人工髋关节置换术后实施系统康复锻炼的临床效果  

Clinical Effect of Systemic Rehabilitation Exercises after Artificial Hip Replacement

作　　者：王静[1] WANG Jing(Jiangsu Provincial Hospital of Traditional Chinese Medicine,Nanjing Jiangsu,210000,China)

机构地区：[1]江苏省中医院,江苏南京210000

出　　处：《反射疗法与康复医学》2021年第1期105-107,共3页Reflexology And Rehabilitation Medicine

摘　　要：目的分析人工髋关节置换术后实施系统康复锻炼的临床效果。方法选取2018年1月—2020年1月该院接收的96例行人工髋关节置换术患者为研究对象,以康复护理方案的不同进行分组,将其分为实验组和对照组,每组48例。对照组患者采用一般护理,实验组患者采用系统康复锻炼与护理。比较两组患者的关节功能恢复情况(Harris髋关节评分,HHS)、日常生活能力(Barthel指数,BI)、术后不良事件发生情况及护理满意度。结果两组患者护理后的HHS评分与BI评分均较高于护理前,且实验组各项评分均高于对照组,组间差异有统计学意义(P<0.05)。实验组患者术后不良事件发生率(4.17%)低于对照组(22.92%),差异有统计学意义(P<0.05)。实验组患者的护理满意度(97.92%)高于对照组(79.17%),差异有统计学意义(P<0.05)。结论在接受人工髋关节置换术治疗后,对患者实施系统康复锻炼与护理能够较好地提升其髋关节功能、日常生活活动能力,促进预后康复,有助于提升护理满意度,值得临床推广。Objective To analyze the clinical effects of systematic rehabilitation exercises after artificial hip replacement.Methods 96 patients undergoing artificial hip replacement surgery accepted by the hospital from January 2018 to January 2020 were selected as the research objects,they were divided into an experimental group and a control group accerding to different rehabilitation nursing plans,with 48 cases in each group.Patients in the control group received general nursing,and patients in the experimental group received systematic rehabilitation exercises and nursing.The recovery of joint function(Harris hip score,HHS),ability of daily living(Barthel index,BI),occurrence of postoperative adverse events and nursing satisfaction of the two groups were compared.Results The HHS score and BI score of patients in both groups after nursing were higher than those before nursing,and the scores of the experimental group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of adverse events in the experimental group(4.17%)was lower than that in the control group(22.92%),and the difference was statistically significant(P<0.05).The nursing satisfaction of patients in the experimental group(97.92%)was higher than that of the control group(79.17%),and the difference was statistically significant(P<0.05).Conclusion After receiving artificial hip replacement treatment,the implementation of systemic rehabilitation exercises and nursing for patients can better improve their hip joint function,activities of daily living,promote prognostic rehabilitation,and help improve nursing satisfaction,which is worthy of clinical promotion.

关 键 词：人工髋关节置换术 系统康复锻炼 护理 关节功能 不良事件 

分 类 号：R473[医药卫生—护理学]