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国际护理学研究

International Journal of Nursing Research

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International Journal of Nursing Research. 2023; 5: (3) ; 10.12208/j.ijnr.20230120 .

Effect of early rehabilitation nursing intervention on rehabilitation of patients undergoing total hip arthroplasty
早期康复护理干预对全髋关节置换术患者康复的效果研究

作者： 李婧 *

宁夏银川市兴庆区胜利街宁夏医科大学总医院骨三科 宁夏银川

*通讯作者： 李婧,单位：宁夏银川市兴庆区胜利街宁夏医科大学总医院骨三科 宁夏银川；

引用本文: 李婧 早期康复护理干预对全髋关节置换术患者康复的效果研究[J]. 国际护理学研究, 2023; 5: (3) : 57-59.
Published: 2023/3/28 11:04:57

摘要

目的 研究早期康复护理干预对全髋关节置换术患者康复的效果。方法 选择2021年8月~2022年8月到本院接受全髋关节置换术治疗的患者60例，按照不同护理方式分作实验组（早期康复护理）与对照组（常规护理），分析护理价值。结果 实验组总优良率29（96.67%）高于对照组，P＜0.05；各个节点实验组髋关节Harris分数高于对照组，P＜0.05；实验组自理能力（Barthel评分）高于对照组，P＜0.05。结论 全髋关节置换术（英文简称：THA）为运用人造关节将病变的髋关节替代的一种治疗方式，分为部分置换与全部置换，而后把关节的运动功能重建的术式。此术式可运用在对股骨头缺血坏死、风湿性关节炎等疾病治疗中。运用早期康复护理干预效果理想，可加速接受全髋关节置换术患者康复的速度，改善其各项指标，值得运用。

关键词： 早期康复护理；全髋关节置换术；康复；Harris；Barthel评分

Abstract

Objective: To study the effect of early rehabilitation nursing intervention on the rehabilitation of patients undergoing total hip arthroplasty.
Methods: 60 patients who underwent total hip replacement surgery at our hospital from August 2021 to August 2022 were selected and divided into an experimental group (early rehabilitation nursing) and a control group (routine nursing) according to different nursing methods. The nursing value was analyzed.
Results: the total excellent and good rate of the experimental group was 29 (96.67%) higher than that of the control group (23 (76.67%) (P < 0.05); Harris scores of hip joints in the experimental group were higher than those in the control group (P < 0.05); The complication probability of the experimental group (2.67%) was significantly lower than that of the control group (10.33%) (P < 0.05); The self-care ability (Barthel score) of the experimental group was higher than that of the control group (P < 0.05).
Conclusion  : Total hip replacement (THA) is a treatment method of using artificial joint to replace the diseased hip joint. It is divided into partial replacement and total replacement, and then the motor function of the joint is reconstructed. This operation can be used in the treatment of femoral head ischemia necrosis, rheumatoid arthritis and other diseases. The effect of early rehabilitation nursing intervention is ideal, which can accelerate the recovery speed of patients undergoing total hip arthroplasty and improve its various indicators, which is worth using.

Key words： Early rehabilitation nursing; Total hip arthroplasty; recovery; Harris; Barthel score

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