早期康复路径护理对全髋关节置换术后患者膝关节功能的影响  

Effect of early rehabilitation pathway nursing on knee function of patients undergoing total hip arthroplasty

作　　者：吴姗姗 荣贝思 张春艳[3] WU Shanshan;RONG Beisi;ZHANG Chunyan(Department of Joint Surgery,The Affiliated Huaian No.1People􀆳s Hospital of Nanjing Medical University,Huaian,Jiangsu,223300,China;Department of Traumatic Orthopedics,The Affiliated Huaian No.1People􀆳s Hospital of Nanjing Medical University,Huaian,Jiangsu,223300,China;Department of Nursing,The Affiliated Huaian No.1People􀆳s Hospital of Nanjing Medical University,Huaian,Jiangsu,223300,China)

机构地区：[1]南京医科大学附属淮安第一医院关节外科,江苏淮安223300 [2]南京医科大学附属淮安第一医院创伤骨科,江苏淮安223300 [3]南京医科大学附属淮安第一医院护理部,江苏淮安223300

出　　处：《中西医结合护理（中英文）》2021年第7期21-24,共4页Journal of Clinical Nursing in Practice

摘　　要：目的分析将早期康复路径护理应用于行全髋关节置换术(THA)患者中的效果。方法选取自2019年6月至2020年5月期间于南京医科大学附属淮安第一医院行THA的180例患者,将其根据不同的护理方法分为2组。对照组90例患者接受常规康复护理,观察组90例患者接受早期康复路径护理。对2组患者的膝、髋关节功能、下床活动时间、住院时间及术后疼痛进行比较。结果与同组术前相比,2组在术后6个月的髋关节Harris评分、膝关节Lysholm评分均升高(P均<0.05),且观察组均较对照组更高(P均<0.05)。2组在术后1个月、3个月和6个月的视觉模拟评分法(VAS)评分均较术前下降(P均<0.05),观察组的评分均较同期对照组更低(P均<0.05)。观察组的住院时间较对照组更短,下床活动时间较对照组更早,组间均有统计学差异(P均<0.05)。结论早期康复路径护理可有效改善行THA患者的膝、髋关节功能,减轻疼痛感,加速术后恢复。Objective To analyze the effect of early rehabilitation pathway nursing on patients undergoing total hip arthroplasty( THA). Methods A total of 180 patients who underwent THA at the Affiliated Huaian No. 1 People’s Hospital of Nanjing Medical University from June 2019 to May2020 were selected. They were divided into two groups according to different nursing methods. The 90patients in the control group were given routine rehabilitation nursing,and the 90 patients in the observation group were given early rehabilitation pathway nursing. The knee and hip function,time to ambulation,length of hospital stay and postoperative pain were compared between the two groups.Results Compared with before operation,the Harris hip scores and Lysholm knee scores of the two groups at 6 months after operation were increased( all P < 0. 05),and the scores of the observation group were higher than those of the control group( both P < 0. 05). The visual analogue scale( VAS)scores of the two groups at 1 month,3 months and 6 months after operation were lower than those before operation( all P < 0. 05),and the scores of the observation group were lower than those of the control group( all P < 0. 05). The length of hospital stay of the observation group was shorter than that of the control group,and the time to ambulation was earlier than that of the control group. There were statistical differences between the groups( both P < 0. 05). Conclusion Early rehabilitation pathway nursing can effectively improve the knee and hip function of patients undergoing THA,relieve their pain,and accelerate the postoperative recovery.

关 键 词：全髋关节置换术 早期康复路径护理 膝关节功能 

分 类 号：R473.6[医药卫生—护理学]