因时护理辅以全期照护对髋关节置换术患者髋关节功能评分和生存质量的影响  

Effect of time-dependent nursing combined with full-time nursing on hip function score and quality of life in patients undergoing hip arthroplasty

作　　者：华珺 王萌斐 顾羊林 Hua Jun;Wang Mengfei;Gu Yanglin(Department of Orthopedics,Wuxi Second Hospital,Nanjing Medical University,Wuxi 214002,China)

机构地区：[1]南京医科大学附属无锡第二医院骨科,214002

出　　处：《国际医药卫生导报》2020年第8期1068-1071,1075,共5页International Medicine and Health Guidance News

基　　金：无锡市卫生局科研项目(Q201407)。

摘　　要：目的分析因时护理辅以全期照护对髋关节置换术患者的功能评分及生存质量的影响。方法选取2016年7月至2017年12月由本院收诊的54例髋关节置换术患者为对照组,其中男31例,女23例,年龄(77.3±4.4)岁,予以传统护理干预;选取2018年1月至2019年6月由本院收诊的54例髋关节置换术患者为研究组,其中男30例,女24例,年龄(77.1±4.2)岁,再予以因时护理辅以全期照护。比较两组患者干预前及干预后第2个月末髋关节功能评分;比较两组患者在上述时间段的生存质量。结果研究组干预后髋关节疼痛、功能、畸形以及关节活动度评分较对照组高[(39.5±3.4)比(31.7±2.6)、(42.5±4.8)比(33.8±4.1)、(3.8±0.7)比(3.0±0.3)、(4.2±0.8)比(3.1±0.4)],差异有统计学意义(均P<0.05)。研究组干预后SF-36量表中总体健康、生理功能、生理职能、躯体疼痛、活力、社会功能、情感职能、精神健康评分均高于对照组[(89.5±6.7)比(81.8±4.6)、(78.7±5.1)比(71.5±4.4)、(80.5±6.0)比(73.5±5.1)、(88.5±5.9)比(80.4±5.3)、(82.7±6.0)比(75.3±5.6)、(84.3±5.2)比(72.5±4.6)、(83.2±6.1)比(74.2±5.4)、(82.5±5.5)比(71.2±4.5)],差异有统计学意义(均P<0.05)。结论因时护理辅以全期照护应用于髋关节置换术患者,能改善髋关节功能评分,且能提高个体的生存质量。Objective To analyze the effect of time-dependent nursing combined with full-time nursing on functional scores and quality of life in patients undergoing hip arthroplasty.Methods A total of 54 patients undergoing hip arthroplasty at our hospital from July,2016 to December,2017 were treated with traditional nursing intervention,and set as a control group;there were 31 male and 23 female;and they were(77.3±4.4)years old.From January,2018 to June,2019,a total of 54 hip replacement patients were treated and received by our hospital,and were given time-dependent nursing and full-time care;they were set as a study group;there were 30 male and 24 female;they were(77.1±4.2)years old.The hip function scores and the quality of life were compared between the two groups before and after the intervention.Results The scores of hip pain,function,deformity,and joint mobility of the study group were significantly higher than those of the control group after the intervention[(39.5±3.4)vs.(31.7±2.6),(42.5±4.8)vs.(33.8±4.1),(3.8±0.7)vs.(3.0±0.3),and(4.2±0.8)vs.(3.1±0.4);all P<0.05].The scores of overall health,physiological function,physiological role,physical pain,vitality,social function,emotional function,and mental health of the SF-36 scale after the intervention of the study group were higher than those of the control group[(89.5±6.7)vs.(81.8±4.6),(78.7±5.1)vs.(71.5±4.4),(80.5±6.0)vs.(73.5±5.1),(88.5±5.9)vs.(80.4±5.3),(82.7±6.0)vs.(75.3±5.6),(84.3±5.2)vs.(72.5±4.6),(83.2±6.1)vs.(74.2±5.4),and(82.5±5.5)vs.(71.2±4.5);all P<0.05].Conclusion Time-dependent care combined with fulltime care for hip replacement patients can improve their hip function scores and quality of life.

关 键 词：髋关节置换术 因时护理 全期照护 髋关节功能 生存质量 

分 类 号：R473[医药卫生—护理学]