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老年髋关节置换术手术室应用临床护理路径的价值 被引量:6

The value of clinical nursing pathway in operation room of senile hip replacement
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摘要 目的分析老年髋关节置换术手术室应用临床护理路径的价值。方法随机选取2016年1月至2018年1月在佛山市高明区人民医院外科择期接受髋关节置换术的患者120例,按照患者的入院顺序分为对照组(60例)与试验组(60例)。对照组患者给予常规护理方法,试验组患者给予临床护理路径模式。比较两组患者的切口感染等并发症状况,评估并比例两组患者在术后不同时间段的疼痛状况和髋关节Harris评分。结果试验组患者在术后12 h、24 h、48 h、72 h的疼痛分值都比对照组明显降低,差异有统计学意义(P<0.05);试验组患者在术后3个月和1年时的Harris评分都比对照组明显增加,差异有统计学意义(P<0.05);试验组患者的切口感染率、肺部感染率、压力性损伤率、下肢深静脉血栓率都比对照组明显降低,差异有统计学意义(P<0.05)。结论临床护理路径可减轻髋关节置换术老年患者的疼痛程度,预防切口感染、压疮等并发症的发生,促进患者髋关节功能的恢复,保证老年患者手术的安全性。 Objective To analyze the value of clinical nursing pathway of elderly patients by hip replacement in the operation room.Methods A total of 120 patients who received elective hip replacement in the department of surgery of this hospital from January 2016 to January 2018 were randomly selected and divided into control group(60 cases)and experimental group(60 cases)according to their admission order.Patients in control group were given conventional nursing methods.Patients in experimental group were given clinical nursing path mode.Incision infection and other complications were compared between the two groups,and the pain status and Harris hip score at different postoperative times were evaluated and compared between the two groups.Results The pain scores in experimental group were significantly lower than those in control group at 12 hours,24 hours,48 hours and 72 hours after operation,and the difference was statistically significant(P<0.05).Harris scores in experimental group at 3 months and 1year after operation were significantly higher than those in control group,and the difference was statistically significant(P<0.05).The incision infection rate,lung infection rate,pressure ulcer rate,lower extremity deep vein thrombosis rate of the experimental group were significantly lower than those of the control group,and the difference was statistically significant(P<0.05).Conclusions Clinical nursing pathway can alleviate the pain of elderly patients,prevent incision infection,pressure sores and other complications,promote the recovery of hip function,and ensure the safety of surgery.
作者 颜云琼 谢伟琼 唐小霞 蔡志霞 肖艳 Yan Yunqiong;Xie Weiqiong;Tang Xiaoxia;Cai Zhixia;Xiao Yan(Operating Room,People's Hospital of Gaoming District,Foshan City,528500,China)
出处 《国际护理学杂志》 2021年第18期3333-3336,共4页 international journal of nursing
基金 广东省医学科研基金项目(A2018032)。
关键词 切口感染 髋关节置换术 临床护理路径 疼痛 Incision infection Hip replacement Clinical nursing pathway Pain
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