肿瘤型髋关节置换术后早期活动方案的构建与应用  

Construction and application of early postoperative activity plan for patients undergoing tumor type hip arthroplasty

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作  者:谢彦云 龚钰[1] 朱清 XIE Yanyun;GONG Yu;ZHU Qing(Hunan Cancer Hospital,Hunan 410219 China)

机构地区:[1]湖南省肿瘤医院,湖南410219

出  处:《护理研究》2025年第3期443-448,共6页Chinese Nursing Research

基  金:湖南省卫生健康委科研计划项目,编号:B202314027852。

摘  要:目的:基于德尔菲法构建肿瘤型髋关节置换术病人术后早期活动方案,探究早期活动对病人术后康复的影响。方法:成立研究小组,通过文献回顾和焦点小组访谈初步构建肿瘤型髋关节置换术后早期活动方案,基于德尔菲专家函询法开展2轮专家咨询完善初稿方案。选取我院2020年1月—2023年12月骨科收治的100例肿瘤型髋关节置换术病人为研究对象,随机分为对照组和试验组各50例。对照组术后给予常规模式指导病人活动,试验组按照本研究构建的早期活动方案进行干预,比较两组术后康复效果。结果:2轮问卷有效回收率均为100.00%,专家权威系数分别为0.860,0.885,变异系数分别为0.00~0.21,0.00~0.17;肯德尔和谐系数分别为0.252,0.231(P均<0.05)。最终构建的肿瘤型髋关节置换术后早期活动方案共包括9个一级指标和36个二级指标。试验组病人术后1个月内相关并发症总发生率低于对照组,术后1个月时髋关节功能优于对照组,差异均有统计学意义(P<0.05)。结论:基于德尔菲法构建的肿瘤型髋关节置换术后早期活动方案,可为科学指导病人术后早期活动提供依据,有利于改善病人术后髋关节功能,降低并发症发生率。Objective:Based on the Delphi method,to construct an early postoperative activity plan for patients undergoing tumor type hip arthroplasty,and to explore the impact of early activity on postoperative rehabilitation of patients.Methods:A research group was established to preliminarily construct an early postoperative activity plan for patients undergoing tumor type hip arthroplasty through literature review and focus group interviews.Two rounds of expert consultation were conducted based on the Delphi expert consultation method,and the initial draft plan was improved.A total of 100 patients with tumor type hip arthroplasty admitted to our orthopedic department from January 2020 to December 2023 were selected as the research subjects,they were randomly divided into the control group and the experimental group,with 50 patients in each group.The patients in control group were guided to exercise according to the conventional mode after surgery,while the patients in experimental group were intervened according to the early activity plan constructed in this study.The postoperative rehabilitation effects of the two groups were compared.Results:The effective response rate for both rounds of questionnaire were 100.00%,with authority coefficients of 0.860 and 0.885 for expert inquiry,significance variation coefficients of 0.00⁃0.21 and 0.00⁃0.17,and Kendall's W of 0.252 and 0.231(all P<0.05).The final constructed early postoperative activity plan for tumor type hip arthroplasty,which included 9 primary indicators and 36 secondary indicators.The total incidence of related complications in the experimental group patients was lower than that in the control group within one month after surgery.At one month after surgery,hip joint function were significantly higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion:The construction of an early postoperative activity plan for patients undergoing tumor type hip arthroplasty based on the Delphi method can provide a basis for scienti

关 键 词:肿瘤型髋关节置换术 Delphi专家函询法 术后 早期活动 并发症 护理 

分 类 号:R473.73[医药卫生—护理学]

 

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