微信视频延续性护理在人工髋关节置换术患者居家护理中的应用效果

Application effect of WeChat video continuous nursing in home nursing of patients with hip arthroplasty

目的分析微信视频延续性护理在人工髋关节置换术患者居家护理中的应用效果。方法选取2019年1月至12月本院136例人工髋关节置换术出院患者作为研究对象。采用随机数字表法将其分为对照组(68例,常规出院指导及定期电话随访)和研究组(68例,微信视频延续性护理)。比较两组的护理效果。结果护理前,两组的关节功能、疼痛、关节活动度、畸形评分无显著差异(P>0.05);护理后,两组的关节功能、疼痛、关节活动度、畸形评分均升高,且研究组高于对照组,差异具有统计学意义(P<0.05)。护理前,两组的ESCA、Barthel、SF-36、PSQI评分无显著差异(P>0.05);护理后,两组的ESCA、Barthel、SF-36评分均升高,PSQI评分均降低,且研究组优于对照组,差异具有统计学意义(P<0.05)。研究组的并发症总发生率低于对照组,差异具有统计学意义(P<0.05)。结论微信视频延续性护理应用于人工髋关节置换术出院患者中效果显著,可改善髋关节功能、生活质量、睡眠质量,提高自护能力、日常生活能力,且并发症发生率较低。

Objective To analyze the application effect of WeChat video continuous nursing in home nursing of patients with hip arthroplasty.Methods A total of 136 discharged patients with hip arthroplasty in our hospital from January to December in 2019 were selected as the research objects.The patients were divided into control group(68 cases,routine discharge guidance and regular telephone follow-up)and study group(68 cases,WeChat video continuous nursing).The nursing effects of the two group were compared.Results Before nursing,there were no significant difference in joint function,pain,range of motion and deformity scores between the two groups(P>0.05);after nursing,the joint function,pain,range of motion and deformity scores in the two groups increased,and those in the study group were higher than the control group,the differences were statistically significant(P<0.05).Before nursing,there were no significant differences in ESCA,Barthel,SF-36 and PSQI scores between the two groups(P>0.05);after nursing,the ESCA,Barthel,SF-36 scores in the two groups increased,and the PSQI scores decreased,and those in the study group were better than the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion WeChat video continuous nursing applied to discharged patients with hip replacement has significant effect,which can ameliorate the hip joint function,quality of life and sleep,improve the ability of self-care and daily life,and the incidence of complications is low.