延续护理对老年髋关节置换术后患者生活质量及心理状况的影响

目的 评价延续护理对老年髋关节置换术后患者生活质量及心理状态的影响.方法 选取2014年9月~2016年3月在该院骨科行髋关节置换术的患者72例,随机分为实验组35例和对照组37例.两组患者住院期间接受相同的治疗、护理及健康教育;实验组实施延续护理,包括出院前护理、电话随访、家庭访视、门诊随访、网络在线指导 、医院-社区合作发挥志愿者作用、阳光讲堂,采用Harris髋关节评分量表、SF-36健康调查表(SF-36)、汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)、并发症发生率评价两组患者的生活质量及心理状态.结果 出院后3个月、6个月Harris髋关节评分量表、SF-36健康调查表(SF-36)、汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)评分优于对照组(P<0.05或P<0.01),并发症发生率低于对照组(P<0.05).结论 延续护理改善了老年髋关节置换术后患者的心理状态,提高了其生活质量.

The effect of continuous nursing on the quality of life and psychological status of eld-erly patients after hip joint replacement

Objective To evaluate the effectiveness of continuous nursing on quality of life and psychological status of elderly patients after hip replacement. Methods A total of 72 elderly patients after hip replacement who had been treated in our hospital from September 2014 to March 2016 were randomly divided into experimental group with 35 cases and control group with 37 cases. The patients of the two groups received the same treatment, nursing and health education during the hospital stay. Continued nursing was conducted to experimental group, including the nursing before discharge, telephone follow-up, home visit, clinical follow-up, online guidance, hospital-community cooperation to exert the function of volunteers and Yangguang lecture room. Harris hip joint scoring scale, SF-36 health questionnaire ( SF-36 ) , Hamilton anxiety scale ( HAMA ) , Hamilton depression scale ( HAMD ) , complication occurrence were used to evaluate the living quality and psychological state for the patients of both groups. Results The scores of Harris hip scale, SF-36, HAMA, HAMD of patients in the experimental group were better (P<0. 05) and complication rate was lower ( P<0. 05 ) than those of the control group at 3 and 6 months after postoperative. Conclusions Continuous nursing care can improve the psychological status of patients, and improve their quality of life.