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
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.
