出院准备服务在老年髋关节置换术后患者中的应用效果研究  

Study on the application effect of discharge preparation service in elderlypatients after hip arthroplasty

作　　者：艾景涵 戴利[1] 罗静瑾 刘华 周伶艳 AI Jinghan;DAI Li;LUO Jingjin;LIU Hua;ZHOU Lingyan(Shenzhen Bao′an People′s Hospital,Shenzhen,Guangdong 518001,China)

机构地区：[1]深圳市宝安区人民医院,广东深圳518001

出　　处：《现代医药卫生》2025年第3期685-688,693,共5页Journal of Modern Medicine & Health

基　　金：广东省深圳市宝安区医疗卫生科研项目(2022JD158)。

摘　　要：目的 探讨出院准备服务在老年髋关节置换术后患者中的应用效果。方法 采用便利抽样法选取2022年8月至2023年9月在某三级甲等医院行全髋关节置换术的老年患者80例作为研究对象,采用单盲法、按入院时间先后顺序分为对照组(2022年8月至2023年2月)和研究组(2023年3—9月),每组40例。对照组给予骨科常规护理及出院指导,研究组在骨科常规护理及出院指导基础上以PICO模式为证据检索指导,遵循护理程序,落实出院准备服务。比较2组患者出院准备度(出院准备度量表评分),以及出院前4 h、出院后1个月的髋关节功能(髋关节功能评分量表评分)、日常生活能力(Barthel指数评分)等。结果 研究组患者出院准备度量表总分和个人状态、适应能力、预期性支持3个维度得分,以及出院后1个月髋关节功能评分量表、Barthel指数评分均明显高于对照组,差异均有统计学意义(P<0.05)。结论 对老年髋关节置换术后患者实施出院准备服务,能明显提高出院准备度、髋关节功能恢复及生活自理能力,值得在临床推广应用。Objective To explore the application effect of discharge preparation service in elderly patients after hip arthroplasty.Methods A total of 80 elderly patients who underwent total hip arthroplasty in a tertiary hospital from August 2022 to September 2023 were selected by convenient sampling method.They were divided into the control group(August 2022 to February 2023)and the study group(March 2023 to September 2023)by single blind method according to the order of admission time,with 40 cases in each group.The control group was given orthopedic routine nursing and discharge guidance.On the basis of orthopedic routine nursing and discharge guidance,the study group used PICO mode as evidence retrieval guidance,followed nursing procedures,and implemented discharge preparation services.The readiness for hospital discharge(Readiness for hospital discharge scale score),hip joint function(Harris hip joint function scale score)and daily living ability(Barthel index score)at four hours before discharge and one month after discharge were compared between the two groups.Results The total score of the discharge readiness scale and the scores of three dimensions of personal status,adaptability and expected support in the study group,as well as the hip function score scale and Barthel index score at one month after discharge were significantly higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion The implementation of discharge preparation service for elderly patients after hip arthroplasty can significantly improve the readiness for discharge,hip function recovery and self-care ability,which is worthy of clinical application.

关 键 词：老年人 髋关节置换术 出院准备服务 应用效果 

分 类 号：R687.4[医药卫生—骨科学]