早期护理干预对人工全髋关节置换术患者术后功能康复的临床观察(1)
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【摘要】 目的 探讨早期护理干预对全髋关节置换术患者术后功能康复的影响。方法 将70全髋关节置换术患者随机分为干预组和对照组。对照组只是按骨科常规治疗护理，干预组除给予骨科常规护理外，为患者制定系统的早期护理干预计划：术前心理干预，术前康复指导、术后护理、术后全面的康复训练，比较两组髋关节功能恢复情况。结果 70例患者均得到随访，采用Harris髋关节功能评分标准评分，术后3个月干预组终末随访髋关节功能优良率达93.0%；对照组终末随访髋关节功能优良率达71.7%。干预组髋关节功能恢复的有效率优于对照组，差异有统计学意义(P<0.01)。结论 通过实施早期、有计划、系统的护理干预，有效促进了患者术后髋关节功能康复，改善了患者的生活质量。
【关键词】髋关节；护理干预；置换术;功能康复织
Early nursing intervention on total hip replacement patients Clinical observation of functional recovery
CHENChui, LIANG Xian-qiu, CHEN Hui-fang, et al. Department of Orthopedic Surgery,The Second People’s Hospital of Zhaoqing City in Guangdong Province,Zhaoqing, 526060,China
【Abstract】 Objective To investigate the early nursing intervention on patients with total hip arthroplasty after functional rehabilitation. Methods 70 patients with total hip arthroplasty were randomly divided into intervention and control groups. Control group, only conventional treatment by orthopedic nursing, orthopedic intervention group was given routine care in addition, for the patient to develop systems of early care and intervention programs:preoperative psychological intervention, rehabilitation guidance preoperative and postoperative care, comprehensive rehabilitation after surgery two groups were compared the recovery of hip function. Results 70 patients were followed up, Harris hip function score using the standard score, the intervention group after 3 months follow-up of hip joint function terminals excellent rate of 93.0%; control terminals excellent follow-up rate of 71.7% hip joint function. Functional recovery of hip joint intervention group are more efficient than the control group, the difference was statistically significant (P<0.01). Conclusion In the early days, a planned, systematic care interventions effective in promoting the rehabilitation of patients after hip joint function, improving the patient’s quality of life.
【Key words】Hip; Nursing intervention; Replacement surgery; Functional rehabilitation organizations
人工髋关节置换是通过手术将病损的髋关节部分或全部由人工制造的假体关节所代替，是髋关节疾病终末期治疗的有效方法[1]。人工髋髋关节置换术可以解决髋关节疼痛及畸形，保持关节稳定，改善关节功能，提高患者生活质量。术后的康复训练是巩固手术治疗效果，促进患者功能恢复的重要组成部分。对患者实施个性化的早期护理干预，让患者有目的、有计划地参与康复护理活动，从而提高了患者的主观能动性和遵医行为，取得良好的效果。现报告如下。
1 资料与方法
1.1 一般资料
选择2008年1月至2010年10月人住我院行全髋关节置换术的患者70例，男31例，女39例。年龄57~96岁。其中股骨颈骨折47例，股骨头无菌性坏死20例 ......
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