老年髋部疾病患者出院计划关键任务的临床干预及效果评价  

Clinical intervention of key tasks in discharge planning of elderly patients with hip joint replacement and its effect evaluation

作　　者：李真 崔莉莉 楚悦琪 真启云[1] LI Zhen;CUI Lili;CHU Yueqi;ZHEN Qiyun(People's Hospital of Jiangsu University,Zhenjiang 212001,Jiangsu,China)

机构地区：[1]江苏大学附属人民医院,江苏镇江212001

出　　处：《护士进修杂志》2023年第9期780-784,共5页Journal of Nurses Training

基　　金：江苏省“六个一工程”拔尖人才科研项目(编号:LGY2020064)。

摘　　要：目的总结老年髋部疾病患者出院高需求护理问题,制订出院计划关键任务干预策略,实施专科出院准备服务并评价其效果。方法基于“中国老年护理联盟老年患者出院准备服务专家共识(2019版)”,结合江苏省护理学会“延续护理工作实践”的思路和实践,形成老年髋部疾病患者出院准备服务方案。选取2021年1-12月收治的老年髋部疾病患者50例为观察组,接受出院准备服务方案干预;2020年1-12月收治的老年髋部疾病患者49例为对照组,采用传统护理模式。比较2组患者髋关节Harris评分、首次下地时间、术后第3天行走的最远距离、疼痛评分、行走辅助、术后脱位和血栓等并发症发生率。结果观察组首次下地活动时间为术后(1.64±0.72)d,对照组为(2.53±0.96)d;观察组术后第3天行走的最远距离为(89.02±17.96)m,对照组为(68.96±16.43)m;观察组术后1个月髋关节Harris评分(81.40±6.80)分,对照组为(74.38±7.41)分,2组比较,差异均有统计学意义(P<0.05)。结论实施老年髋部疾病患者出院准备服务关键任务干预策略有助于患者早期下地活动,提高患者髋关节功能,提高患者生活质量。Objective To summarize the high demand for nursing care in the hospitalized elderly patients with hip diseases during discharge,formulate the intervention strategies of key tasks in the discharge plan,implement the specialized discharge preparation service,and evaluate its effect.Methods Based on"Expert Consensus on the Discharge Planning for Hospitalized Elderly Patients(2019 edition)of China Elderly Care Union",and in combination with the ideas and practice of"Continuing Nursing Practice"of Jiangsu Nursing Association,a discharge planning scheme for hospitalized elderly patients with hip disease was formed.A total of 50 elderly patients with hip disease were admitted to the hospital from January to December of 2021 were selected as the observation group and received the intervention of discharge preparation service planning.A total of 49 elderly patients with hip diseases admitted from January to December of 2020 were used as the control group,and the traditional nursing mode was adopted.The Harris hip score,the first locomotor activity time,the longest distance to walk on the 3 rd day after surgery,the pain score,walking assistance,the incidence of postoperative dislocation and thrombosis were compared between the two groups.Results The first locomotor activity time was(1.64±0.72)d in the observation group and(2.53±0.96)d in the control group.The longest walking distance on the 3rd day after surgery in the observation group was(89.02±17.96)m,while that in the control group was(68.96±16.43)m;The Harris hip joint score one month after surgery was(81.40±6.80)points in the observation group and(74.38±7.41)points in the control group,and the differences were statistically significant between the two groups(P<0.05).Conclusion The implementation of key task intervention strategies in discharge preparation planning for elderly patients with hip diseases can help patients to move in the early stage,improve patients'hip joint function,and quality of life of patients.

关 键 词：髋部疾病 老年患者 出院准备服务 高需求 护理 

分 类 号：R473.6[医药卫生—护理学]