[1]钟 晶.围术期预见性护理对全髋关节置换术患者术后患肢功能恢复及关节脱位的预防效果[J].医学信息,2023,36(22):167-170.[doi:10.3969/j.issn.1006-1959.2023.22.039]
 ZHONG Jing.Preventive Effect of Perioperative Predictive Nursing on Postoperative Limb Function Recovery and Joint Dislocation in Patients Undergoing Total Hip Arthroplasty[J].Journal of Medical Information,2023,36(22):167-170.[doi:10.3969/j.issn.1006-1959.2023.22.039]
点击复制

围术期预见性护理对全髋关节置换术患者术后患肢功能恢复及关节脱位的预防效果()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年22期
页码:
167-170
栏目:
护理研究
出版日期:
2023-11-15

文章信息/Info

Title:
Preventive Effect of Perioperative Predictive Nursing on Postoperative Limb Function Recovery and Joint Dislocation in Patients Undergoing Total Hip Arthroplasty
文章编号:
1006-1959(2023)22-0167-04
作者:
钟 晶
(瑞金市中医院院感科,江西 瑞金 342500)
Author(s):
ZHONG Jing
(Hospital-Acquired Infection Control Department,Ruijin Hospital of Traditional Chinese Medicine,Ruijin 342500,Jiangxi,China)
关键词:
预见性护理全髋关节置换术患肢功能关节脱位
Keywords:
Predictive nursingTotal hip replacementLimb functionJoint dislocation
分类号:
R473.6
DOI:
10.3969/j.issn.1006-1959.2023.22.039
文献标志码:
A
摘要:
目的 观察围术期预见性护理对全髋关节置换术患者术后患肢功能恢复及关节脱位的预防效果。方法 选取2021年6月-2022年6月在我院诊治的74例全髋关节置换术患者为研究对象,采用随机数字表法分为观察组(n=37)和对照组(n=37),对照组围术期采用常规护理,观察组在对照组基础上给予预见性护理干预。比较两组Harris髋关节功能评分、关节脱位发生率、关节功能恢复优良率、日常生活能力评分及护理满意度。结果 两组护理后Harris评分均高于护理前,且观察组高于对照组(P<0.05);观察组关节脱位发生率(2.70%)低于对照组(13.51%)(P<0.05);观察组关节功能恢复优良率(94.59%)高于对照组(81.08%)(P<0.05);两组护理后日常生活能力评分均高于护理前,且观察组高于对照组(P<0.05);观察组护理满意度高于对照组(P<0.05)。结论 围术期预见性护理可促进全髋关节置换术患者术后患肢功能恢复,提升关节功能恢复优良率和Harris评分,预防关节脱位的发生,提高护理满意度、日常生活能力评分,值得临床应用。
Abstract:
Objective To observe the preventive effect of perioperative predictive nursing on postoperative limb function recovery and joint dislocation in patients undergoing total hip arthroplasty.Methods A total of 74 patients with total hip arthroplasty diagnosed and treated in our hospital from June 2021 to June 2022 were selected as the research objects. They were divided into observation group (n=37) and control group (n=37) by random number table method. The control group was given routine nursing during the perioperative period, and the observation group was given predictive nursing intervention on the basis of the control group. Harris hip function score, incidence of joint dislocation, excellent and good rate of joint function recovery, daily living ability score and nursing satisfaction were compared between the two groups.Results The Harris score of the two groups after nursing was higher than that before nursing, and that in the observation group was higher than that in the control group (P<0.05). The incidence of joint dislocation in the observation group (2.70%) was lower than that in the control group (13.51%) (P<0.05). The excellent and good rate of joint function recovery in the observation group (94.59%) was higher than that in the control group (81.08%) (P<0.05). The daily living ability score of the two groups after nursing was higher than that before nursing, and that in the observation group was higher than that in the control group (P<0.05). The nursing satisfaction of the observation group was higher than that of the control group (P<0.05).Conclusion Perioperative predictive nursing can promote the recovery of limb function after total hip arthroplasty, improve the excellent and good rate of joint function recovery and Harris score, prevent the occurrence of joint dislocation, and improve nursing satisfaction and daily living ability score.

