术前康复训练在髋关节置换术临床路径中的应用

Effects of Clinical Pathway Plus Preoperative Rehabilitation Training on Rehabilitation in Patients After Total Hip Replacement

目的研究将术前康复训练引入临床路径中对全髋关节置换术后康复效果的影响。方法选择行全髋关节置换术实施临床路径的患者42例,随机分为试验组和对照组各21例,试验组术前除完成临床路径的常规检查、治疗、护理内容外,还增加术前康复训练指导如肌肉力量训练、关节脱位的预防等并使患者掌握肢体功能康复训练方法,对照组术前只完成临床路径的常规内容,2组术后的康复训练程序完全一致。比较术后患者满意度、术后康复训练的依从性、住院天数、并发症的发生。结果试验组术后满意度、康复训练依从性高于对照组(均P<0.05);试验组住院天数少于对照组(P<0.05),结论术前开展康复训练指导提高患者依从性,减少住院天数,提高患者满意度。

Objective To study the effects of clinical pathway plus preoperative rehabilitation training on rehabilitation in patients after total hip replacement （THR）. Methods 42 patients who received THR following clinical pathway were divided into test group（ n = 21 ） and control group（ n = 21 ）. Patients in the test group were received instruction of preoperative rehabilitation training and training methods for limb functional rehabilitation besides fulfilled routing clinical pathway before operation. Patients in the control group only fulfilled routing clinical pathway. Procedure of rehabilitation training is not different in the two groups. The satisfaction of patients, compliance of rehabilitation training, length of stay, complication were compared between two groups. Results The satisfaction of patients and compliance of rehabilitation training in the test group are significantly higher than that in the control group （ P 〈 0.05 ; P 〈 0.05 ）, and the length of stay in hospital is inversely （ P 〈 0.05 ）. Conclusion Preoperative rehabilitation training can improve compliance of rehabilitation training and the satisfaction of patients and decrease the length of stay in hospital.