手术室护理对老年髋关节置换术患者Harris评分、WHOQOL-BREF评分及DVT发生率的影响  

Effect of Operating Room Care on Harris Scores,WHOQOL-BREF Scores,and DVT Incidence in Elderly Patients with Hip Replacement

作　　者：李彤彤 郭超 

机构地区：[1]天津市天津医院门急诊手术室,天津300202

出　　处：《中国伤残医学》2023年第13期25-29,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：探究手术室护理对老年髋关节置换术患者髋关节功能、生活质量和深静脉血栓(DVT)发生情况的影响。方法:选取我院2020年1月—2022年1月行髋关节置换术的老年患者76例,通过随机数字表法均分为对照组(38例,给予常规护理)和观察组(38例,给予手术室护理),分析2组患者护理干预后髋关节功能评分、生活质量评分、凝血功能指标和DVT发生率方面的差异。结果:护理干预后观察组功能、疼痛、活动度及畸形4项Harris评分均明显高于对照组,2组髋关节功能差异显著,具有统计学意义(P<0.05);护理干预后观察组生理领域、心理领域、环境领域及社会关系领域4项WHOQOL-BREF评分均明显高于对照组,2组生活质量差异显著,具有统计学意义(P<0.05);观察组PT、aPTT水平明显高于对照组,且Fbg水平明显低于对照组,观察组DVT发生率为2.63%(1/38),明显低于对照组的15.79%(6/38),2组凝血功能和DVT发生率差异显著,具有统计学意义(P<0.05)。结论:应用手术室护理对老年髋关节置换术患者进行护理干预,可明显促进患者髋关节功能和生活质量的恢复和改善,同时还能改善患者凝血功能,从而降低DVT发生率,可以考虑作为老年髋关节置换术后护理干预的一种有效方案推广应用。Objective:To investigate the effect of operating room care on hip function,quality of life and deep vein thrombosis(DVT)in elderly patients with hip arthroplasty.Methods:A total of 76 elderly patients who underwent hip arthroplasty in our hospital from January 2020 to January 2022 were selected,and the control group(38 cases,given routine care)and the research group(38 cases were given conventional care)and the research group(38 cases,given operating room care)were analyzed by random number table method,and the differences in hip function score,quality of life score,coagulation function index and DVT incidence rate of the two groups after nursing intervention were analyzed.Results:The Harris scores of function,pain,range of motion and deformity in the nursing intervention group were significantly higher than those in the control group,and the difference in hip function between the two groups was significantly significant(P<0.05),and the four WHOQOL-BREF scores in the physiological,psychological,environmental and social relations areas of the nursing intervention study group were significantly higher than those in the control group.The difference in quality of life between the two groups was significantly significant(P<0.05);the levels of PT and aPTT in the study group were significantly higher than those in the control group and the Fbg level was significantly lower than that in the control group,and the incidence of DVT in the study group was 2.63%(1/38)significantly lower than that of the control group by 15.79%(6/38),and the difference in coagulation function and DVT incidence between the two groups was significantly significant(P<0.05).Conclusion:The application of nursing intervention in elderly hip replacement patients can significantly promote the recovery and improvement of patients'hip function and quality of life,and at the same time improve the coagulation function of patients and reduce the incidence of DVT,which can be considered as an effective program for postoperative nursing intervention of elder

关 键 词：手术室护理 老年髋关节置换术 髋关节功能 生活质量 深静脉血栓 

分 类 号：R472.3[医药卫生—护理学]