基于快速康复理念的护患协作康复模式在缺血型股骨头坏死手术患者中的应用

Effects of nurse-patient cooperative rehabilitation model based on rapid recovery concept in patients with avascular necrosis of femoral head

目的探讨基于快速康复理念的护患协作康复模式对缺血型股骨头坏死行人工髋关节置换术患者康复效果的影响。方法采用便利抽样法选取郑州大学第一附属医院2019年9月—2021年10月收治的缺血型股骨头坏死且行人工髋关节置换术的104例患者为研究对象,按照随机数字表法分为对照组和观察组,每组各52例。对照组给予常规护理,观察组给予基于快速康复理念的护患协作康复模式。比较两组患者干预前后视觉模拟疼痛评分及髋关节功能评分。结果观察组术后5、10 d和出院1个月后疼痛评分低于对照组,差异有统计学意义(P<0.05)。干预后,观察组关节疼痛、功能变化、畸形及关节活动度均优于对照组,差异有统计学意义(P<0.05)。结论针对缺血型股骨头坏死手术患者给予基于快速康复理念的护患协作康复模式,可提升患者髋关节功能,改善疼痛表现,促进康复。

Objective To explore the effect of nurse-patient cooperative rehabilitation model based on rapid recovery concept on the rehabilitation effect of patients with avascular necrosis of the femoral head undergoing artificial hip replacement.Methods Convenience sampling was used to select 104 patients with avascular necrosis of the femoral head who were treated in the First Affiliated Hospital of Zhengzhou University from September 2019 to October 2021 and underwent artificial hip replacement.The patients were divided into control group and observation group according to the random number table method,with 52 cases in each group.The control group was given routine nursing,and the observation group was given nurse-patient cooperative rehabilitation model based on the concept of rapid recovery.The Visual Analogue Score and Harris Hip Score were compared between the two groups before and after the intervention.Results Pain scores of the observation group were lower than those of the control group five and ten days after operation and one month after discharge,and the differences were statistically significant(P<0.05).After intervention,the joint pain,functional changes,deformity and joint range of motion of the observation group were better than those of the control group,and the differences were statistically significant(P<0.05).Conclusions The nurse-patient cooperative rehabilitation model based on the concept of rapid recovery for patients with avascular necrosis of the femoral head can improve the hip joint function of patients,alleviate pain and promote rehabilitation.