基于中医护理操作技术的加速康复护理模式在老年全髋关节置换患者围手术期中的应用  

Effects of enhanced recovery nursing based on traditional Chinese medicine nursing operation technology in perioperative period of elderly patients with total hip arthroplasty

作　　者：林叶艳[1] 朱婧 吕存贤[1] 项少茜[1] 周雪来 陈海静 Lin Yeyan;Zhu Jing;Lyu Cunxian;Xiang Shaoxi;Zhou Xuelai;Chen Haijing(Orthopedics and Traumatology Department,Wenzhou Traditional Chinese Medicine Hospital,Wenzhou 325000,China;Emergency Department,Wenzhou Traditional Chinese Medicine Hospital,Wenzhou 325000,China;Ear-Nose-Throat Department,Wenzhou Traditional Chinese Medicine Hospital,Wenzhou 325000,China)

机构地区：[1]温州市中医院骨伤科,温州325000 [2]温州市中医院急诊室,温州325000 [3]温州市中心医院耳鼻喉科,温州325000

出　　处：《中华现代护理杂志》2022年第33期4700-4704,共5页Chinese Journal of Modern Nursing

基　　金：2019年温州市基础性科研项目(Y20190732)。

摘　　要：目的探讨基于中医护理操作技术的加速康复护理模式在老年全髋关节置换患者围手术期中的应用效果。方法采用便利抽样法,选取2020年1月一2021年12月在温州市中医院择期行单侧全髋关节置换的90例患者为研究对象,将2020年1一12月的患者作为对照组(n=43),2021年1一12月的患者作为观察组(n=47),对照组患者采用传统骨科围手术期护理模式,观察组患者在对照组基础上采用基于中医护理操作技术的加速康复围手术期护理模式,比较两组患者疼痛程度、术后恢复及并发症情况。结果观察组术后首次排气、进食、下床时间及术后住院时间均短于对照组,出院时VAS评分低于对照组,术后胃肠道反应、术后尿潴留发生率均低于对照组,差异均有统计学意义(P<0.01)。结论基于中医护理操作技术的加速康复护理模式应用于老年单侧全髋置换围手术期患者可降低患者术后并发症、疼痛及住院时间,值得临床推广。Objective To explore the effect of enhanced recovery nursing based on traditional Chinese medicine nursing operation technology in the perioperative period of elderly patients with total hip arthroplasty.Methods From January 2020 to December 2021,90 patients with unilateral total hip arthroplasty in Wenzhou Traditional Chinese Medicine Hospital were selected by convenience sampling as research objects.The patients from January to December 2020 were taken as the control group(n=43),and the patients from January to December 2021 were taken as the observation group(n=47).The patients in the control group adopted the traditional orthopedic perioperative nursing,while the patients in the observation group received the enhanced recovery perioperative nursing based on traditional Chinese medicine nursing operation technology on the basis of the control group.The pain,postoperative recovery and complications were compared between the two groups.Results The time of first exhaust,eating,getting out of bed and hospital stay after operation in the observation group were shorter than those in the control group,the Visual Analogue Scale(VAS)score at discharge was lower than that in the control group,and the incidence of postoperative gastrointestinal reactions and postoperative urinary retention were lower than those in the control group,with statistically significant differences(P<0.01).Conclusions The enhanced recovery nursing based on traditional Chinese medicine nursing operation technology applied to elderly patients with unilateral total hip arthroplasty during perioperative period can reduce postoperative complications,pain and hospital stay,which is worthy of clinical promotion.

关 键 词：中医护理操作技术 加速康复 髋关节置换 围手术期 

分 类 号：R473.6[医药卫生—护理学]