摘要
目的探讨人工全髋关节置换术后推行居家护理方案的效果及其对患者生存质量的影响。方法将2011年10月~2014年8月本院收治的70例行人工全髋关节置换术患者作为研究对象,随机分为对照组和观察组,每组各35例。对照组采取医院常规的护理方案,观察组则采用居家护理方案。比较两组干预前后生存质量评分、髋关节功能Harris评分及患者出院后1个月的依从性及满意度。结果 (1)护理干预后,两组患者的髋关节功能Harris评分与干预前相比都有明显提高(P<0.05),对照组护理干预后Harris评分明显低于观察组护理干预后(P<0.05);(2)参照SF-12量表评分标准,护理干预后,两组患者SF-12各维度(肌体疼痛、躯体功能、活力、社会功能、情绪角色、躯体角色、心理卫生、总的健康状况)评分与干预前相比均明显提高(P<0.05),与对照组护理干预后相比,观察组护理干预后上述评分提高更为明显(P<0.05);(3)观察组患者出院1个月依从性显著优于对照组(P<0.05),且观察组满意度显著高于对照组(P<0.05)。结论居家护理方案可很好地改善人工全髋关节置换术后患者的生存质量,值得推广。
Objective To investigate the total hip arthroplasty implementation of home care programs and their effects on quality of life of patients. Methods 70 patients with routine total hip arthroplasty were randomly divided into the control group and the experimental group ,35 cases in each group. The control group received the conventional care methods, experimental group received the home care program. Quality of life scores, Harris hip function score before and after the intervention and the patient was discharged after a month of compliance and satis-faction were compared. Results ①After nursing intervention, Harris hip function score and intervention of two groups of patients compared with before intervention significantly improved （ P 〈 0.05 ） , Harris scores of the control group after nursing intervention were significantly low- er than the experimental group after nursing intervention （P 〈0.05） ; ②Reference standard SF-12 scale scores, after nursing intervention, SF-12 dimensions （bodily pain, physical functioning, vitality, social function, emotional role, physical role, mental health, general health） scores of two groups patients compared with before intervention were significantly increased （P 〈 0.05 ） , compared with the control group after nursing intervention, the above-mentioned of the experimental group after nursing intervention rates increased more significantly （P〈 0.05 ） ; ③the experimental group of patients discharged from hospital a month compliance was significantly better than the control group （ P 〈 0.05 ）, And the satisfaction of the experimental group was significantly higher than the control group （P 〈 0.05）. Conclusion Total hip arthroplasty home care programs implemented significant effect, can greatly improve the quality of life of patients, should be strengthened to promote the continuation of care approach.
作者
陈澜
杨玥
李冬
CHEN Lan;YANG Yue;LI Dong(Department of Orthopedics,The Third People＇s Hospital of Chengdu,Chengdu 610031,China)
