人工关节置换术患者术后髋关节功能恢复的围术期护理

Perioperative nursing guidance for hip functionrecovery after artificial joint replacement

  • 摘要:
      目的  探讨围术期护理指导对人工关节置换术后患者术后髋关节功能恢复的临床应用效果。
      方法  选取本院行人工全髋关节置换术患者78例,随机分成对照组与观察组各39例。对照组采取常规护理,观察组采取围术期护理。对比2组患者视觉模拟评分(VAS)情况及髋关节屈伸度。
      结果  观察组患者Ⅰ级疼痛率显著高于对照组(P < 0.05), Ⅲ级疼痛率显著低于对照组(P < 0.05), 2组患者Ⅱ级疼痛率比较差异无统计学意义(P>0.05); 观察组患者髋关节屈伸度显著优于对照组(P < 0.05)。
      结论  人工全髋关节置换术围术期给予患者护理指导可有效减轻患者术后疼痛,促进术后髋关节功能恢复。

     

    Abstract:
      Objective  To analyze the clinical effect of perioperative nursing guidance on hip function recovery after artificial joint replacement.
      Methods  A total of 78 patients who underwent total hip arthroplasty in our hospital were randomly divided into control group and observation group, with 39 cases in each group. Control group was given routine nursing, while the observation group was given perioperative nursing. The Visual Analogue Score (VAS), hip joint flexion and extension were compared between the two groups.
      Results  The patients with grade Ⅰ pain in observation group were significantly more than that in the control group, and those with grade Ⅱ pain was significantly less than that in control group(P < 0.05). But the patients with grade Ⅲ pain in two groups showed no statistically significant difference(P>0.05); the degree of hip flexion and extension in the observation group was significantly better than that in the control group(P < 0.05).
      Conclusion  Perioperative nursing guidance can effectively reduce postoperative pain and promote postoperative hip function recovery during total hip arthroplasty.

     

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