循证护理在全髋关节置换术患者中的应用效果

Application of Evidence-Based Nursing in Total Hip Arthroplasty

目的:观察循证护理在全髋关节置换术患者中的应用效果。方法:将50例全髋关节置换术患者随机均分为循证护理组(EBN组)和对照组(C组),C组给予骨科常规护理,EBN组应用循证护理,比较两组术后排气时间、下床活动时间和住院时间,髋关节功能(Harris评分)和生活能力(MBI评分),焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分。结果:两组术后排气时间、下床活动时间和住院时间比较,EBN组显著短于C组(P<0.05);护理后,EBN组Harris、MBI、SAS、SDS评分改善程度显著优于C组(P<0.05)。结论:循证护理可有效促进全髋关节置换术患者的术后康复,提高髋关节功能和生活能力,改善心理状况。

Objective： To observe the effect of evidence-based nursing on patients who accepted total hip arthroplasty. Methods： 50 cases of patients who accepted total hip arthroplasty were randomly divided into evidence-based nursing group （EBN group） and control group （C group）, C group accepted conventional orthopedics nursing, while EBN group used evidence-based nursing, compared the anal exhaust time, ambulation time and hospi- talization time after surgery, the hip function （Harris score） and daily living ability （MBI score）, self-rating anxiety scale （SAS） and self-rating depres- sion scale （SDS） scores of the two groups. Results： The comparison of postoperative anal exhaust time, ambulation time and hospitalization time between the two groups showed that the EBN group were all significantly shorter than those of C group （P〈0.05）; after nursing, the improvement of Harris, MBI, SAS and SDS scores of EBN group were significantly better than those of C group （P〈0.05）. Conclusion： Evidence-based nursing can effectively promote the recovery of patients who accept total hip arthroplasty after surgery, improve the hip function, daily living ability and their psy- chological status.