ESPCS干预对髋关节置换术患者疾病认知能力及健康行为的护理效果观察

Nursing effect observation of ESPCS intervention on disease cognitive ability and health behavior of hip arthroplasty patients

目的探讨ESPCS护理干预对髋关节置换术患者疾病认知能力及健康行为的影响。方法选取2022年5月—2023年5月湖北省十堰市太和医院骨科收治的髋关节置换术患者96例为研究对象。按照组间基本特征具有可比性的原则将患者分为观察组和对照组,每组48例,对照组行常规护理,观察组实施ESPCS护理干预,内容包括讲解(explanation,E)、模拟(simulation,S)、练习(practice,P)、沟通(communication,C)、支持(support,S),比较两组患者干预前后疾病认知能力、健康行为、髋关节康复与活动度情况及生活质量改善情况。结果干预前,两组患者疾病认知能力总评分及髋关节疾病机制、髋关节置换术治疗原理、髋关节置换术后并发症预防、髋关节术后护理措施评分比较差异无统计学意义(P>0.05);干预后,观察组疾病认知能力总评分及髋关节疾病机制、髋关节置换术治疗原理、髋关节置换术后并发症预防、髋关节术后护理措施评分高于对照组,组间比较差异有统计学意义(P<0.05)。干预前,两组患者健康促进生活方式量表(HPLP-Ⅱ)总评分及各维度评分比较差异无统计学意义(P>0.05);干预后,观察组HPLP-Ⅱ总评分及相关维度评分高于对照组,组间比较差异有统计学意义(P<0.05)。干预前,两组患者髋关节功能评分(HHS)评分及髋外展角、髋后伸角、髋前屈角比较差异无统计学意义(P>0.05);干预后,观察组HHS评分高于对照组,髋外展角、髋后伸角、髋前屈角大于对照组,组间比较差异有统计学意义(P<0.05)。干预前,两组患者生活质量综合评定量表(GQOL-74)各维度评分比较差异无统计学意义(P>0.05);干预后,观察组GQOL-74各维度评分高于对照组,组间比较差异有统计学意义(P<0.05)。结论对髋关节置换术患者实施ESPCS护理干预,可有助于患者疾病认知能力及健康行为提升,从而有效改善患者髋关节功能,提升患者生活质量。

Objective To explore the effect of ESPCS nursing intervention on disease cognitive ability and health behavior of hip arthroplasty patients.Methods 96 hip arthroplasty patients admitted to the Department of Orthopedics ofTaihe Hospital Affiliated of Hospital Hubei University of Medicine from May 2022 to May 2023 were selected for the study.According to the principle of comparability of basic characteristics between the groups,the patients were divided into the observation group and the control group,with 48 cases in each group.The control group practiced conventional nursing care,while the observation group implemented the ESPCS nursing intervention,which included explanation(explanation,E),simulation(simulation,S),practice(practice,P),communication(communication,C),Support(Support,S),Compared the disease cognitive ability,health behavior,hip rehabilitation and mobility,and quality of life of the two groups before and after the intervention.Results Before intervention,there was no statistically signifi cant difference in the total score of disease cognitive ability and the scores of hip disease mechanism,hip replacement treatment principle,prevention of postoperative complications and postoperative nursing measures of hip replacement between the two groups(P>0.05).After intervention,the observation group had no statistically signifi cant difference in the total score of disease cognitive ability and the scores of hip disease mechanism,hip replacement treatment principle,prevention of postoperative complications and postoperative nursing measures of hip replacement(P>0.05).After intervention,the observation group had no statistical signifi cance in the total score of disease cognitive ability and the scores of hip disease mechanism,hip replacement treatment principle,prevention of postoperative complications and postoperative nursing measures.and hip postoperative nursing measures scores were higher than those of the control group,and the difference between the groups was statistically signifi cant(P<0.05).Before the intervention,there was no statistically signifi cant difference in the total score of Health Promotion Lifestyle Scale(HPLP-II)and the scores of various dimensions between the two groups(P>0.05);After the intervention,the total score of HPLP-II and the scores of related dimensions of the observation group were higher than those of the control group,and the difference between the groups was statistically signifi cant(P<0.05).Before intervention,there was no statistically signifi cant difference in HHS score and hip abduction angle,hip extension angle and hip anterior fl exion angle between the two groups(P>0.05).After intervention,the observation group's hip function score(HHS)score was higher than that of the control group,and the hip abduction angle,hip extension angle and hip anterior flexion angle were greater than that of the control group,and the difference between the groups was statistically signifi cant(P<0.05).Before the intervention,there was no statistically signifi cant difference in the scores of the dimensions of the Comprehensive Quality of Life Scale(GQOL-74)between the two groups(P>0.05).After the intervention,the scores of the dimensions of the GQOL-74 in the observation group were higher than those in the control group,the difference between the groups was statistically significant(P<0.05).Conclusion The implementation of ESPCS nursing intervention for hip arthroplasty patients can help patients'disease cognitive ability and health behavior enhancement,which can effectively improve the patients'hip joint function and enhance the patients'quality of life.