参考文献/References:

[1]宋婉芬,罗凯燕.整合护理在全髋关节置换术后病人中的应用效果[J].全科护理,2021,19(3):358-360.[2]王荣丽,叶锋.人工全髋关节置换术老年患者围手术期护理体会[J].山西医药杂志,2020,49(19):2710-2711.[3]宋瑞红.髋关节置换术患者实施预见性护理对下肢深静脉血栓形成的预防效果分析[J].中国药物与临床,2020,20(2):318.[4]陈雪云.预见性护理在预防全髋关节置换术下肢深静脉血栓形成的应用分析[J].中外医学研究,2019,17(12):115-116.[5]梁菊红.人工全髋关节置换术老年患者的围术期护理体会[J].河南外科学杂志,2019,25(1):182-183.[6]燕敏,杨慧.院后延伸护理对全髋关节置换术患者髋关节功能及生活质量的影响[J].现代中西医结合杂志,2019,28(7):111-113,122.[7]罗维瑛,姜晓芬.预见性护理措施在预防全髋关节置换术后关节脱位中的应用[J].基层医学论坛,2017,21(12):1471.[8]高娟,茆敏.案例需求的导向护理模式预防髋关节置换术老年患者假体脱位的临床效果[J].护理实践与研究,2021,18(5):726-728.[9]瞿邱炜.关节镜下半月板损伤缝合术患者膝关节功能恢复的围术期护理[J].解放军护理杂志,2017,33(10):49-52.[10]Werner BC,Higgins MD,Pehlivan HC,et al.Super Obesity Is an Independent Risk Factor for Complications After Primary Total Hip Arthroplasty[J].Journal of Arthroplasty,2017,32(2):402.[11]闫亮,吕守正.全髋关节置换术治疗髋臼骨折继发创伤性髋关节炎和股骨头坏死的远期效果[J].医学信息,2020,33(14):105-106,109.[12]亓莹莹,宋笋,赵琦.髋关节置换术治疗股骨颈骨折患者的围术期护理[J].齐鲁护理杂志,2019,25(10):53-55.[13]张阿勤.预见性护理在髋关节置换术治疗股骨颈骨折患者中的应用[J].国际护理学杂志,2021,40(1):153-156.[14]李燕.延续性护理对人工髋关节置换术后患者关节功能和自我护理能力的影响[J].川北医学院学报,2020,172(1):171-173.[15]赵继露,鲁成,宋庆萍.程序化疼痛护理管理在髋关节置换术后的运用及效果评价[J].中华全科医学,2020,18(1):160-163.[16]万江.延续性护理对髋关节置换术老年患者术后疼痛缓解及髋关节功能恢复的作用[J].上海护理,2019,19(8):34-37.[17]姜琳琳,赵庆春.全髋关节置换术后下肢深静脉血栓形成影响因素分析[J].临床军医杂志,2018,46(9):1051-1054.[18]叶彩霞,王月贵,杨树萍.预见性护理在老年髋关节置换术后预防深静脉血栓的效果观察[J].基层医学论坛,2018,22(30):4258-4260.[19]张瑛,杨新明.围手术期预见性护理干预降低骨科大手术后下肢深静脉血栓形成风险研究[J].河北北方学院学报,2017,32(2):27-31.

相似文献/References:

