摘要
目的观察早期康复护理联合出院后延续性护理对全髋关节置换术(THR)后老年患者的效果。方法选取本院行THR的老年患者112例,分为对照组和观察组,每组56例。对照组采用常规护理康复训练和健康指导,观察组采用早期康复护理联合出院后延续性护理。比较2组患者术后、出院时、出院后3个月、6个月的Harris评分、Barthel指数以及并发症发生情况。结果出院时、出院后3个月、出院后6个月,2组患者Harris评分、Barthel指数均升高,且观察组均高于对照组(P<0.05)。观察组并发症总发生率3.57%,低于对照组的10.71%,差异有统计学意义(P<0.05)。结论早期康复护理联合出院后延续性护理,可加快THR术后髋关节功能恢复,提升日常活动能力,减少并发症的发生。
Objective To explore the effect of early rehabilitation nursing combined with continuous nursing after discharge in treatment of elderly patients after total hip replacement(THR).Methods Totally 112 elderly patients with THR were selected and randomly divided into control group(n=56)and observation group(n=56).The control group was conducted with routine nursing rehabilitation training and health guidance,and the observation group was conducted with early rehabilitation nursing combined with continuous nursing after discharge.The Harris score and Barthel index at the time points of after operation,hospital discharge,3 and 6 months after discharge as well as incidence of complications were compared between the two groups.Results At the time points of hospital discharge and 3,6 months after discharge,the Harris scores and Barthel index in both groups increased,and the Harris scores and Barthel index in the observation group were significantly higher than those in the control group(P<0.05).The total incidence of complications in the observation group was 3.57%,which was significantly lower than 10.71% in the control group(P<0.05).Conclusion Early rehabilitation nursing combined with continuous nursing after discharge can promote hip joint function recovery,improve daily activity ability,and reduce the incidence of complications in elderly patients after THR.
作者
杨古月
马娟
田野
YANG Guyue;MA Juan;TIAN Ye(The First Department of Orthopedic and Spine Joint Surgery,Shengjing Hospital Affiliated to China Medical University,Shenyang,Liaoning,110004)
出处
《实用临床医药杂志》
CAS
2020年第16期92-94,102,共4页
Journal of Clinical Medicine in Practice
基金
国家自然科学基金资助项目(81970760)。
关键词
全髋关节置换术
早期康复训练
健康指导
total hip replacement
early rehabilitation training
health guidance
