康复护理干预对骨科全髋关节置换术康复效果及自理功能的影响

Effect of rehabilitation nursing intervention on rehabilitation efficacy and self-care function for patients with total hip replacement

目的研究康复护理干预对骨科全髋关节置换术的康复效果及影响患者自理功能的因素。方法选择本院接受治疗的髋关节受损患者98例,随机分成实验组和对照组各49例,其中观察组采用康复护理干预进行术后康复,对照组采用常规骨科护理予以术后康复,比较2组术后并发症发病率、术后3个月髋关节的恢复情况、术后半年的自理率以及术后1年随访时2组患者的髋关节恢复情况,观察患者术后的康复情况。结果观察组并发症发生率显著低于对照组(P<0.05),同时采取康复护理干预的观察组患者术后3个月恢复的优良率要显著高于对照组(P<0.05);比较术后6个月2组患者的自理率,实验组要显著高于对照组(P<0.05),术后1年随访发现实验组的髋关节恢复情况显著优于对照组(P<0.05)。结论采用康复护理干预的措施可以缩短患者的卧床时间,使患者的病情稳定,同时可以降低并发症的发生率,帮助患者早日康复,实现自理,减轻家庭负担。

Objective To study the application effect of nursing intervention on rehabilita- tion efficacy and self-care function for patients with total hip replacement. Methods A total of 98 patients with total hip replacement in our hospital were randomly divided into experimental and control groups, with 49 patients in each group. The experimental group applied nursing intervention and con- trol group used conventional methods. Incidence of complications after the operation, the recovery condition after 3 months, the rate of self-care after half year and hip joint recovery after one year fol- low-up were compared. Results Incidence of complications in the experimental group was lower, and rate of recovery was higher, the rate of self-care after half a year was better than the control group （ P 〈 0.05 ）. After 1 year follow-up, hip joint recovery was much better than that of control group. Conclusion Rehabilitation nursing intervention can not only greatly shorten bedridden time of patients, but also stabilize disease condition, and reduce the incidence of complication. At the same time, it can help patients to recover early, and reduce the financial burden.