专职康复护理对生物型全髋关节置换术后功能恢复的影响

Effect of the full-time rehabilitation nursing on the functional recovery after the noncemented total hip replacement

目的：探讨专职康复护理对于生物型全髋关节置换术后功能恢复的影响。方法选择生物型全髋关节置换术患者114例，随机分为两组，观察组（ n＝63）由专职康复护士对其进行专职康复护理；对照组（ n＝51）由责任护士对其进行随机康复护理，采用Harris评分评价两组康复效果，并观察髋关节X线片检查情况及并发症情况。结果观察组患者出院前1 d Harris总评分（64．9±6．4）分、术后6周为（78．5±5．1）分、术后3个月为（90．0±4．2）分，均高于对照组，两组比较差异有统计学意义（ t值分别为5．377，3．059，4．288；P＜0．01），两组患者出院前1 d、术后6周、术后3个月疼痛程度、生活能力、行走能力评分比较差异均有统计学意义（P＜0．01）。两组患者髋关节X线片均显示假体良好、未有异常；两组患者并发症发生率观察组为0．0％，对照组为11．8％，差异有统计学意义（χ2＝6．981，P＜0．01）。结论专职康复护理促进了生物型人工全髋关节置换术后功能的恢复。

Objective To explore the effect of the full-time rehabilitation nursing on the functional recovery after the noncemented total hip replacement .Methods One hundred and fourteen patients with noncemented total hip replacement were chosen and randomly divided into the control group （ n=51 ） and the observation group （n=63）.The control group received the random rehabilitation nursing through the executive nurses, and the observation group received the full-time rehabilitation nursing through the full-time rehabilitation nurses.Results The scores of Harris at 1 d before discharge , 6 weeks after the operation and 3 months after the surgery were respectively （64.9 ±6.4）, （78.5 ±5.1）, （90.0 ±4.2） in the observation group, and were higher than those in the control group , and the differences were statistically significant （ t =5.377,3.059, 4.288, respectively;P〈0.01）.The scores of pain degree , living ability, walk ability at 1 d before discharge, 6 weeks after the operation and 3 moths after the operation between two groups had statistical significances （ P〈0.01）;when two groups of patients discharged hip X-ray showed good prosthesis , no exception.Experimental group patients with complications of 0.0%, the control group in the incidence of complications was 11.8%, the difference was statistically significant （χ2 =6.981,P 〈0.01）.Conclusions The full-time rehabilitation nursing promotes the functional recovery after the noncemented total hip replacement .