摘要
目的探讨基于快速康复外科理念的临床护理路径对人工髋关节置换术患者的影响。方法选取2016年5月至2017年4月在我院行人工髋关节置换术患者68例作为对照组,选取2017年5月至2018年5月在我院行人工髋关节置换术患者69例作为观察组,对照组患者给予常规护理,观察组患者给予基于快速康复外科理念的临床护理路径。比较两组患者的下床活动时间、住院时间、术后不同时间点的Harris评分和围术期并发症发生率。结果观察组患者下床活动时间早于对照组(P<0.05),住院时间短于对照组(P<0.05),术后3 d、7 d、1个月和3个月的Harris评分均高于对照组(P<0.05),围术期并发症发生率低于对照组(P<0.05)。结论对髋关节置换术患者实施基于快速康复外科理念的临床护理路径,能有效缩短患者的下床时间和住院时间,减少围术期并发症发生率,促进患者髋关节功能恢复,提高其生活质量。
Objective To explore the effect of clinical nursing pathway based on fast track surgery on patients underwent artificial hip joint replacement.Methods To select 68 cases of patients who underwent artificial hip joint replacement in our hospital from May 2016 to April 2017 as the control group.Another 69 cases of patients who underwent artificial hip joint replacement in our hospital from May 2017 to May 2018 were selected into the observation group.Patients in the control group were given routine nursing,while patients in the observation group were treated by clinical nursing pathway based on fast track surgery.We compared the time of getting out of bed,the length of hospital stays,the Harris score at different time points after surgery,and the perioperative complication rate in the two groups.Results The time of getting out of bed in the observation group was earlier than that in the control group(P<0.05).The hospital stay was shorter than that of the control group(P<0.05).The Harris scores of the observation group were higher than that of the control group at 3 days,7 days,1 month and 3 months after the operation(P<0.05).While,the incidence of perioperative complications was lower than that of the control group(P<0.05).Conclusion Applying clinical nursing pathway based on fast track surgery in patients who receive artificial hip joint replacement can shorten the time of getting out of bed and hospital stay effectively.Meanwhile,it can reduce the incidence of perioperative complications,and promote the recovery of hip function as well as their life quality.
作者
陈澎
赵慧
刘超
CHEN Peng;ZHAO Hui;LIU Chao
出处
《护理实践与研究》
2019年第18期64-66,共3页
Nursing Practice and Research
