早期护理干预对人工全髋关节置换术患者康复的影响

Effect of early nursing intervention on the rehabilitation of the patients with total hip replacement

目的：探讨早期护理干预对人工全髋关节置换术患者康复的影响。方法：将30例人工全髋关节置换术患者随机分为干预组14例和对照组16例，对照组给予常规骨科护理，干预组在常规护理的基础上早期采取心理干预、健康指导、并发症预防、患肢和关节的康复训练等干预措施。术后1个月进行Harris评分和Barthel指数评定。结果：术后1个月两疽Harris评分和Barthel指数比较差异均有统计学意义（P〈0．05）。结论：早期护理干预可缩短人工全髋关节置换术患者的卧床时间，改善预后，促进患者康复，提高患者的生活质量。

Objective ： To study the effect of early nursing intervention on the rehabilitation of the patients with total hip replacement. Methods ： 30 patients with total hip replacement were randomly divided into intervention group （ n = 14） and control group （ n = 16 ）. Routing orthopedic nursing care was taken in the control group and comprehensive intervention measures were adopted in the intervention group, including psychological intervention, health guidance, prevention of complications and rehabili- tation training of affected limb and joint. Harris scoring system and Barthel index were used to assess the effect after surgery for one month. Results： There were statistically significant differences in the comparison of Harris score and Barthel index between the two groups （ P 〈 0. 05 ）. Conclusion： Early nursing intervention can shorten the duration of bed rest, improve the prognosis, promote rehabilitation and improve the quality of life of the patients with total hip replacement.