多学科协助模式下的ERAS护理对股骨颈骨折全髋关节置换术患者术后恢复的影响

Effect of ERAS nursing under multidisciplinary assistance mode on postoperative recovery of patients with femoral neck fracture undergoing total hip arthroplasty

目的:探讨多学科协助模式下的加速康复外科(ERAS)护理对股骨颈骨折全髋关节置换术(THA)患者术后恢复的影响。方法:按照护理方式不同将行THA治疗的102例股骨颈骨折患者分为对照组和观察组,每组各51例。对照组实施常规护理,观察组实施多学科协助模式下的ERAS护理。比较两组手术相关指标、疼痛情况[疼痛评分脸谱(FRS)]、恐动症情况[恐动症评估简表(TSK-11)]、髋功能功能[髋关节评分量表(Harris)]及术后并发症情况。结果:观察组术中出血量及住院费用少于对照组(P<0.05),首次下床时间及术后住院时间短于对照组(P<0.05)。观察组术后各时间点FRS评分均低于对照组(P<0.05)。出院时,观察组TSK-11量表评分低于对照组(P<0.05),Harris评分高于对照组(P<0.05)。结论:多学科协助模式下的ERAS护理能减少股骨颈骨折THA患者术中出血量,改善患者疼痛和恐动情况,促进功能恢复。

Objective:To explore the effect of enhanced recovery after surgery(ERAS)nursing under multidisciplinary assistance mode on the postoperative recovery of patients with femoral neck fracture undergoing total hip arthroplasty(THA).Methods:A total of 102 patients with femoral neck fracture who underwent THA were selected as the subjects.They were divided into control group and observation group according to different nursing methods,with 51 cases in each group.The control group received routine nursing,and the observation group received ERAS nursing under multidisciplinary assistance mode.The operation-related indicators,pain[Face Rating Scale(FAS)],phobia[Tampa Scale of Kinesiophobia(TSK-11)],hip function[hip score scale(Harris)]and postoperative complications were compared between the two groups.Results:The amount of bleeding and hospitalization expenses in the observation group were less than those in the control group(P<0.05),the first time out of bed and postoperative hospital stay were shorter than those in the control group(P<0.05).The FAS scores at each time point after operation in the observation group were lower than those in the control group(P<0.05).At discharge,the TSK-11 score of the observation group was lower than that of the control group(P<0.05),and the Harris score was higher than that of the control group(P<0.05).Conclusion:ERAS nursing under multidisciplinary assistance mode can reduce intraoperative blood loss,improve pain and fear,and accelerate functional recovery in patients with femoral neck fracture undergoing THA.