康复路径在髋关节置换术后临床护理工作中的应用及效果分析

Application and effect analysis of the path in the rehabilitation after hip replacement in clinical nursing

目的观察康复路径在髋关节置换术后的临床应用效果,探讨其临床应用价值。方法将广州市第一人民医院2014年10月—2015年10月收治行髋关节置换术患者100例为研究对象,随机分为对照组与观察组各50例。对照组采取常规围手术期护理,观察组按照康复路径护理,比较两组患者术后并发症、住院时间、费用、患肢功能以及日常生活自理能力。结果观察组住院时间和住院费用均少于对照组(P<0.01);两组术后并发症发生率、患肢功能评分及日常生活自理能力比较,差异均有统计学意义(P<0.01)。结论康复计划护理用于髋关节置换术后效果显著,可明显降低患者术后并发症,缩短住院时间,降低住院费用,有利于促进患者术后功能以及自理能力的恢复。

Objective To observe the effect of clinical application of rehabilitation in the path of a hip replacement,and to explore its clinical application value. Methods October 2014 to October 2015 in Guangzhou First People＇s Hospital hip arthroplasty cases were collected of 100 patients as the research object,randomly divided into control group and observation group with 50 cases in each group. The control group adopted conventional perioperation period nursing care,observation group in accordance with the recovery paths. We compared two groups of patients complications,hospitalization time,expense,limb function and activities of daily living. Results In the observation group,the hospitalization time and cost of hospitalization were significantly less than that of the control group（ P〈 0. 01）; The incidence of limb function score,ability of daily living and postoperative complications were compared between the two groups,the differences were statistically significant（ P〈 0. 01）. Conclusion Rehabilitation nursing care plans for after hip replacement effect is significant. It can significantly reduce the postoperative complications,shorten the time of hospitalization,reduce hospitalization expenses,and is beneficial to the recovery of the function of promoting postoperative and self-care ability.