本案例报告了1例老年全膝关节置换术患者术后并发肺栓塞的预见性护理的护理经验,通过对患者高危因素的分析、指脉氧的监测、下肢深静脉血栓的预防等护理,积极预防肺栓塞的发生,从而保障术后患者获得预期的预后效果,降低患者在治疗过程...本案例报告了1例老年全膝关节置换术患者术后并发肺栓塞的预见性护理的护理经验,通过对患者高危因素的分析、指脉氧的监测、下肢深静脉血栓的预防等护理,积极预防肺栓塞的发生,从而保障术后患者获得预期的预后效果,降低患者在治疗过程中发生肺栓塞的死亡率,现情况报告如下。This case report reports the nursing experience of an elderly patient with postoperative pulmonary embolism complicated by pulmonary embolism, through the analysis of patients’ high-risk factors, the monitoring of pulse oxygen, the prevention of deep vein thrombosis of the lower limbs, etc., to actively prevent the occurrence of pulmonary embolism, so as to ensure that the postoperative patients obtain the expected prognostic effect and reduce the mortality rate of pulmonary embolism in the course of treatment, as reported below.展开更多
目的:观察快速康复外科(ERAS)理念指导下围手术期护理干预措施对机器人辅助全膝关节置换术患者的临床应用及效果评价。方法:选取新疆医科大学第六附属医院2023年8月至2024年4月在腰硬联合麻醉下行单侧机器人辅助全膝关节置换术的患者75...目的:观察快速康复外科(ERAS)理念指导下围手术期护理干预措施对机器人辅助全膝关节置换术患者的临床应用及效果评价。方法:选取新疆医科大学第六附属医院2023年8月至2024年4月在腰硬联合麻醉下行单侧机器人辅助全膝关节置换术的患者75例,分为对照组36例和观察组39例。对照组采用常规围手术期护理干预措施,观察组采用ERAS理念指导下围手术期护理干预措施。比较两组围手术期指标(术后首次下床活动时间、尿管拔除时间)、术后视觉模拟评分法(VAS)评分、美国特种外科医院(HSS)评分、美国膝关节协会(KSS)评分、膝关节主动活动度(ROM)、护理满意度及住院时间。结果:与对照组相比,采取ERAS理念指导下围手术期护理干预措施后,观察组术后首次下床活动时间为(23.06 ± 1.17)小时,尿管拔除时间为(6.82 ± 0.76)小时,均短于对照组,差异具有统计学意义(P Objective: To observe the clinical application and effect evaluation of perioperative nursing interventions guided by the concept of rapid recovery surgery (ERAS) on patients undergoing robot-assisted total knee arthroplasty. Methods: A total of 75 patients undergoing unilateral robot-assisted total knee arthroplasty under combined spinal-epidural anesthesia from August 2023 to April 2024 in the Sixth Affiliated Hospital of Xinjiang Medical University were enrolled, and they were divided into control group (36 cases) and observation group (39 cases). The control group was treated with conventional perioperative nursing interventions, and the observation group was guided by ERAS concept. The perioperative indexes (time to first get out of bed after surgery, time to urethral catheter removal), postoperative visual analogue scale (VAS) score, American Hospital for Special Surgery (HSS) score, American Knee Association (KSS) score, knee active range of motion (ROM), nursing satisfaction and hospital stay were compared between the two groups. Results: Compared with the control group, the time of first postoperative activity and the time of urethral catheter removal in the observation group were (23.06 ± 1.17) hours, and the time of urethral catheter removal was (6.82 ± 0.76) hours, which were shorter than those in the control group, and the difference was statistically significant (P < 0.05), and the VAS score of the observation group was (4.46 ± 0.79) on the first day after operation, and (2.21 ± 0.66) on the seventh day after operation. The HSS score was (59.31 ± 2.36) on the seventh day and (81.38 ± 2.16) on the first month after operation. The KSS score in the first month after surgery was (78.38 ± 2.20). The ROM in the first month after surgery was (110.00±2.56);The nursing satisfaction score at discharge was (95.79 ± 0.81). The average length of hospital stay was (11.15 ± 1.25) days, which was better than that of the control group, and the difference was statistically significant (P < 0.05). Conclusion: Perioperative nursing measures under the guidance of ERAS concept have good clinical application value in accelerating the knee rehabilitation process of patients undergoing robotic total knee arthroplasty.展开更多
