total hip arthroplasty[J].Chinese Journal of School Doctor,2020,34(2):104-106.
Authors:XIAO Hong
Institution:Orthopaedic Department, Zhumadian Central Hospital, Zhumadian 463000, Henan, China
Abstract:Objective To investigate the effect of systematic nursing intervention on postoperative pain and functional rehabilitation in patients undergoing total hip arthroplasty. Methods A total of 90 patients with total hip arthroplasty were enrolled in this study. They were divided into two groups, a control group and an observation group, according to the random number table method, with 45 cases in each group. The control group received the routine care and the the observation group was given the systematic nursing intervention on the basis of the control group. The postoperative pain and the excellent rate of hip function recovery were investigates and compared between the two groups. Results The VAS scores on the 1 st day after the operation were compared between the observation group and the control group(5.49±1.22 vs. 5.53±1.34), and the difference was not statistically significant(P>0.05). The VAS score was lower on the 5 th day after the operation(2.41±0.63 vs. 3.85±0.74), and the difference between the groups was statistically significant(P<0.05). The excellent rate of hip function recovery in the observation group was higher compared with that in the control group,(91.11% vs.73.33%), and the difference was statistically significant(P<0.05). Conclusion The systematic nursing intervention in patients with total hip arthroplasty can effectively relieve the postoperative pain, improve the hip function score, and promote postoperative recovery. It is worthy of clinical promotion.
Keywords:total hip arthroplasty  systemic nursing  postoperative pain  hip function
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