摘要
目的 探讨基于快速康复理念的多学科协作模式在髋膝关节置换围手术期护理中的应用效果。方法 本研究选取2020年3月至2022年3月驻马店市中心医院关节外科106例行髋膝关节置换术的患者按随机数字表法分组,常规组开展常规围术期护理干预模式(53例),多学科组采取基于快速康复理念的多学科协作模式(53例),比较两组疼痛程度,髋、膝关节功能,临床指标,恐动状况,术后并发症以及生活质量。结果 多学科组患者术后48 h、术后72 h的视觉模拟疼痛量表(VAS)评分低于常规组,其术后1周、术后4周的髋关节功能评分量表(Harris)评分及膝关节主动活动度(ROM)均高于常规组;其拔管、首次下床活动及住院时间均短于常规组;多学科组干预后患者运动恐惧量表(TSK)评分低于常规组,多学科组患者术后并发症发生率低于常规组;多学科组患者干预后简易生活质量量表(SF-36)各维度评分均高于常规组,差异有统计学意义(P<0.05)。结论 基于快速康复理念的多学科协作模式应用于临床髋膝关节置换围手术期护理中可发挥显著效果。
Objective To explore the application effect of a multidisciplinary collaborative model based on the concept of rapid rehabilitation in perioperative nursing of hip and knee replacement. Methods In this study, 106 patients who underwent hip and knee replacement in the joint surgery department of Zhumadian Central Hospital from March 2020 to March 2022 were selected and grouped according to the random number table method. The conventional group received routine perioperative nursing intervention mode(53 cases), and the multidisciplinary group adopted the multidisciplinary cooperation mode based on the concept of rapid rehabilitation(53 cases). The pain degree, hip and knee function, clinical indicators, fear status, postoperative complications, and quality of life of the two groups were compared. Results The visual analogue scale(VAS) scores of the multidisciplinary group were lower than those of the conventional group at 48 h and 72 h after surgery, and the hip function scale(Harris) scores and knee range of motion(ROM) scores at 1 week and 4 weeks after surgery were higher than those of the conventional group. In the multidisciplinary group, extubation, first getting out of bed, and length of hospital stay was all shorter than those in the conventional group. The score of the tampa scale for kinesiophobia(TSK) in the multidisciplinary group was lower than that in the conventional group, and the incidence of postoperative complications in the multidisciplinary group was lower than that in the conventional group. The scores of the 36-item short-form health survey(SF-36) after intervention in the multidisciplinary group were higher than those in the conventional group, and the difference was statistically significant(P<0.05). Conclusion The multi-disciplinary cooperation model based on the concept of rapid rehabilitation can play a significant role in the perioperative nursing of clinical hip and knee replacement.
作者
刘蕊
LIU Rui(Department of Joint Surgery,Zhumadian Central Hospital,Zhumadian Henan 463000,China)
出处
《临床研究》
2023年第2期155-158,共4页
Clinical Research
关键词
快速康复理念
多学科协作模式
髋膝关节置换术
围手术期护理
疼痛程度
恐动症
rapid recovery concept
multidisciplinary collaboration model
hip and knee replacement
perioperative nursing
the degree of pain
kinetophobia
