阶段性个体化护理干预对人工髋关节置换患者功能锻炼依从性的影响

Effect evaluation of enhancing the functional exercise compliance for artificial hip replacement patients with stage and individualization nursing intervention

目的探讨阶段性个体化护理干预对人工髋关节置换患者功能锻炼依从性的影响。方法将实施阶段性个体化护理干预前收治的68例患者列为对照组，实施阶段性个体化护理干预后收治的68例患者列为实验组。对照组采用常规护理方法，实验组除常规护理外在不同阶段（术前和住院治疗阶段、出院康复阶段）按照阶段性个体化护理干预模式实行规范化管理，比较两组患者功能锻炼依从性、术后并发症发生率及护理满意度。结果实验组患者功能锻炼依从性增强，其中实验组患者住院治疗阶段完全依从58例，部分依从10例，对照组完全依从20例，部分依从42例，完全不依从6例，组间比较差异具有统计学意义（Z=-6．620，P〈0．05）。实验组并发症发生率明显降低，其中实验组发生假体脱位1例，对照组发生假体脱位8例，组间比较差异具有统计学意义（x^2=4．28，P〈0．05）。结论阶段性个体化护理干预能有效增强患者功能锻炼依从性，降低术后并发症发生率，提高护理服务的满意度。

Objective To study the effect of enhance the functional exercise compliance for artificial hip replacement patients with stage and individualization nursing intervention. Methods 136 cases were divided into two group average, as experimental group had been enforced with stage and individualization nursing intervention, and the control group hadn＇ t. The control group had adopted usual care, besides another group had adopted normalization management according to the individualization nursing intervention mode in different stage （preoperative, inpatient care stage and discharge rehabilitation stage）. And we compared the functional exercise compliance, postoperative complications incidence rate and the nursing satisfaction between the two groups. Results The functional exercise compliance had enhanced in experimental group, including 58 complete compliance cases, 10 partly compliance cases. Control group included 20 complete compliance cases, 42 partly compliance case and 6 complete incompliance, and the difference between the two group was significant （ Z = - 6. 620, P 〈 0. 05）. Including one case having artificial hip dislocation in experimental group and 8 cases in control group, complication incident rate was lower than that in control group （ x^2 = 4.28, P 〈 0. 05）. Conclusions The stage and individualization nursing intervention could enhance the patient＇ s functional exercise compliance, degrade the postoperative complications incidence rate and elevate the nursing service satisfaction.