签约式随访管理在全髋关节置换术后患者中的应用

Application of Contract Continuation Management in Patients after Total Hip Arthroplasty

目的:探讨签约式随访管理在全髋关节置换术后患者中的应用效果。方法:将2019年2月1日~2021年12月31日抽取的100例全髋关节置换术后患者随机分为对照组和观察组各50例,对照组采用常规出院随访管理干预,观察组在对照组基础上采用签约式随访管理。比较两组护理前后髋关节功能(采用Harris髋关节功能评分量表)、护理前后日常生活活动能力(采Barthel指数量表),术前、术后3 d、术后5 d及出院前疼痛情况[采用视觉模拟评分法(VAS)]。结果:护理后,两组关节疼痛、功能变化、畸形及关节活动度评分均高于护理前(P<0.05),且观察组高于对照组(P<0.05);护理后,两组Barthel指数量表评分高于护理前,且观察组高于对照组(P<0.05);两组术前、术后3 d、术后5 d及出院前疼痛重复测量方差数据显示差异有统计学意义(P<0.01),且观察组疼痛情况优于对照组(P<0.05)。结论:签约式随访管理应用于全髋关节置换术后患者,可促进关节功能恢复,减轻疼痛,改善日常生活能力。

Objective:To explore the application effect of contract continuation management in patients after total hip arthroplasty.Methods:A total of 100 patients after total hip arthroplasty from February 1,2019 to December 31,2021 were selected and were randomly divided into the control group and the observation group with 50 cases in each group.The control group was given routine discharge continuation management intervention,and the observation group added contracted continuous management.The hip function by harris hip function scale,daily life activity ability by Barthel index scale,and pain scores before and after nursing,3 d after surgery,5 d after surgery and before discharge by visual analog scale(VAS)were compared between the two groups.Results:After nursing,the joint pain,functional changes,deformity and joint mobility were higher in both groups than those before nursing(P<0.05),and those in the observation group were higher than those in the control group(P<0.05).After nursing,the Barthel scores were higher in both groups than those before nursing(P<0.05),and those in the observation group were higher than those in the control group(P<0.05).The pain repetition test variance data before operation,before operation,3 d and 5 d after operation discharge in the two groups showed statistical significance(P<0.01),and the pain in the observation group was higher than that in the control group(P<0.05).Conclusion:After total hip arthroplasty,the contracted continuous management intervention can improve their recovery of joint function,reduce pain,and improve their daily living activity.