早期量化康复训练及居家护理模式对老年人工髋关节置换术患者预后影响因素分析  

Influence of home care model and quantify early rehabilitation training on the prognosis of elderly patients with hip replacement patients

作　　者：杨利 张俊[2] 

机构地区：[1]中国航天科工集团731医院,北京100074 [2]山东省滨州医学院烟台附属医院

出　　处：《中国伤残医学》2017年第6期10-13,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨居家护理模式及早期量化康复训练对老年人工髋关节置换术患者预后的影响.方法：通过完全随机方式抽取2014年1月-2015年6月首次接受单侧人工髋关节置换术老年患者90例,其中随机选择30例接受社区居家护理模式的同时采取早期量化康复训练作为居家护理康复训练组;30例仅接受社区居家护理作为居家护理组;30例采取常规护理模式作为对照组.分别在手术前后及随访3、6及12个月采用简式harris评分法评估髋关节运动恢复情况,采用Barthel指数评价患者日常生活能力,同时采集全部患者护理满意度、围手术期卧床时间、住院时间及使用助步器时间等指标,采用卡方检验等统计方法分析3组之间的差异.结果：3种护理方式在卧床时间及是否并发症上差异有统计学意义（P〈0.05）,其中居家护理量化康复训练组在卧床时间、使用计步器时间及是否并发症方面均优于其他2组;3组Harris功能评分及Barthel指数评分在手术前后及随访3、6、12个月变化差异有统计学意义（P〈0.001）,手术前后Harris平均得分差值分别为23.52,20.95及15.05;居家护理量化康复训练组的康复效果、护理质量方面均明显好于仅居家护理组和常规护理组.结论：通过居家护理和早期量化康复训练干预措施,对术后髋关节运动功能恢复以及预防并发症,提高护理质量,提高手术治疗效果和患者生存质量方面具有重要意义.Objective： Discussion the influence of home care model and quantify early rehabilitation training on the prognosis of elderly patients with hip replacement patients. Methods： 90 elderly patients were extracted by completely random way, which for the first time accepted the unilateral hip replacement surgery. In which randomly selected 30 cases accepted the community home care model and quantify early rehabilitation training as home care and rehabilitation training group; 30 cases accepted only community home -based care as a home care group ; others took routine care model as the control group. Using the short form Harris hip score and Barthel index to assess the recovery and activities of daily living. Meanwhile, all patients＇care satisfaction, perioperative time and other indicators were collected before and after the surgery and follow - up of 3, 6 and 12 months respectively. We used the chi - square test and other statistical methods to analyze the differences between the three groups. Results： the time in bed, the use of pedometer and complications were significantly （P 〈 0.05 ） among the three groups. Three groups of Harris score and Barthel index scores was statistically significant （P 〈 0.001 ）, and the average difference before and after surgery of Harris score were 23.52,20.95 and 15.05. Compared with the only home care and usual care groups, home care and rehabilitation training group were significantly better in Rehabilitation and quality of care. Conclusion： Through home care and early rehabilitation interventions quantify, which have important value on postoperative hip motor function recovery and prevent complications, could improve quality of care, improve surgical outcomes and quality of life of patients.

关 键 词：人工髋关节置换术 早期量化康复训练 居家护理 预后影响 

分 类 号：R493[医药卫生—康复医学]