循证护理在髋关节置换术后患者功能锻炼中的应用

目的:探讨循证护理(EBN)在髋关节置换术后患者功能锻炼中的应用价值。方法:将2015年5月至2016年5月收治的髋关节置换术后患者60例分为对照组、观察组(n=30)。对照组按骨科护理常规要求进行功能锻炼;观察组根据患者情况提出护理问题,运用软件检索查找循证护理依据,分析髋关节置换术后患者功能锻炼的开始时间、早期功能锻炼的时长与方法、最佳功能锻炼的方法、减轻患者功能锻炼时疼痛的方法及提高患者功能锻炼依从性的方法,制定功能锻炼方案。比较两组患者功能锻炼时疼痛程度、Harris髋关节评分、脱位发生率、功能锻炼依从性。结果:功能锻炼时疼痛方面,观察组与对照组术后3d数字评定量表(NRS)评分差异无统计学意义;观察组术后1周、2周NRS评分明显低于对照组,差异有统计学意义(P0.05)。观察组术后2周Harris髋关节评分优于对照组,差异有统计学意义(P0.05)。观察组与对照组均无脱位发生。观察组功能锻炼依从性明显优于对照组,差异有统计学意义(P0.05)。结论:基于EBN的护理模式可减轻髋关节置换术后患者功能锻炼时的疼痛,有利于促进患者髋关节功能的恢复,同时能够有效提高患者功能锻炼的依从性。

Application of evidence based nursing in functional exercise after hip replacement

Objective to investigate the role of evidence-based nursing in functional exercise after hip replacement.Methods using single blind method, 60 cases were randomly divided into observation group and control group 30 cases of hip replacement in May 2015 ~2016 year in May in our hospital patients, the control group according to the Department of orthopedics nursing routine exercise, the observation group according to evidence-based nursing, retrieval of evidence, the application of evidence-based nursing of hip after joint replacement in patients with functional exercise start time, early functional exercise time and method, the best functional exercise methods, reduce the pain of patients exercise method, and improve patient function exercise compliance approach to research and develop the best exercise plan, compare two groups of patients with functional exercise the degree of pain, Harris hip score and the incidence of complications of dislocation, functional exercise compliance.Results there was no significant functional exercise in patients with pain of observation group and control group after 3 days of NRS score difference (P > 0.05), the observation group after 1 weeks and 2 weeks, the NRS score was significantly lower than the control group (P < 0.05), with statistical significance; the observation group than the control group 2 weeks Harris hip the postoperative score (P < 0.05), with statistical significance; no dislocation happened in both observation group and control group, the difference was not statistically significant (P > 0.05); to observe the functional exercise compliance group than the control group, the difference was statistically significant (P < 0.05).Conclusion the application of evidence-based nursing can reduce the pain of functional exercise after hip replacement, promote the recovery of hip function, and effectively improve the compliance of patients with functional exercise