居家模拟培训对老年髋关节置换患者康复效果的影响  

Effect of home-based simulation training on recovery of elderly hip replacement patients

作　　者：杨剑[1] 黄桂玲[2] 陶凤琴[3] 潘润烛 陈杰 贺学宇[1] Yang Jian;Huang Guiling;Tao Fengqin;Pan Runzhu;Chen Jie;He Xueyu(Department of Thoracic Surgery,Zhongnan Hospital of Wuhan University,Wuhan 430071,China)

机构地区：[1]武汉大学中南医院胸外科,湖北武汉430071 [2]武汉大学中南医院护理部,湖北武汉430071 [3]武汉大学中南医院关节与运动医学科,湖北武汉430071 [4]美国康涅狄格大学护理学院

出　　处：《护理学杂志》2021年第8期69-72,共4页Journal of Nursing Science

基　　金：武汉大学中南医院2018年度科技创新培育基金(WJ2019H038/znpy2018073);武汉大学中南医院2020年度医院管理研究项目(2020-Q-67)。

摘　　要：目的探讨开展居家模拟培训提高老年髋关节置换患者康复的效果。方法按住院时间将老年髋关节置换患者162例分为对照组80例和观察组82例,对照组采取骨科常规护理方式进行康复指导,观察组在常规护理基础上由高级责任护士实施全程居家生活与出行路径的模拟培训。于入院时、术后1个月、3个月、6个月评价两组Harris髋关节功能评分与Barthel指数。结果观察组Harris髋关节功能评分及Barthel指数评分显著高于对照组(均P<0.01)。结论开展居家模拟培训有利于促进老年髋关节置换术后患者康复,提高日常生活能力。Objective To explore the effect of home-based simulation training on improving the recovery of elderly hip replacement patient.Methods A total of 162 elderly hip replacement patients were divided into a control group of 80 patients and an intervention group of 82 patients chronologically.The control group received rehabilitation guidance according to routine orthopedic care,while the intervention group additionally received a whole-course home-based simulation training including daily living and travel paths provided by advanced primary nurses.The Harris hip function score and Barthel Index in both groups were evaluated at admission,1,3,and 6 months after operation.Results The Harris hip function score and Barthel index score of the intervention group were significantly higher than those of the control group(P<0.01 for all).Conclusion Implementation of home-based simulation training is beneficial to promote recovery of elderly patients after hip replacement,and improve their daily living ability.

关 键 词：髋关节置换术 居家功能锻炼 情景模拟 康复护理 延续护理 

分 类 号：R473.6[医药卫生—护理学]