基于5E理念的康复护理在SuperPath微创全髋关节置换术患者中的应用

Application of comprehensive rehabilitation nursing based on 5E concept in patients after SuperPath minimally invasive total hip replacement

目的探讨基于5E理念的康复护理在SuperPath微创全髋关节置换术后患者护理中的应用效果。方法选择2016年2月-2018年2月浙江省湖州市中心医院收治的以SuperPath入路方式实施全髋关节置换术的194例患者作为研究对象,采用抛硬币法将患者随机分为观察组和对照组(各97例)。对照组给予常规护理,观察组在对照组基础上给予5E理念的康复护理。比较两组患者术后疼痛程度、髋关节功能评分、并发症发生率以及功能锻炼依从性。结果观察组患者Harris评分术后1个月为(65.25±5.29)分、3个月为(87.69±6.47)分、6个月为(93.85±8.66)分,对照组分别为(55.84±4.14)、(77.48±5.89)、(82.45±7.69)分,两组比较差异具有统计学意义(t值分别为13.767、11.511、9.465;P<0.05)。观察组患者术后并发症发生率为4.12%(4/97),对照组为27.84%(27/97),差异有统计学意义(χ^2=20.310,P<0.05)。观察组患者术后功能锻炼总依从性率为95.88%(93/97),对照组为87.63%(85/97),差异有统计学意义(χ^2=4.359,P<0.05)。观察组患者护理满意度为96.91%(94/97),对照组为81.44%(79/97),差异有统计学意义(χ^2=12.015,P<0.05)。结论基于5E理念的综合康复护理应用于SuperPath微创全髋关节置换术患者中,能够有效促进患者髋关节功能恢复,降低患者术后并发症发生情况,增强患者功能锻炼依从性,同时患者护理满意度也有提高。

Objective To explore the effect of rehabilitation nursing based on 5E concept in patients after SuperPath minimally invasive total hip replacement(THR).Methods From February 2016 to February 2018,194 patients who underwent THR through SuperPath approach in Huzhou Central Hospital of Zhejiang Province were selected as the study subjects.The patients were randomly divided into observation group(n=97)and control group by coin flipping method.The control group was given routine nursing care while the observation group was given the rehabilitation nursing based on 5E concept on the basis of that in the control group.The degree of pain,hip function score,incidence of complications and compliance of functional exercise were compared between the two groups.Results The Harris score of the patients in the observation group was(65.25±5.29)at 1 month,(87.69±6.47)at 3 months and(93.85±8.66)at 6 months after operation,while that of the control group was(55.84±4.14),(77.48±5.89),(82.45±7.69).There were significant differences between the two groups(t=13.767,11.511,9.465;P<0.05).The incidence of postoperative complications was 4.12%(4/97)in the observation group and 27.84%(27/97)in the control group(χ^2=20.310,P<0.05).The total compliance rate of functional exercise was 95.88%(93/97)in the observation group and 87.63%(85/97)in the control group,the difference was statistically significant(χ^2=4.359,P<0.05).The nursing satisfaction of patients in the observation group was 96.91%(94/97)and 81.44%(79/97)in the control group.The difference was statistically significant(χ^2=12.015,P<0.05).Conclusions The application of comprehensive rehabilitation nursing based on 5E concept in SuperPath minimally invasive THR can effectively promote the recovery of hip function,reduce the occurrence of complications after operation,enhance the compliance of patients with functional exercise,and significantly improve the satisfaction of patients with nursing.