延续功能康复训练对社区老年全髋关节置换术后患者机体康复的影响

Effect of continuous functional rehabilitation training on rehabilitation of elderly patients after total hip arthroplasty

目的探讨延续功能康复护理对社区老年全髋关节置换术后患者机体康复的影响。方法对社区在2015年1月至2016年10月期间接受全髋关节置换术后的85例患者，分成对照组40例，出院后定期回院复诊；观察组45例出院后定期门诊复诊，并接受延续功能康复护理指导。两组患者出院前和出院后Harris髋关节评分，康复护理知识掌握、术后并发症发生、服务满意度比较。结果两组患者术后满2周Harris髋关节评分，差异无统计学意义（P〉0．05），但术后满4、8、16、24周的Harris髋关节评分，观察组患者优于对照组患者，差异有统计学意义（P〈0．05）；术后发生关节脱位对照组有4例，观察组为0例，两组比较，差异有统计学意义（P〈0．05）；掌握康复护理知识观察组高于对照组，差异有统计学意义（P〈0．05）。结论延续功能康复训练能促进社区老年全髋关节置换术后患者的术后康复训练，促进髋关节功能恢复，减少并发症，提高患者术后康复质量和生活质量。

Objective To explore the effect of continuous functional rehabilitation nursing care on the rehabilitation of elderly patients after total hip arthroplasty. Methods 85 patients undergoing total hip arthroplasty in the community from January, 2015 to October, 2016 were divided into a control group （n=40）, regularly re-visiting hospital after discharge, and an observation group, regularly having return visit at outpatientdepartment after discharge and continuous functional rehabilitation nursing guidance. The Harris hip score before and after discharge, commandment of rehabilitation nursing knowledge, postoperative complications, and service satisfaction were compared between these two groups. Results There was no statistical difference the Harris hip score in between these two groups 2 weeks after operation （P〉0.05）; however, 4, 8, 16, and 24 weeks after operation, the Harris hip score were better in the observation group than in the control group, with statistical differences （P〈0.05）. 4 cases got postoperative dislocation in the control group and none in the observation group, with a statistical difference （P〈0.05）. The commandment of of rehabilitation nursing knowledge was significantly better in the observation group than in the control group （P〈0.05）. Conclusions Continuous functional rehabilitation training can promote postoperative rehabilitation training in elderly patients with total hip replacement and the recovery of hip function, reduce complications, and improve the quality of rehabilitation and quality of life.