康复训练联合临床护理路径表在行髋关节置换术患者中的应用  

Application of rehabilitation training combined with clinical nursing pathway table in patients undergoing hip arthroplasty

作　　者：严卓云 黎勤华[1] 肖艳[1] 廖诗桦 YAN Zhuo-yun;LI Qin-hua;XIAO Yan;LIAO Shi-hua

机构地区：[1]佛山市高明区人民医院外六科,佛山市528500

出　　处：《护理实践与研究》2019年第6期66-69,共4页Nursing Practice and Research

基　　金：佛山市卫生和计生局医学科研项目(20180407)

摘　　要：目的探讨康复训练联合临床护理路径表在行髋关节置换术患者中的应用效果。方法选取我院2015年1月至2018年3月收治的行髋关节置换术患者90例作为研究对象,随机将其等分为对照组和观察组,对照组采用常规护理,观察组采用康复训练联合临床护理路径进行干预。比较两组下肢深静脉血栓发生率,干预前后凝血功能相关指标、髋关节功能、日常生活能力。结果干预前两组患者红细胞聚集指数、全血高切黏度、全血低切黏度、血浆黏度、Harris髋关节功能评分、Barthel指数及日常生活能力(ADL)评分差异无统计学意义(P> 0. 05),干预后观察组红细胞聚集指数、全血高切黏度、全血低切黏度、血浆黏度及下肢深静脉血栓发生率显著低于对照组(P <0. 05),观察组Harris髋关节功能评分、Barthel指数及ADL评分显著高于对照组(P <0. 05)。结论康复训练联合临床护理路径表能有效改善行髋关节置换术患者的凝血功能,有助于其术后功能恢复,提高日常生活能力,降低患者深静脉血栓发生率,对其具有重要意义,值得临床推广应用。Objective To explore the application effect of rehabilitation training combined with clinical nursing pathway table in patients undergoing hip arthroplasty. Methods To select 90 cases of patients with hip arthroplasty admitted to our hospital from January 2015 to March 2018 as the study subjects. They were divided into control group and observation group with the same number of patients randomly. The control group was treated with routine nursing, while the observation group was treated by rehabilitation training combined with clinical nursing pathway intervention. The incidence of deep venous thrombosis in the lower extremities, and the coagulation function related indicators, hip function and daily living ability before and after intervention were compared between the two groups. Results There were no significant statistical differences in erythrocyte aggregation index, whole blood high-viscosity, whole blood low-cut viscosity, plasma viscosity, Harris hip function score, Barthel index and activities of daily living(ADL) score between the two groups before intervention( P >0.05). After the intervention, the erythrocyte aggregation index, whole blood high-viscosity, whole blood low-cut viscosity, plasma viscosity and the incidence of deep venous thrombosis in the lower limbs of the observation group were significantly lower than those in the control group( P <0.05). The Harris hip function score,Barthel index and ADL score in the observation group were significantly higher than those in the control group ( P <0.05). Conclusion Rehabilitation training combined with clinical nursing pathway table can improve the coagulation function of patients undergoing hip arthroplasty effectively. It is helpful for postoperative functional recovery. In addition, this kind of treatment method has important significance in improving daily living ability, and reducing the incidence of deep vein thrombosis in patients,which was worthy of clinical promotion and application.

关 键 词：髋关节置换术 康复训练 临床护理路径 应用效果 

分 类 号：R473.6[医药卫生—护理学]