| 牛育鸿,王随侠.不同方式延续护理对老年全髋关节置换术后早期康复的影响.骨科,2019,10(3): 226-230. |
| 不同方式延续护理对老年全髋关节置换术后早期康复的影响 |
| Effect of different ways of continuous nursing care on early rehabilitation after total hip replacement in the elderly patients |
| 投稿时间：2018-07-04 |
| DOI：10.3969/j.issn.1674-8573.2019.03.012 |
| 中文关键词: 全髋关节置换术 应用程序（APP） 延续护理 老年病人 |
| 英文关键词: Total hip replacement Application (APP) Continuous nursing care Elderly patients |
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| 中文摘要: |
| 目的 探讨老年全髋关节置换术（total hip replacement, THR）后采用电话延续护理和互联网延续护理对其术后早期康复的影响。方法 选取2016年1月至2017年6月在西安市长安区医院骨外科接受THR的108例老年病人进行出院后8周的早期康复延续护理观察，随机分为电话延续护理组和互联网延续护理组，各54例。电话延续护理组采用电话随访形式对病人开展康复训练方法的指导，互联网延续护理组运用移动医疗应用程序（Application, APP）指导病人开展THR术后早期康复训练。采用Harris髋关节功能评分评价两组病人出院前、出院后4周及8周髋关节功能恢复情况，运用简明心境量表（brief profile of mood states, BPOMS）评价病人心境得分，并观察两组病人并发症的发生情况。结果 96例病人完成出院后8周的早期康复延续护理和数据统计，其中电话延续护理组49例，男25例，女24例，年龄为（68.29±8.83）岁；互联网延续护理组47例，男25例，女22例，年龄为（69.73±6.21）岁。出院后8周互联网延续护理组Harris髋关节功能评分为（86.29±8.17）分，优于电话延续护理组的（78.78±10.12）分，两组比较差异有统计学意义（t=6.671，P=0.011）；出院后4周、8周两组心境得分比较，互联网延续护理组均优于电话延续护理组，差异均有统计学意义（t=4.986，P=0.001；t=8.877，P＜0.001）；两组病人并发症发生率比较差异无统计学意义（χ2=1.871，P=0.453）。结论 电话延续护理和互联网延续护理模式对老年病人THR后的早期康复均有积极作用，可促进老年病人疾病控制和症状减轻，并减少并发症，但互联网延续护理模式在老年病人髋关节功能的恢复和病人心境改善方面明显优于电话延续护理模式。 |
| 英文摘要: |
| Objective To explore the effect of telephone and internet continuation nursing on early recovery after total hip replacement (THR) in elderly patients. Methods One hundred and eight elderly patients with THR in Department of Orthopaedics Surgery, Chang'an District Hospital of Xi'an were selected and observed for 8 weeks after discharge from January 2016 to June 2017. They were randomly divided into telephone continuation nursing group and internet continuation nursing group, 54 cases in each group. In telephone continuation nursing group, telephone follow-up was done to guide patients to carry out rehabilitation training methods. In internet continuation nursing group, mobile medical application (APP) was done to guide patients to carry out early rehabilitation training after THR. Harris hip function score was used to evaluate the recovery of hip function in two groups before discharge, 4 and 8 weeks after discharge. Brief profile of mood states (BPOMS) scale was used to evaluate the patients' mood score, and the occurrence of complications in two groups was observed. Results Ninety-six patients completed 8 weeks of early rehabilitation continuation nursing and data analysis, including 49 patients in telephone continuation nursing group ［25 males and 24 females, with an average age of (68.29±8.83) years］; 47 patients in internet continuation nursing group ［25 males and 22 females, with an average age of (69.73±6.21) years］. The Harris hip function score in internet continuation nursing group was (86.29±8.17) at 8th week after discharge, which was significantly higher than that in telephone continuation nursing group (78.78±10.12) (t=6.671, P=0.011). The mood score in internet continuation nursing group was significantly higher than that in telephone continuation nursing group at 4th and 8th week after discharge (t=4.986, P=0.001; t=8.877, P＜0.001). There was no significant difference in the incidence of complications between two groups (χ2=1.871, P=0.453). Conclusion Telephone continuation nursing and internet continuation nursing have positive effects on the early rehabilitation of elderly patients after THR. They can promote disease control and alleviate symptoms of elderly patients and reduce complications. However, internet continuation nursing is superior to telephone continuation nursing in the recovery of hip function and improvement of patients' mood. |
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