目的:观察精细化护理联合中医护理在老年半髋关节置换术患者围手术期中的临床应用及效果评价。方法:选取2023年12月~2024年6月新疆医科大学第六附属医院关节外科收治的86例老年单侧股骨颈骨折行半髋置换术患者为研究对象,根据患者入院...目的:观察精细化护理联合中医护理在老年半髋关节置换术患者围手术期中的临床应用及效果评价。方法:选取2023年12月~2024年6月新疆医科大学第六附属医院关节外科收治的86例老年单侧股骨颈骨折行半髋置换术患者为研究对象,根据患者入院顺序随机分为对照组与试验组各43例。对照组采用常规围手术期护理,试验组在常规护理的基础上,采用精细化护理联合中医护理。观察两组围手术期疼痛(VAS)评分、髋关节功能评分(Harris)、焦虑情况(HADS评分)及护理满意度。结果:试验组术后3天和7天的VAS评分较对照组更低(P Objective: To observe the clinical application and effect evaluation of fine nursing combined with traditional Chinese medicine nursing in the perioperative period of elderly patients undergoing hemihip arthroplasty. Methods: A total of 86 elderly patients with unilateral femoral neck fracture who underwent hemihip replacement in the Department of Joint Surgery of the Sixth Affiliated Hospital of Xinjiang Medical University from December 2023 to June 2024 were randomly divided into control group and experimental group with 43 cases in each group according to the order of admission. The control group was treated with conventional perioperative nursing, and the experimental group was treated with refined nursing combined with traditional Chinese medicine nursing on the basis of routine nursing. Perioperative pain (VAS) score, hip function score (Harris), anxiety (HADS score) and nursing satisfaction were observed in the two groups. Results: The VAS score of the experimental group was lower than that of the control group at 3 days and 7 days after surgery (P < 0.05), the Harris score of the experimental group was higher than that of the control group at 7 days and 1 month after surgery (P < 0.05), the HADS score of the experimental group was lower than that of the control group at 7 days after surgery (P < 0.05), and the satisfaction of the experimental group with inpatient nursing was higher than that of the control group (P < 0.05). Conclusion: The combination of refined nursing and traditional Chinese medicine nursing can further improve the perioperative pain, anxiety and hip function of femoral neck fractures in the elderly, improve patients' nursing satisfaction, and promote the postoperative rehabilitation process.展开更多
目的探讨协同护理模式（Collaborative care model,CCM）对行膝关节置换手术患者术后感染率、二次翻修率及满意度的影响。方法选择2014年1月-2014年12月在新疆医科大学第六附属医院行单膝关节置换手术的患者160例,随机分为对照组（80例...目的探讨协同护理模式（Collaborative care model,CCM）对行膝关节置换手术患者术后感染率、二次翻修率及满意度的影响。方法选择2014年1月-2014年12月在新疆医科大学第六附属医院行单膝关节置换手术的患者160例,随机分为对照组（80例）和观察组（80例）,两组患者在手术室管理环节、供应室管理环节、病房管理环节、手术团队管理环节相同,术后2～3d护士对对照组患者进行回访,了解患者术后感染情况及满意度情况。观察组患者在对照组的基础上采用CCM,护士分别于患者术后2w、1个月、3个月、1a进行电话回访,对患者功能进行系统评分,了解患者术后感染情况及满意度情况。结果对照组患者术后感染8例,感染率为10%,观察组术后感染1例,感染率为1.3%,对照组患者术后翻修率为100%,观察组患者术后翻修率为0%。对照组患者术后满意度为86%,观察组患者术后满意度为96%。两组患者术后感染率、患者满意度差异有统计学意义（P〈0.05）。结论协同护理模式能有效降低膝关节置换患者术后早期感染率,早期发现术后感染,降低患者术后二次翻修率,提升患者满意度,对医院感染控制有指导意义。展开更多
文摘本案例报告了1例老年全膝关节置换术患者术后并发肺栓塞的预见性护理的护理经验,通过对患者高危因素的分析、指脉氧的监测、下肢深静脉血栓的预防等护理,积极预防肺栓塞的发生,从而保障术后患者获得预期的预后效果,降低患者在治疗过程中发生肺栓塞的死亡率,现情况报告如下。This case report reports the nursing experience of an elderly patient with postoperative pulmonary embolism complicated by pulmonary embolism, through the analysis of patients’ high-risk factors, the monitoring of pulse oxygen, the prevention of deep vein thrombosis of the lower limbs, etc., to actively prevent the occurrence of pulmonary embolism, so as to ensure that the postoperative patients obtain the expected prognostic effect and reduce the mortality rate of pulmonary embolism in the course of treatment, as reported below.
