循证护理在全髋关节置换术围手术期的应用

Preoperative application of evidence-based care in total hip replacement

目的探讨应用循证护理在全髋关节置换术围手术期中的效果。方法 2011年1月至2012年10月,50例全髋关节置换术(THR)患者分为观察组和对照组各25例,分别采用循证护理模式和常规护理模式。比较2组患者住院时间、恢复行走时间及Charnley髋关节功能评分、治疗前后的汉密顿抑郁量表(HAMD)及汉密顿焦虑量表(HAMA)评分。结果观察组住院时间、恢复行走时间均短于对照组,Charnley髋关节功能评分、HAMD评分、HAMA评分均优于对照组,差异有统计学意义(P<0.05)。结论应用循证护理模式在THR围手术期中的效果良好,对改善患者术后综合效果明显,值得临床推广应用。

Objective To explore the effect of the preoperative application of evidence-based nursing on total hip replacement（THR） .Methods From January 2011 to October 2012 ,50 patients with THR were divided into observation group and control group（25 cases in each）.Evidence-based care model and the conventional model of care were performed respectively .The difference of the patients hospitalized time ,resuming time and Charnley hip score ,the Hamilton depression scale （HAMD） and Hamilton anxiety scale （HAMA） score were compared .Re-sults Compared with control group ,the hospitalized time ,resuming time in observation group was shorter ,and better in Charnley hip score ,the HAMD score and HAMA score were better ;There were statistically differences between the two groups （P＆lt;0.05） .Conclusion The preoperative application of evidence-based care model on THR was of good effect ,and significantly improved postoperative general condition .It was worthy of clinical ap-plication .