健康教育在老年人工髋关节置换患者中的效果评价

Effect Evaluation on the Application of Health Education in Elderly Patients with Artificial Hip Joint Replacement

目的评价健康教育在老年人工髋关节置换患者中的应用效果。方法选择我院2011年3月—2013年12月收治的老年人工髋关节置换术患者108例,按照随机数字法分为观察组和对照组,每组各54例,对照组采用常规护理措施,观察组在对照组的基础上采用健康教育措施。比较两组患者关节功能、日常生活能力(ADL)、深静脉血栓发生率、假体脱位发生率以及护理满意度。结果观察组关节功能优良率为92.59%,明显高于对照组的77.78%,差异有统计学意义(P<0.05);观察组深静脉血栓发生率与假体脱位发生率分别为5.56%、1.85%,明显低于对照组的22.22%、12.96%,差异有统计学意义(P<0.05);观察组Barthel指数评分及护理满意度均明显高于对照组,差异有统计学意义(P<0.05)。结论健康教育能够显著改善老年人工髋关节置换术后患者的关节功能,减少术后并发症以及假体脱位的发生,提高患者的生活质量,具有在临床推广应用的价值。

OBJECTIVE To evaluate the effect of application of health education in elderly patients with artificial hip joint replacement. METHODS 108 elderly patients with hip replacement methods were randomly divided into observation group and control group, 54 cases in each group. The control group used routine nursing care. The observation group were used health education measures based on the control group. The joint function, ability of daily life（ADL）, deep venous thrombosis, the incidence of prosthesis dislocation and nursing satisfaction was compared between the two groups. RESULTS The excellent rate of joint function of the observation group was 90.74%, it was significantly higher than that of the control group（77.78%）, the difference was statistically significant （P〈0.05）. The incidence of deep vein thrombosis and prosthesis dislocation rate of the observation group were 5.56% and 1.85%, they were sig- nificantly lower than those of the control group（22.22%, 12.96%）, the difference was statistically significant（P〈0.05）. Barthel index scores and nursing satisfaction of the observation group after nursing were significantly higher than those of the control group, the dif- ference was statistically significant（P〈0.05）. CONCLUSION Health education could significantly improve the joint function of elderly patients with artificial hip replacement surgery, reduce postoperative complications and the occurrence of dislocation of the prosthe- sis and improve the quality of life of patients. It had clinical application value.