摘要
目的：探讨综合护理在老年髋关节置换术中的应用效果。方法将68例老年髋关节置换术患者按住院号随机分为对照组和观察组各34例,对照组采用常规手术及护理,观察组在对照组的基础上实施综合护理干预。对两组患者干预后髋关节Harris评分、感染、便秘、电解质紊乱等并发症的发生率及患者满意度进行比较。结果观察组患者关节活动度、功能、疼痛、畸形评分分别为（4.35±0.44）,（40.91±2.30）,（40.58±1.18）,（3.60±0.23）分,均高于对照组评分[（3.88±0.18）,（39.32±2.48）,（39.00±1.37）,（3.41±0.36）分],观察组关节功能恢复情况优于对照组,差异有统计学意义（t值分别为5.689,2.379,5.114,2.512；P〈0.05）。观察组患者感染、电解质紊乱、便秘及其他并发症的发生率分别为2.9%,2.9%,5.9%,5.9%,低于对照组的17.6%,17.6%,23.5%,23.5%,差异有统计学意义（χ2值分别为3.981,3.981,4.221,4.221；P〈0.05）。干预后观察组患者基础护理、专科护理、服务态度、健康教育、总体满意度分别为（28.88±0.91）,（29.06±0.81）,（18.50±1.19）,（18.65±1.04）,（95.18±2.89）分,高于对照组,差异有统计学意义（P〈0.01）。结论对老年髋关节置换术患者实施综合护理,能够提高患者的术后康复质量,减少并发症的发生,提高患者满意度。
Objective To explore the comprehensive nursing care in elderly patients with hip replacement. Methods A total of 68 elderly patients with hip replacement was randomly divided into experimental group （ routine nursing and comprehensive nursing care ） and control group （ routine nursing ） . After intervention, we compared the satisfaction of patients and the incidence rate of complication such as the score of hip Harris score, infection, constipation and electrolyte disturbances. Results The scores of joint motion range, function, pain and deformity were （4. 35 ± 0. 44）,（40. 91 ± 2. 30）,（40. 58 ± 1. 18） and （3. 60 ± 0. 23） in the experimental group, compared with （3. 88 ± 0. 18）,（39. 32 ± 2. 48）,（39. 00 ± 1. 37） and （3. 41 ± 0. 36） in the control group （t=5. 689,2. 379,5. 114,2. 512, respectively;P〈0. 05）. While the incidence rate of infection, electrolyte disturbances, constipation and other other complication were 2. 9%, 2. 9%, 5. 9%, 5. 9% in the experimental group, these of the control group were 17. 6%, 17. 6%, 23. 5%, 23.5% （χ2 =3. 981,3.981,4. 221,4. 221, respectively; P 〈 0. 05）. After intervention, the scores of fundamental nursing, specific nursing, attitude of service, health education and total satisfaction degree were （28. 88 ± 0. 91）,（29. 06 ± 0. 81）,（18. 50 ± 1. 19）,（18. 65 ± 1. 04）,（95. 18 ± 2. 89）, all that were higher than those in the control group （P〈0. 05）. Conclusions The comprehensive nursing care for elderly patients with hip replacement can contribute to rehabilitative quality after operation, minimize complication incidence and promote elderly satisfaction.
出处
《中华现代护理杂志》
2015年第4期454-457,共4页
Chinese Journal of Modern Nursing
关键词
老年人
髋关节置换术
综合护理
患者满意度
Elderly
Hip replacement
Comprehensive nursing care
Patients′satisfaction