[1]杨书娇.早期康复护理对股骨颈骨折患者全髋关节置换术后功能恢复的影响[J].医学信息,2018,31(22):184.[doi:10.3969/j.issn.1006-1959.2018.22.056]
 YANG Shu-jiao.Effect of Early Rehabilitation Nursing on Functional Recovery after Total Hip Arthroplasty in Patients with Femoral Neck Fracture[J].Journal of Medical Information,2018,31(22):184.[doi:10.3969/j.issn.1006-1959.2018.22.056]
[2]钱文彬.微创DAA行全髋关节置换术对患者恢复及预后的影响[J].医学信息,2019,32(23):115.[doi:10.3969/j.issn.1006-1959.2019.23.032]
 QIAN Wen-bin.Minimally Invasive DAA Approach for Total Hip Arthroplasty for Postoperative Functional Recovery and Prognosis[J].Journal of Medical Information,2019,32(22):115.[doi:10.3969/j.issn.1006-1959.2019.23.032]
[3]王世芳.预见性护理对肾病综合征患者并发症发生率及护理满意度的影响[J].医学信息,2020,33(01):188.[doi:10.3969/j.issn.1006-1959.2020.01.063]
 WANG Shi-fang.Effect of Predictive Nursing on the Incidence of Complications and Nursing Satisfaction in Patients with Nephrotic Syndrome[J].Journal of Medical Information,2020,33(22):188.[doi:10.3969/j.issn.1006-1959.2020.01.063]
[4]张会元.基于Triangle分层管理的预见性护理对ICU重症患者护理效果及质量的影响[J].医学信息,2020,33(11):179.[doi:10.3969/j.issn.1006-1959.2020.11.059]
 ZHANG Hui-yuan.The Effect of Predictive Nursing Based on Triangle Hierarchical Management on the Nursing Effect and Quality of ICU Critical Patients[J].Journal of Medical Information,2020,33(22):179.[doi:10.3969/j.issn.1006-1959.2020.11.059]
[5]周 亮,徐洪军.发育性髋关节脱位行THA后完全负重行走的影响因素分析[J].医学信息,2020,33(12):107.[doi:10.3969/j.issn.1006-1959.2020.12.033]
 ZHOU Liang,XU Hong-jun.Analysis of Influencing Factors of Full Weight Walking After THA in Developmental Dislocation of Hip[J].Journal of Medical Information,2020,33(22):107.[doi:10.3969/j.issn.1006-1959.2020.12.033]
[6]闫 亮,吕守正.全髋关节置换术治疗髋臼骨折继发创伤性髋关节炎和股骨头坏死的远期效果[J].医学信息,2020,33(14):105.[doi:10.3969/j.issn.1006-1959.2020.14.031]
 YAN Liang,LYU Shou-zheng.Medium and Long-term Effects of Total Hip Arthroplasty in the Treatment of Traumatic Hip Arthritis and Femoral Head Necrosis Secondary to Acetabular Fractures[J].Journal of Medical Information,2020,33(22):105.[doi:10.3969/j.issn.1006-1959.2020.14.031]
[7]丁海蛟,刘梦焦.预见性护理干预对脑出血重症监护患者相关护理结局的影响[J].医学信息,2021,34(08):183.[doi:10.3969/j.issn.1006-1959.2021.08.051]
 DING Hai-jiao,LIU Meng-jiao.The Influence of Predictive Nursing Intervention on Related Nursing Outcomes of Patients with Cerebral Hemorrhage in Intensive Care[J].Journal of Medical Information,2021,34(22):183.[doi:10.3969/j.issn.1006-1959.2021.08.051]
[8]吕雪飞.预见性护理在肝胆管结石手术患者护理中的应用效果[J].医学信息,2021,34(09):185.[doi:10.3969/j.issn.1006-1959.2021.09.051]
 LYU Xue-fei.Application Effect of Predictive Nursing in the Nursing of Patients Undergoing Hepatolithiasis Surgery[J].Journal of Medical Information,2021,34(22):185.[doi:10.3969/j.issn.1006-1959.2021.09.051]
[9]曲广寅.全髋关节置换术与骨折内固定术对股骨颈骨折愈合及术后功能恢复的影响[J].医学信息,2021,34(24):105.[doi:10.3969/j.issn.1006-1959.2021.24.025]
 QU Guang-yin.Effect of Total Hip Arthroplasty and Internal Fixation on Femoral Neck Fracture Healing and Postoperative Functional Recovery[J].Journal of Medical Information,2021,34(22):105.[doi:10.3969/j.issn.1006-1959.2021.24.025]
[10]施香兰.预见性护理模式在胃肠镜检查风险控制中的应用[J].医学信息,2022,35(14):190.[doi:10.3969/j.issn.1006-1959.2022.14.050]
 SHI Xiang-lan.Application of Predictive Nursing Model in Risk Control of Gastrointestinal Endoscopy[J].Journal of Medical Information,2022,35(22):190.[doi:10.3969/j.issn.1006-1959.2022.14.050]
[11]刘 宁.围术期预见性护理对全髋关节置换术患者术后关节脱位的预防效果观察[J].医学信息,2022,35(04):190.[doi:10.3969/j.issn.1006-1959.2022.04.052]
 LIU Ning.Preventive Effect of Perioperative Predictive Nursing on Postoperative Joint Dislocationin Patients with Total Hip Arthroplasty[J].Journal of Medical Information,2022,35(22):190.[doi:10.3969/j.issn.1006-1959.2022.04.052]

更新日期/Last Update: 1900-01-01