人工髋关节置换术的手术室护理干预效果

Effect of Operation Room Nursing Intervention in Hip Arthroplasty

目目的:研究手术室护理干预应用于人工髋关节置换术的效果。方法:选取我院2018年5月-2020年7月行人工髋关节置换术治疗的86例患者为研究对象,按随机数字表法分为2组,对照组(43例)行常规护理,观察组(43例)行手术室护理干预,对比2组护理满意度、手术情况、并发症及护理前后VAS评分、Harris评分、心理状态评分。结果:与对照组的76.74%比较,观察组的95.35%护理总满意率更高(P<0.05);观察组手术时间为(85.95±3.75)分钟、下床活动时间为(15.17±2.24)天及住院时间为(16.21±2.41)天,均短于对照组的(92.54±5.12)分钟、(17.35±2.95)天、(18.76±2.33)天,术中出血量为(124.23±10.14)mL,少于对照组的(146.64±10.62)mL,4项比对(P<0.001);观察组VAS评分术后1天为(3.25±1.12)分、术后3天为(2.12±0.36)分、术后5天为(1.34±0.18)分及术后7天为(0.78±0.15)分,均低于对照组的(5.19±1.08)分、(3.75±0.58)分、(2.15±0.24)分(1.21±0.22)分,4项比对(P<0.001);观察组Harris评分术后7天为(62.25±5.17)分、术后14天为(86.14±4.27)分及术后1个月为(94.55±5.15)分,均高于对照组的(54.95±5.59)分、(75.36±4.32)分、(82.25±5.29)分,3项比对(P<0.001);观察组术后14天SAS为(37.15±3.08)分、SDS为(34.52±1.04)分,评分均低于对照组的(42.95±3.45)分、(41.12±1.09)分,2项比对(P<0.001)。结论:人工髋关节置换术应用手术室护理干预,可有效缩短手术时间,减少术中出血量,降低并发症发生率,改善患者心理状态,促进髋关节功能恢复,有利于缩短患者恢复时间。

Objective:To study the effect of operating room nursing intervention in hip arthroplasty.Methods:a total of 86 patients who underwent artificial hip replacement in our hospital from May 2018 to July 2020 were selected as the research objects.According to the random number table method,they were divided into two groups:the control group(43 cases)received routine nursing,and the ob-servation group(43 cases)received operating room nursing intervention.Nursing satisfaction,operation,complications,VAS score,Harris score and psychological state score before and after nursing were compared between the two groups.Results:Compared with the control group(76.74%),the total satisfaction rate of nursing in the observation group(95.35%)was higher(P<0.05).The opera-tive time(85.95±3.75),ambulation time(15.17±2.24)and hospital stay time(16.21±2.41)in the observation group were shor-ter than those in the control group(92.54±5.12).17.35+/-2.95;18.76±2.33),the amount of intraoperative blood loss(124.23±10.14)was less than that of the control group(146.64±10.62)(P<0.001).VAS scores of observation group 1d(3.25±1.12),3d(2.12±0.36),5d(1.34±0.18)and 7d(0.78±0.15)were lower than those of control group(5.19±1.08);3.75+/-0.58;2.15+/-0.24;1.21±0.22),4 comparisons(P<0.001);The Harris score of the observation group was higher than that of the control group(54.95±5.59)at 7d,14d and 1 month postoperatively.75.36+/-4.32;82.25±5.29),3 compari-sons(P<0.001);The 14dSAS(37.15±3.08)and SDS(34.52±1.04)scores of the observation group were lower than those of the control group(42.95±3.45).41.12±1.09),2 comparisons(P<0.001).Conclusion:The operation room nursing intervention can ffectively shorten the operation time,reduce the amount of intraoperative blood loss,reduce the incidence of complications,improve the psychological state of patients,promote the recovery of hip joint function,and help shorten the recovery time of patients.