髋关节置换术后预防假体脱位的循证护理

Evidence-Based Nursing in the Prevention of Prosthesis Dislocation after Total Hip Arthroplasty

目的通过运用循证护理采用最佳的预防方法,降低人工髋关节置换术后假体脱位的发生。方法对75例髋关节置换患者采用循证护理。应用计算机网络检索有关文献,进行原因分析,并对证据的真实性、可靠性和应用性作出评分,确定结论,制定防治对策,再施以有效的护理干预。结果随访时间为3～6个月,术后有1例发生脱位。结论循证护理作为一种理想的实践活动,应用于人工髋关节术后患者的护理,既避免了护理工作的盲目性、主观性,又使护理活动有证可循,有据可依,有效地预防了假体脱位的发生。且能促进护士自觉、主动学习,在实践中寻求问题,及时汲取现代化的医学护理信息,在最短时间内获得最佳的实证依据,针对性、有效性、科学性地制定最佳护理措施。

Objective To explore the best prevention method of reducing the prosthesis dislocation after hip arthroplasty by evi- dence-based nursing. Methods 75 cases of hip replacement patients were treated with evidence-based nursing. The computer network retrieval relevant literature was applied, the causes of evidence were analyzed, and the authenticity, reliability and applicability, a rating, sure conclusion countermeasure was performed, the effective nursing intervention was formulated. Results By follow-up of 3 to 6 months, only one case occurred dislocation. Conclusion Evidence-based nursing as a kind of ideal practice activities, can be applied to artificially hip postoperative patients care, avoid the blindness of nursing care, make subjective activity have certificate pursuant to follow,effectively prevent the occurrence of dislocation of the prosthesis.