多模式延伸护理在老年髋关节置换术后康复中的应用效果

Application effect of multimodal extension nursing in rehabilitation of elderly patients undergoing hip replacement

目的探讨多模式延伸护理在老年髋关节置换术后康复中的应用效果。方法选取2017年1月～2018年1月在我院行髋关节置换术的患者92例,根据出院后护理方式不同分为观察组和对照组,每组46例,给予对照组常规术后护理,观察组在对照组基础上给予多模式延伸护理,于出院时、术后3个月、术后6个月,通过Barthel指数和Harris髋关节评分比较干预前后两组患者生活质量、髋关节恢复和患者对护理满意度情况。结果出院时,两组患者的Barthel指数评分、Harris髋关节评分比较,差异均无统计学意义(P>0.05);干预3个月、6个月后,观察组患者Barthel指数评分明显高于对照组,差异具有统计学意义(术后3个月t=32.370,术后6个月t=22.300,P<0.05);同时,观察组患者Harris髋关节评分也明显高于对照组,差异具有统计学意义(术后3个月t=9.079,术后6个月t=12.820,P<0.05);干预后,观察组患者满意度91.3%,明显高于对照组患者67.4%,差异具有统计学意义(χ2=8.026,P<0.05)。结论在老年髋关节置换术后实施多模式延伸护理可促进患者髋关节恢复,提高其生活质量,同时也提升护理满意度。

Objective To investigate the effect of multimodal extended nursing on rehabilitation after hip replacement in elderly patients. Methods A total of 92 patients who underwent hip replacement in our hospital from January 2017 to January 2018 were enrolled. The patients were divided into observation group and control group according to different post-discharge nursing methods, with 46 patients in each group. The control group was given routine postoperative care. The observation group was given multi-mode extended care on the basis of treatment of the control group. The quality of life, hip recovery and nursing satisfaction were compared between the two groups before and after intervention by Barthel index and Harris hip score at discharge, 3 months after surgery and 6 months after surgery. Results At the time of discharge, there was no significant difference in Barthel index and Harris hip score between the two groups(P>0.05). After 3 months and 6 months, the Barthel index score of the observation group was significantly higher than that of the control group. The difference was statistically significant(t=32.370 at 3 months postoperatively, t=22.300, P<0.05 at 6 months postoperatively). At the same time, the hip Harris score of the observation group was also significantly higher than that of the control group, and the difference was statistically significant(t=9.079 at 3 months postoperatively, t=12.820 at 6 months postoperatively, P<0.05). After intervention, the satisfaction rate of the observation group was 91.3%, which was significantly higher than that of the control group(67.4%). The difference was statistically significant(χ^2=8.026, P<0.05). Conclusion Multi-mode extended care after elderly hip replacement can promote hip recovery, improve their quality of life, and improve nursing satisfaction.