综合性干预对预防老年全髋关节置换术后并发症的效果评价

Effects of comprehensive intervention on prevention of complications after total hip replacement in senile patients

目的探讨综合性干预对预防老年全髋关节置换术后并发症的效果。方法将120例老年全髋关节置换术患者按入院顺序不同随机分成干预组和对照组各60例。干预组进行饮食、心理、并发症预防、康复锻炼的综合护理干预，对照组行常规护理。比较2组住院时间、并发症的发生情况、心理状况、配合功能锻炼情况以及遵医情况。结果干预组住院时间明显短于对照组，并发症的发生率明显低于对照组，心理状况、配合功能锻炼情况以及遵医行为明显优于对照组。差异均有统计学意义。结论对老年全髋关节置换术后患者实施综合性护理干预可减少并发症发生率，缩短住院日，提高护理质量，促进患者早日康复。

Objective To investigate the effect of postoperative complications to the aged after total hip replacement. Methods According to hospitalization order, 120 patients undergoing total hip replacement op- eration were assigned into the intervention group and the control group with 60 patients in each group. In the intervention group, the patients received comprehensive intervention of diet nursing, psychological nursing, com- plication prevention and rehabilitation exercise. The control group received usual care. Then duration of hospital stay, incidence of complication, psychological state and compliance with functional exercises were compared be- tween two groups. Results In the intervention group, the hospitalization time was shorter, the incidence rate of complication was lower, and psychological state and compliance with functional exercises were better than the control group. Conclusions The comprehensive intervention can reduce the incidence rate of compli- cation, shorten hospitalization time, raise quality of care and facilitate recovery of patients.