人工全髖關節(jié)置換術(shù)的康復護理及施行意義評定

李愛

【摘要】 目的 探討人工全髖關節(jié)置換術(shù)的康復護理及臨床效果。方法 104例人工全髖關節(jié)置換術(shù)患者， 根據(jù)數(shù)字表法分為對照組和康復護理組， 各52例。對照組采用常規(guī)護理干預， 康復護理組在對照組基礎上實施康復護理。比較兩組治療效果、切口愈合時間、下床活動時間、術(shù)后住院時間及干預前后髖關節(jié)功能評分標準（HARRIS）評分、改良Barthel指數(shù)評定量表（BI）指數(shù)。結(jié)果 康復護理組髖關節(jié)功能優(yōu)良率為96.15%， 明顯高于對照組的80.77%， 差異有統(tǒng)計學意義（P<0.05）。干預前兩組HARRIS評分、改良BI指數(shù)比較差異無統(tǒng)計學意義（P>0.05）;干預后康復護理組HARRIS評分、改良BI指數(shù)均高于對照組， 差異有統(tǒng)計學意義（P<0.05）。康復護理組切口愈合時間、下床活動時間、術(shù)后住院時間均短于對照組， 差異有統(tǒng)計學意義（P<0.05）。結(jié)論 人工全髖關節(jié)置換術(shù)的康復護理效果確切， 可加速下床活動和切口愈合， 縮短住院時間， 改善患者髖關節(jié)功能和生活能力， 值得推廣。

【關鍵詞】 人工全髖關節(jié)置換術(shù);康復護理;施行意義

DOI：10.14163/j.cnki.11-5547/r.2018.03.094

【Abstract】 Objective To discuss the rehabilitation nursing of artificial total hip arthroplasty and its clinical effect. Methods A total of 104 patients with artificial total hip arthroplasty were divided by number table method into control group and rehabilitation nursing group， with 52 cases in each group. The control group received conventional nursing intervention， and the rehabilitation nursing group received rehabilitation nursing on the basis of the control group. Comparison were made on treatment effect， incision healing time， off-bed activity time， postoperative hospitalization time and hip function score standard （Harris） score， improved Barthel index （BI） rating scale before and after intervention between two groups. Results The rehabilitation nursing group had obviously higher good rate of hip joint function as 96.15% than 80.77% in the control group， and the difference was statistically significant （P<0.05）. Before intervention， both groups had no statistically significant difference in Harris score and improved BI （P>0.05）. After nursing， the rehabilitation nursing group had higher Harris score and improved BI than the control group， and the difference was statistically significant （P<0.05）. The rehabilitation nursing group had shorter incision healing time， off-bed activity time and postoperative hospitalization time than the control group， and the difference was statistically significant （P<0.05）. Conclusion Artificial total hip arthroplasty shows affirmative rehabilitation nursing effect and can accelerate off-bed activity and incision healing， shorten hospitalization time， improve hip function and living ability of the patients. It is worth popularizing.

【Key words】 Artificial total hip arthroplasty; Rehabilitation nursing; Significance of implementation

人工全髖關節(jié)置換術(shù)在髖關節(jié)疼痛、畸形和功能障礙疾病治療中廣泛應用， 多數(shù)人工全髖關節(jié)置換術(shù)患者為老年人， 合并多種內(nèi)科疾病， 加上人工全髖關節(jié)置換術(shù)可帶來較大的創(chuàng)傷， 需加強對患者的康復護理， 以提高其術(shù)后生活質(zhì)

量[1， 2]。本研究分析了人工全髖關節(jié)置換術(shù)的康復護理及施行意義， 報告如下。endprint

1 資料與方法

1. 1 一般資料 選取2016年4月～2017年6月本院104例人工全髖關節(jié)置換術(shù)患者， 根據(jù)數(shù)字表法分為對照組和康復護理組， 各52例。康復護理組男31例， 女21例;年齡56～79歲， 平均年齡（67.24±4.13）歲。對照組男33例， 女19例;年齡55～79歲， 平均年齡（67.91±4.68）歲。兩組患者一般資料比較差異無統(tǒng)計學意義（P>0.05）， 具有可比性。

1. 2 方法

1. 2. 1 對照組采用常規(guī)護理干預， 具體為：①心理疏導。耐心對患者解釋手術(shù)實施的必要性、手術(shù)過程、麻醉方法等， 消除其心理顧慮和緊張情緒。②……