| 刘少邦,卢丽,龚泰芳,等.系统化护理对骨关节炎手术治疗效果的影响.骨科,2017,8(6): 480-483. |
| 系统化护理对骨关节炎手术治疗效果的影响 |
| Effect of systematic nursing on surgical treatment of osteoarthritis |
| 投稿时间：2016-08-18 |
| DOI：10.3969/j.issn.1674-8573.2017.06.014 |
| 中文关键词: 系统化整体护理 骨关节炎 治疗结果 神经功能 |
| 英文关键词: Systematically holistic nursing Osteoarthritis Treatment outcome Neuroncal function |
| 基金项目:十堰市科学技术研究与开发项目（14Y23） |
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| 中文摘要: |
| 目的 研究系统化护理干预骨关节炎手术后病人的临床效果和对神经功能影响。方法 选取我院2015年5月至2016年1月间收治的骨关节炎手术后病人118例，采用随机数字法将所有病人分为对照组和观察组，每组各59例，对照组病人采用常规护理干预，观察组病人则采用系统化护理干预。观察两组病人的护理效果和并发症发生率，同时比较护理前后两组病人的神经功能缺损程度量表（national institutes of health stroke scale, NIHSS）评分差异。结果 观察组的治疗总有效率为91.53%，高于对照组的76.27%，差异有统计学意义（χ2=5.08，P=0.02）。观察组护理后2周和4周的NIHSS评分均明显低于对照组，观察组的住院时间、首次下床活动时间及总并发症发生率均明显少于对照组，差异均有统计学意义（均P＜0.05）。结论 采用系统化护理干预可明显提高骨关节炎手术后的康复效果，加快病人术后的康复速度，促进病人神经功能恢复，同时较好地预防了并发症的发生，护理安全性较高。 |
| 英文摘要: |
| Objective To study the clinical effectiveness of systematic nursing intervention on patients with osteoarthritis after surgery and its influence on neurological function. Methods One hundred and eighteen cases of osteoarthritis after surgery treated in our hospital from May 2015 to January 2016 were selected as subjects. All patients were divided into control group and observation group using random number method, 59 cases in each group. Patients in the control group received routine nursing intervention, and those in the observation group received systematic nursing intervention. The nursing effect and complication rate of the two groups were observed. The differences of NIHSS score between the two groups before and after nursing were compared. Results The effective rate of treatment in the observation group was 91.53%, significantly higher than that in the control group (76.27%) (χ2=5.08, P=0.02). The scores of NIHSS in observation group at 2 weeks and 4 weeks after operation were significantly lower than those in the control group. The hospitalization time and the time to first bed activity were significantly shorter, and the total complication rate was significantly lower in the observation group than those in the control group (P＜0.05 for all). Conclusion Systematic nursing intervention can significantly improve the recovery effect of osteoarthritis after surgery, speed up the recovery rate of patients after surgery, and promote the recovery of neurological function, while prevent the occurrence of complications, and nursing safety is high. |
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