居家护理模式对创伤性骨关节炎全髋关节置换术患者髋关节功能、负性情绪和生存质量的影响

Effect of Home Nursing Model on Hip Function,Negative Emotion and Quality of Life in Patients with Traumatic Osteoarthritis Total Hip Arthroplasty

目的：探讨居家护理模式对创伤性骨关节炎全髋关节置换术患者髋关节功能、负性情绪和生存质量的影响。方法：选取2014年1月至2016年1月我院收治的80例创伤性骨关节炎全髋关节置换术患者作为研究对象,采用回顾性分析法分析所有患者的临床资料,按照资料中的护理方法将其分为对照组和研究组各40例,对照组患者予以常规出院前健康教育,研究组在对照组基础上增加居家护理干预方案,护理结束后比较两组患者髋关节功能、负性情绪和生活质量的变化情况。结果：（1）研究组护理后其抑郁自评量表（SDS）、焦虑自评量表（SAS）评分均较对照组明显降低,差异间具有统计学意义（t=-4.464,-3.625;P〈0.001）;（2）研究组护理后痛疼评分、功能评分、活动评分、畸形评分、Harris评分均明显高于对照组患者,差异具有统计学意义（t=11.652,5.052,7.417,6.363,7.439;P〈0.001）;研究组护理后生活质量评分均明显高于对照组患者,差异具有统计学意义（t=17.214,12.062,14.199,20.399,7.844,9.724;P〈0.001）。结论：居家护理模式可明显减轻创伤性骨关节炎全髋关节置换术患者焦虑和抑郁程度,有助于患者髋关节功能的恢复,提高患者的生活质量。

Objective：To investigate the effect of home nursing model on hip function,negative emotion and quality of life in patients with traumatic osteoarthritis total hip arthroplasty.Methods：From January 2014 to January 2016,80 patients with traumatic osteoarthritis total hip arthroplasty were selected as the subjects.Retrospective analysis was used to analyze the clinical data of all patients.According to the data,the patients were divided into control group and study group,40 cases in each group,the control group of patients in the clinical treatment of diseases were given pre-discharge health education,on the basis of the control group,we increased the home care intervention program in the study group,and compared the changes of hip function,negative emotion and quality of life in the two groups after the end of nursing.Results：（1）The SAS and SDS scores of the study group were significantly lower than those of the control group（t=-3.625,-4.464;P〈0.001）.（2）The scores of pain scores,functional scores,activity scores,malformations and Harris scores were significantly higher in the study group than those in the control group（t=11.652,5.052,7.417,6.363,7.439;P〈0.001）;（3）The quality of life scores of the study group were significantly higher than those of the control group（t=17.214,12.062,14.199,20.399,7.844,9.724;P 〈0.001）.Conclusion：The model of home care can significantly reduce the degree of anxiety and depression in patients with total hip arthroplasty of traumatic osteoarthritis,contribute to the recovery of hip function and improve the quality of life of patients.