“三防三位”护理对股骨颈骨折人工髋关节置换术后患者假体脱位的预防作用

Preventive effect of "three preventions and three positions" nursing on prosthetic dislocation in patients with femoral neck fracture after artificial hip joint replacement

目的探讨“三防三位”护理对股骨颈骨折人工髋关节置换术后患者假体脱位的预防作用。方法选取2016年1月至2019年1月于本院接受人工髋关节置换术的180例股骨颈骨折患者为研究对象,随机将其等分为观察组和对照组,对照组采用常规护理,观察组在对照组基础采用“三防三位”护理。比较两组患者假体脱位发生率、生活质量评分。结果观察组假体脱位发生率低于对照组,生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论采用“三防三位”护理,可预防股骨颈骨折患者人工髋关节置换术后假体脱位,提高其生活质量,值得临床推广应用。

Objective To explore the preventive effect of"three preventions and three positions"nursing on prosthetic dislocation in patients with femoral neck fracture after artificial hip joint replacement.Methods To select 180 patients with femoral neck fracture who underwent artificial hip arthroplasty in our hospital from January 2016 to January 2019 as the study subjects.They were divided into observation group and control group with the same number of patients randomly.The control group was given routine nursing,while on the basis of this,the observation group was given“three preventions and three positions”nursing.The incidence of prosthesis dislocation and quality of life scores were compared between the two groups.Results The incidence of prosthesis dislocation in the observation group was lower than that in the control group,the quality of life score was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Applying the"three preventions and three positions"nursing can prevent the dislocation of the prosthesis after artificial hip joint replacement in patients with femoral neck fracture and improve their quality of life,which was worthy of clinical promotion and application.