个案管理结合动机性访谈在行髋关节置换术患者围手术期的应用

Application of case management combined with motivational interviewing in perioperative period of patients undergoing hip replacement

目的 探讨个案管理结合动机性访谈在行髋关节置换术患者围手术期的应用效果。方法 以2021年1月至2022年1月徐州医科大学附属医院收治的94例行髋关节置换术患者为研究对象,采用随机抽签法分为2组。对照组47例患者施以常规护理,观察组47例患者则在对照组护理方式的基础上施以个案管理结合动机性访谈干预。比较2组的术后卧床时间等指标。结果 观察组的术后卧床时间和术后住院时间均短于对照组,总治疗费用少于对照组(P均<0.05)。术后1个月和3个月,2组的疼痛数字评定量表评分均低于入院时,Harris髋关节功能量表评分,以及任务自我效能评分、应对自我效能评分均高于入院时(P均<0.05);观察组均优于同期对照组(P均<0.05)。观察组的护理总满意率高于对照组(P<0.05)。结论 个案管理结合动机性访谈用于行髋关节置换术患者围手术期,可有效加快术后康复进程,减少医疗费用,提高患者的自我效能水平,缓解其髋关节疼痛,促进髋关节功能恢复,并有助于提高护理满意率。

Objective To investigate the application effect of case management combined with motivational interviewing in the perioperative period of patients undergoing hip replacement.Methods A total of 94 patients who underwent hip replacement were recruited from the Affiliated Hospital of Xuzhou Medical University between January 2021 and January 2022.They were divided into two groups by drawing lots.The 47 patients in the control group carried out routine nursing,and the 47 patients in the observation group carried out case management combined with motivational interviewing based on the nursing method of the control group.The postoperative bedridden time and other indicators of the two groups were compared.Results The postoperative bedridden time and postoperative hospital stay in the observation group were shorter than those in the control group,and the total treatment cost was less than that in the control group(all P<0.05).At 1 and 3 months after surgery,the scores of the Numerical Rating Scale in both groups were lower than those at admission,and the Harris Hip Scores,task self-efficacy scores,and coping self-efficacy scores were higher than those at admission(all P<0.05).The observation group was superior to the control group(all P<0.05).The total satisfaction rate of nursing in the observation group was higher than that in the control group(P<0.05).Conclusion Case management combined with motivational interviewing in the perioperative period of patients undergoing hip replacement can effectively accelerate the postoperative rehabilitation process,reduce the medical costs,improve the level of self-efficacy,relieve the hip pain,promote the recovery of hip function and help to increase the satisfaction rate of nursing.