舒适护理在髋关节置换术患者护理中的应用效果

Application of Comfortable Nursing in Patients Undergoing Hip Replacement

目的探讨舒适护理在髋关节置换术患者护理中的应用效果。方法方便选取2014年2月—2017年2月在该院进行髋关节置换术的60例患者为研究对象,采用抽签法将所有研究对象随机分为两组,分别为对照组与观察组,每组30例。予以对照组研究对象基础护理,观察组研究对象在对照组的基础上予以舒适护理,观察并比较两组研究对象术后第2天和第10天的日常生活能力评分(Barthel)和术后3个月的功能恢复情况评分(Harris)。结果两组研究对象术后第2天的Barthel评分分别为(15.66±5.64)、(14.28±3.45),差异无统计学意义(t=0.933,P﹥0.05),观察组术后第10天的Barthel评分为(75.38±21.41),对照组为(56.76±21.57)分,观察组术后功能恢复情况显著高于对照组(t=2.739,P<0.05);观察组术后3个月的疼痛、功能、髋关节活动范围和有无下肢畸形评分分别为(43.49±12.77)分、(47.64±12.88)分、(3.79±0.73)分和(3.54±0.45)分,对照组为(35.26±12.79)分、(39.27±12.91)分、(2.35±0.82)分和(2.17±0.47)分,观察组各项Harris评分显著高于对照组(t=2.036、2.052、5.866、9.416,P﹤0.05)。结论利用舒适护理干预措施对髋关节置换术患者进行护理,能够显著加快患者术后生活能力的恢复,缩短髋关节置换术患者的身体功能恢复时间,其临床应用价值较高。

Objective This paper tries to explore the application of comfort nursing in patients with hip replacement.Methods From February 2014 to February 2017, 60 cases of hip replacement in this hospital were convenient selected as the research objects, and all the subjects were randomly divided into two groups by the ballot method： the control group and the observation group, 30 cases in each group. The subjects in the control group were given basic care, and subjects in the observation group were comfortably treated on the basis of the control group. Observe and compare the Barthel and postoperative third-day activities on the second and tenth day after the operation, three months of functional recovery scores（Harris）. Results The Barthel scores on the second postoperative day in the two groups were（15.66 ±5.64）points and（14.28±3.45）points, respectively, and there difference was no significant statistically（t =0.933, P〉 0.05）. The Barthel score on the tenth postoperative day in the observation group was（75.38±21.41）points in the control group（56.76±21.57）points. The postoperative functional recovery in the observation group was significantly higher than that in the control group（t=2.739, P〈0.05）; the observation group had pain, function, and hip for three months after surgery. The range of motion and the presence or absence of leg deformity scores were（43.49±12.77）,（47.64±12.88）points,（3.79±0.73）points, and（3.54±0.45）points,respectively. In the control group,（35.26±12.79）points,（39.27±12.91）points,（2.35±0.82） and（2.17±0.47）points. The Harris scores in the observation group were significantly higher than those in the control group（t=2.036,2.052, 5.866, 9.416, P〈0.05）. Conclusion The use of comfortable nursing interventions for the care of patients undergoing hip joint replacement surgery can significantly accelerate the recovery of patients＇ postoperative life ability and shorten the time for recovery of physical function in patients undergoing hip replacement surgery. Its clinical application value is high.