术前健康教育对高龄冠心病行髖关节置换术患者的干预效果

Effects of Preoperative Health Education Intervention on Older Patients with Coronary Heart Disease Undergoing Total Hip Arthroplasty

目的探讨术前健康教育干预对高龄冠心病行人工髋关节置换术(AHR)患者的临床效果和护理体会。方法选择海安县人民医院收治的90例高龄冠心病行AHR的患者,随机分成观察组和对照组。对照组给予常规护理,观察组在其基础上术前给予健康教育干预。比较两组的临床护理效果,总结护理体会。结果两组在导尿率、镇痛剂使用率、近期并发症率、心血管事件发生率和护理满意度等方面,差异均有统计学意义(P <0.05);在疾病认知度、心理状况评分、生活质量评分、护理质量评分、心血管功能评分和髋关节功能评分等指标比较,差异均有统计学意义(P<0.05)。结论行AHR的高龄冠心病患者术前给予针对性健康教育干预,能显著减少手术并发症,降低手术护理风险,促进术后康复,提高生活质量,改善医患关系,提高临床护理质量。

Objective To explore the clinical effects and nursing experience of preoperative health education intervention on older patients with coronary heart disease undergoing artificial hip replacement(AHR).Methods 90 older patients with coronary heart disease undergoing AHR were randomly divided into the observation group and the control group.The control group was given routine nursing.The observation group was given routine nursing and preoperative health education intervention.The nursing effect and nursing experience were recorded.Results There were significant differences in the rate of catheterization,the rate of analgesic administration,the rate of recent complications,the rate of cardiovascular events and nursing satisfaction between the two groups(P<0.05).There were significant differences in disease awareness,mental health score,quality of life score,nursing quality score,cardiovascular function score and hip function score between the two groups(P <0.05).Conclusion Preoperative health education intervention for older patients with coronary heart disease can significantly reduce the incidence of complications after AHR and the risk of surgical nursing,promote the postoperative recovery,improve the quality of life,the doctor-patient relationship and the quality of clinical nursing.