文摘目的:观察快速康复外科(ERAS)理念指导下围手术期护理干预措施对机器人辅助全膝关节置换术患者的临床应用及效果评价。方法:选取新疆医科大学第六附属医院2023年8月至2024年4月在腰硬联合麻醉下行单侧机器人辅助全膝关节置换术的患者75例,分为对照组36例和观察组39例。对照组采用常规围手术期护理干预措施,观察组采用ERAS理念指导下围手术期护理干预措施。比较两组围手术期指标(术后首次下床活动时间、尿管拔除时间)、术后视觉模拟评分法(VAS)评分、美国特种外科医院(HSS)评分、美国膝关节协会(KSS)评分、膝关节主动活动度(ROM)、护理满意度及住院时间。结果:与对照组相比,采取ERAS理念指导下围手术期护理干预措施后,观察组术后首次下床活动时间为(23.06 ± 1.17)小时,尿管拔除时间为(6.82 ± 0.76)小时,均短于对照组,差异具有统计学意义(P Objective: To observe the clinical application and effect evaluation of perioperative nursing interventions guided by the concept of rapid recovery surgery (ERAS) on patients undergoing robot-assisted total knee arthroplasty. Methods: A total of 75 patients undergoing unilateral robot-assisted total knee arthroplasty under combined spinal-epidural anesthesia from August 2023 to April 2024 in the Sixth Affiliated Hospital of Xinjiang Medical University were enrolled, and they were divided into control group (36 cases) and observation group (39 cases). The control group was treated with conventional perioperative nursing interventions, and the observation group was guided by ERAS concept. The perioperative indexes (time to first get out of bed after surgery, time to urethral catheter removal), postoperative visual analogue scale (VAS) score, American Hospital for Special Surgery (HSS) score, American Knee Association (KSS) score, knee active range of motion (ROM), nursing satisfaction and hospital stay were compared between the two groups. Results: Compared with the control group, the time of first postoperative activity and the time of urethral catheter removal in the observation group were (23.06 ± 1.17) hours, and the time of urethral catheter removal was (6.82 ± 0.76) hours, which were shorter than those in the control group, and the difference was statistically significant (P < 0.05), and the VAS score of the observation group was (4.46 ± 0.79) on the first day after operation, and (2.21 ± 0.66) on the seventh day after operation. The HSS score was (59.31 ± 2.36) on the seventh day and (81.38 ± 2.16) on the first month after operation. The KSS score in the first month after surgery was (78.38 ± 2.20). The ROM in the first month after surgery was (110.00±2.56);The nursing satisfaction score at discharge was (95.79 ± 0.81). The average length of hospital stay was (11.15 ± 1.25) days, which was better than that of the control group, and the difference was statistically significant (P < 0.05). Conclusion: Perioperative nursing measures under the guidance of ERAS concept have good clinical application value in accelerating the knee rehabilitation process of patients undergoing robotic total knee arthroplasty.
文摘目的:观察精细化护理联合中医护理在老年半髋关节置换术患者围手术期中的临床应用及效果评价。方法:选取2023年12月~2024年6月新疆医科大学第六附属医院关节外科收治的86例老年单侧股骨颈骨折行半髋置换术患者为研究对象,根据患者入院顺序随机分为对照组与试验组各43例。对照组采用常规围手术期护理,试验组在常规护理的基础上,采用精细化护理联合中医护理。观察两组围手术期疼痛(VAS)评分、髋关节功能评分(Harris)、焦虑情况(HADS评分)及护理满意度。结果:试验组术后3天和7天的VAS评分较对照组更低(P Objective: To observe the clinical application and effect evaluation of fine nursing combined with traditional Chinese medicine nursing in the perioperative period of elderly patients undergoing hemihip arthroplasty. Methods: A total of 86 elderly patients with unilateral femoral neck fracture who underwent hemihip replacement in the Department of Joint Surgery of the Sixth Affiliated Hospital of Xinjiang Medical University from December 2023 to June 2024 were randomly divided into control group and experimental group with 43 cases in each group according to the order of admission. The control group was treated with conventional perioperative nursing, and the experimental group was treated with refined nursing combined with traditional Chinese medicine nursing on the basis of routine nursing. Perioperative pain (VAS) score, hip function score (Harris), anxiety (HADS score) and nursing satisfaction were observed in the two groups. Results: The VAS score of the experimental group was lower than that of the control group at 3 days and 7 days after surgery (P < 0.05), the Harris score of the experimental group was higher than that of the control group at 7 days and 1 month after surgery (P < 0.05), the HADS score of the experimental group was lower than that of the control group at 7 days after surgery (P < 0.05), and the satisfaction of the experimental group with inpatient nursing was higher than that of the control group (P < 0.05). Conclusion: The combination of refined nursing and traditional Chinese medicine nursing can further improve the perioperative pain, anxiety and hip function of femoral neck fractures in the elderly, improve patients' nursing satisfaction, and promote the postoperative rehabilitation process.
文摘目的探讨协同护理模式（Collaborative care model,CCM）对行膝关节置换手术患者术后感染率、二次翻修率及满意度的影响。方法选择2014年1月-2014年12月在新疆医科大学第六附属医院行单膝关节置换手术的患者160例,随机分为对照组（80例）和观察组（80例）,两组患者在手术室管理环节、供应室管理环节、病房管理环节、手术团队管理环节相同,术后2～3d护士对对照组患者进行回访,了解患者术后感染情况及满意度情况。观察组患者在对照组的基础上采用CCM,护士分别于患者术后2w、1个月、3个月、1a进行电话回访,对患者功能进行系统评分,了解患者术后感染情况及满意度情况。结果对照组患者术后感染8例,感染率为10%,观察组术后感染1例,感染率为1.3%,对照组患者术后翻修率为100%,观察组患者术后翻修率为0%。对照组患者术后满意度为86%,观察组患者术后满意度为96%。两组患者术后感染率、患者满意度差异有统计学意义（P〈0.05）。结论协同护理模式能有效降低膝关节置换患者术后早期感染率,早期发现术后感染,降低患者术后二次翻修率,提升患者满意度,对医院感染控制有指导意义。
