加速康复外科护理理念在老年髋关节置换术患者中的应用

Nursing elderly patients following artificial hip joint replacement by accelerated rehabilitation

目的:研究加速康复外科护理理念对行老年髋关节置换术患者的应用效果。方法:42例行髋关节置换的老年患者,随机分为实验组及对照组各21例,实验组采用加速康复外科护理理念实施护理,对照组采用传统护理模式实施护理。观察两组患者术后24 h疼痛评分、住院时间、术后髋关节Harris评分、护理满意度及术后并发症发生情况。结果:实验组的术后视觉模拟评分(VAS)、住院时间、术后并发症的发生率均低于对照组,两组比较差异有统计学意义(P<0.05)。实验组的Harris评分及护理满意度均高于对照组,两组比较差异有统计学意义(P<0.05)。结论:采用加速康复外科护理理念对老年行髋关节置换术的患者具有减轻术后疼痛、缩短住院时间及促进髋关节功能恢复的效果,且能减少术后并发症及提高患者的住院满意度。

Objective:To observe the effects of nursing elderly patients following artificial hip joint replacement based on current accelerated rehabilitation concept.Methods:Forty-two elderly patients undergoing hip joint replacement were randomly divided into the observational group and control group(n=21 in each group).Patients in the observational group received accelerated rehabilitation nursing,and those in the control group were provided with simple conventional nursing procedures.The two groups were observed on the 24-houRpain scoring(visual analogue scale,VAS),length of hospital stay,post-operative function of hip by Harris score,nursing satisfaction and incidences of postoperative complications.Results:VAS scoring at 24 h,length of hospital stay and incidences of postoperative complications were significantly loweRin the observational group than in the control group(P<0.05),yet patients in the observational group had higheRscoring on post-operative function of hip and satisfaction with the nursing than those in the control group(P<0.05).Conclusion:Accelerated rehabilitation may significantly reduce the pain and hospital stay,improve early recovery of the hip function,loweRpost-operative complications,yet boost the satisfaction with nursing in elderly patients afteRartificial hip joint replacement.