老年全髋关节置换术后患者直立不耐受发生率及影响因素分析  

Incidence and influencing factors of Orthostatic Intolerance of older patients after total hip arthroplasty

作　　者：薄士荣 苏萌萌[1] 薛婷 魏丽丽[2] BO Shirong;SU Mengmeng;XUE Ting;WEI Lili(Department of Joint Surgery,Affiliated Hospital of Qingdao University,Qingdao,Shandong province,266000,China)

机构地区：[1]青岛大学附属医院关节外科,山东省青岛市266000 [2]青岛大学附属医院院长办公室,山东省青岛市266000

出　　处：《中国护理管理》2024年第7期1003-1007,共5页Chinese Nursing Management

摘　　要：目的:调查老年全髋关节置换术后患者首次离床活动直立不耐受的发生率及影响因素,为临床实践提供参考。方法:采用便利抽样法,选取2022年6月至2023年3月某三级甲等医院关节外科接受住院治疗的65岁及以上的196名全髋关节置换术后患者,采用患者直立不耐受风险因素调查表、直立不耐受症状问卷、疼痛数字评分法及修订版跌倒效能量表对患者进行调查,分析直立不耐受影响因素。结果:42.4%的老年患者在术后出现直立不耐受症状,Logistic回归分析结果显示,跌倒效能、年龄、血红蛋白下降水平、体质量指数、疼痛数字评分、体位适应性训练是发生直立不耐受的危险因素。结论:全髋置换术后老年患者首次离床直立不耐受发生率较高。临床工作人员须重视老年全髋关节置换术后患者直立不耐受症状的发生,加强患者心理建设,并进行体位适应性训练,以帮助患者实现快速康复。Objective:To investigate the incidence and influencing factors of Orthostatic Intolerance(OI)during the first ambulation in older patients after total hip arthroplasty.Methods:A total of 196 patients over 65 years old after total hip arthroplasty who were hospitalized in the Department of Joint Surgery of a tertiary grade A hospital from June 2022 to March 2023 were selected by convenient sampling.The patients were investigated by the OI risk factor questionnaire,the OI symptom questionnaire,the general information of pain patients,the Numerical Rating Scale for pain,and the Modified Fall Efficacy Scale.The influencing factors of OI were analyzed.Results:Totally 42.4%of the older patients had OI symptoms after surgery.Logistic regression analysis results showed that fall efficacy,age,decreased hemoglobin level,BMI,pain score,and postural adaptive training were the risk factors for OI.Conclusion:The incidence of OI in older patients after total hip arthroplasty is high.Nurses should pay attention to the occurrence of OI symptoms in patients,strengthen the psychological status of patients,and carry out postural adaptability training,so as to help older patients to achieve rapid recovery after total hip arthroplasty.

关 键 词：全髋关节置换术 老年患者 直立不耐受 早期康复 影响因素 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]