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临床护理进展

Journal of Advances in Clinical Nursing

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Journal of Advances in Clinical Nursing. 2024; 3: (10) ; 10.12208/j.jacn.20240420 .

Application effect of multidisciplinary team cooperation based on Internet platform in extended nursing service for patients after hip replacement
互联网平台中多学科团队协作下髋关节置换术后延伸护理的效果评价

作者: 杨秀玲 *, 李娟

吴忠市人民医院 宁夏吴忠

*通讯作者: 杨秀玲,单位:吴忠市人民医院 宁夏吴忠;

引用本文: 杨秀玲, 李娟 互联网平台中多学科团队协作下髋关节置换术后延伸护理的效果评价[J]. 临床护理进展, 2024; 3: (10) : 67-70.
Published: 2024/10/26 17:50:51

摘要

目的 分析互联网平台下的多学科团队协作(MDT)模式应用于髋关节置换术后患者延伸护理服务中的效果。方法 选取2022年10月~2023 年 10月于本院住院治疗的104例髋关节置换术后患者为研究对象,按照奇偶月分为两组,对照组(n=50例)以常规电话随访实施延伸护理服务,观察组(n=54例)给予互联网平台下的MDT延伸护理服务。比较两组护理效果。结果 两组患者干预后的Barthel指数均高于对照组(P<0.05);干预后3个月和6个月的SAS评分低于对照组(P<0.05);干预后3个月和6个月的Harris评分高于对照组(P<0.05);两组患者干预后6个月的并发症发生情况的统计学差异显著(P<0.05),对照组高于观察组。结论 基于互联网平台的MDT模式下的延伸护理服务可增强髋关节置换术后患者的生活自理能力,改善髋关节功能,缓解焦虑情绪,降低远期并发症发生率。

关键词: 互联网平台;多学科团队协作;延伸护理服务;髋关节置换术

Abstract

Objective To analyze the effect of the multidisciplinary team collaboration (MDT) model under the Internet platform in extended care services for patients after hip replacement.
Methods 104 patients after hip replacement who were hospitalized in our hospital from October 2022 to October 2023 were selected as the research subjects and divided into two groups according to odd and even months. The control group (n=50 cases) were followed up by routine telephone calls. Extended nursing services were implemented, and the observation group (n=54 cases) was provided with MDT extended nursing services under the Internet platform. Compare the nursing effects of the two groups.
Results The Barthel index of the two groups of patients after the intervention was higher than that of the control group (P<0.05); the SAS scores 3 months and 6 months after the intervention were lower than those of the control group (P<0.05); The Harris score at 6 months after intervention was higher than that in the control group (P<0.05); there was a statistically significant difference in the occurrence of complications 6 months after the intervention between the two groups (P<0.05), and the control group was higher than the observation group.
Conclusion   Extended nursing services under the MDT model based on the Internet platform can enhance the self-care ability of patients after hip replacement surgery, improve hip joint function, relieve anxiety, and reduce the incidence of long-term complications.

Key words: Internet platform; Multidisciplinary team collaboration; Extended care services; Hip replacement

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