跨学科护理团队在全髋关节置换患者快速康复中的作用
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摘要
目的分析在全髋关节置换患者快速康复中应用跨学科护理团队的效果。方法 72例全髋关节置换患者,采用随机信封法分为对照组和干预组,每组36例。对照组患者采用常规护理,干预组患者在常规护理基础上联合跨学科护理团队护理。观察比较两组患者髋关节恢复情况及住院时间、治疗费用、护理满意度、并发症发生情况。结果干预组患者的疼痛评分、功能评分、畸形评分、活动度评分均显著高于对照组,住院时间及治疗费用少于对照组,差异均具有统计学意义(P<0.05)。干预组患者的护理满意度97.2%(35/36)显著高于对照组的80.6%(29/36),差异具有统计学意义(χ~2=5.063, P<0.05)。干预组患者并发症发生率2.8%(1/36)显著低于对照组的16.7%(6/36),差异具有统计学意义(χ~2=3.956,P<0.05)。结论将跨学科护理团队应用于全髋关节置换患者快速康复中,康复效果显著,既可缓解临床指标、减少并发症发生几率,又可提高髋关节恢复水平及患者满意度,值得临床推广应用。
Objective To analyze the effect of interdisciplinary nursing team in the rapid rehabilitation of patients with total hip arthroplasty. Methods A total of 72 patients with total hip arthroplasty were divided by random envelope method into control group and intervention group, with 36 cases in each group. The control group received conventional nursing, and the intervention group received interdisciplinary nursing team nursing on the basis of conventional nursing. Observation and comparison were made on hip recovery, hospitalization time, treatment costs, nursing satisfaction, and occurrence of complications between the two groups. Results The intervention group had significantly higher pain score, functional score, deformity score, activity score than the control group, shorter hospitalization time than the control group, and less treatment cost than the control group.Their difference was statistically significant(P<0.05). The intervention group had significantly higher nursing satisfaction as 97.2%(35/36) than 80.6%(29/36) in the control group, and the difference was statistically significant(χ~2=5.063, P<0.05). The intervention had significantly lower incidence of complications as 2.8%(1/36) than16.7%(6/36) in the control group, and the difference was statistically significant(χ~2=3.956, P<0.05). Conclusion Application of interdisciplinary nursing team in the rapid rehabilitation of patients with total hip arthroplasty has a remarkable effect. It can not only alleviate clinical indicators, reduce the incidence of complications, but also improve the recovery level of hip joint and patient satisfaction. It is worthy of clinical promotion and application.
Objective To analyze the effect of interdisciplinary nursing team in the rapid rehabilitation of patients with total hip arthroplasty. Methods A total of 72 patients with total hip arthroplasty were divided by random envelope method into control group and intervention group, with 36 cases in each group. The control group received conventional nursing, and the intervention group received interdisciplinary nursing team nursing on the basis of conventional nursing. Observation and comparison were made on hip recovery, hospitalization time, treatment costs, nursing satisfaction, and occurrence of complications between the two groups. Results The intervention group had significantly higher pain score, functional score, deformity score, activity score than the control group, shorter hospitalization time than the control group, and less treatment cost than the control group.Their difference was statistically significant(P<0.05). The intervention group had significantly higher nursing satisfaction as 97.2%(35/36) than 80.6%(29/36) in the control group, and the difference was statistically significant(χ~2=5.063, P<0.05). The intervention had significantly lower incidence of complications as 2.8%(1/36) than16.7%(6/36) in the control group, and the difference was statistically significant(χ~2=3.956, P<0.05). Conclusion Application of interdisciplinary nursing team in the rapid rehabilitation of patients with total hip arthroplasty has a remarkable effect. It can not only alleviate clinical indicators, reduce the incidence of complications, but also improve the recovery level of hip joint and patient satisfaction. It is worthy of clinical promotion and application.
引文
[1]张艳芬,龙铮,周汇文,等.快速康复外科理念在预防老年人工髋关节置换术后下肢深静脉血栓形成的应用价值.数理医药学杂志, 2018, 31(7):1076-1077.
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[5]王秀萍,孙瑞波,王战朝.快速康复在老年股骨粗隆间骨折内固定失效后人工全髋关节置换围手术期应用.河南科技大学学报(医学版), 2017, 35(2):155-157, 160.
[6]陈美茹,李玲利,宁宁,等.快速康复流程下初次单侧全髋关节置换术临床效果的研究.华西医学, 2017, 32(5):753-755.
[7]石玮玮,鲁丽莎,马士辉,等.解毒止血汤联合功能锻炼促进全髋关节置换术后快速康复的临床疗效观察.四川中医, 2017,35(3):143-146.
[8]于红英,钭晓帆,宋学良,等.快速康复干预在SuperPATH微创全髋关节置换术后的应用研究.护理与康复, 2017, 16(2):107-111.
[9]陈丽冰,刘玉琴,吴彩勤,等.快速康复外科理念在保留股骨颈型人工全髋关节置换术围术期护理的研究.中国实用医药,2017, 12(3):165-167.
[10]钱百灵.骨外科快速康复结合中西医护理应用于全髋关节置换老年患者围术期效果观察.中国继续医学教育, 2016, 8(31):237-239.
[2]田怡,刘新梅,杨莉.多学科护理团队在股骨颈骨折人工全髋关节置换术病人快速康复中的应用效果研究.全科护理, 2017,15(30):3764-3766.
[3]蒋静静,崔玉洁,段玉莲,等.快速康复外科在人工全髋关节置换术病人围术期护理中的应用.循证护理, 2017, 3(5):513-515.
[4]吴明珑,李枫,阮娜.跨学科健康教育模式在全髋关节置换术术后康复的应用.骨科, 2017, 8(4):317-320.
[5]王秀萍,孙瑞波,王战朝.快速康复在老年股骨粗隆间骨折内固定失效后人工全髋关节置换围手术期应用.河南科技大学学报(医学版), 2017, 35(2):155-157, 160.
[6]陈美茹,李玲利,宁宁,等.快速康复流程下初次单侧全髋关节置换术临床效果的研究.华西医学, 2017, 32(5):753-755.
[7]石玮玮,鲁丽莎,马士辉,等.解毒止血汤联合功能锻炼促进全髋关节置换术后快速康复的临床疗效观察.四川中医, 2017,35(3):143-146.
[8]于红英,钭晓帆,宋学良,等.快速康复干预在SuperPATH微创全髋关节置换术后的应用研究.护理与康复, 2017, 16(2):107-111.
[9]陈丽冰,刘玉琴,吴彩勤,等.快速康复外科理念在保留股骨颈型人工全髋关节置换术围术期护理的研究.中国实用医药,2017, 12(3):165-167.
[10]钱百灵.骨外科快速康复结合中西医护理应用于全髋关节置换老年患者围术期效果观察.中国继续医学教育, 2016, 8(31):237-239.