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目的探讨围手术期护理康复路径对髋关节置换术患者的影响。方法选取2013年5月—2015年5月于本院行髋关节置换手术患者60例,随机分为实验组和对照组各30例。对照组采用我院常规护理方法。实验组在常规护理的基础上加用围手术期护理康复路径。疼痛视觉模拟评分(visual analogur scale,VAS)、髋关节功能评分Harris评分及功能状态被用于疗效评价,计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果两组患者围手术期VAS评分对比差异无统计学意义(P>0.05)。但在Harris评分方面,实验组术后1周和2周的评分分别为(62.86±15.58)、(83.81±10.23)分,均优于对照组,对比差异有统计学意义(P<0.05)。实验组患者经康复护理后能独立行走比例明显优于对照组,对比差异有统计学意义(P<0.05)。结论对于髋关节置换患者而言,围手术期护理康复路径可以很好地改善患者的依从性及疗效,值得临床推广
Objective To investigate the effect of perioperative nursing and rehabilitation pathways on patients undergoing total hip arthroplasty. Methods From May 2013 to May 2015, 60 patients undergoing hip arthroplasty in our hospital were randomly divided into experimental group and control group of 30 cases. Control group using our hospital routine care methods. The experimental group on the basis of routine care plus perioperative nursing rehabilitation path. Visual analog scale (VAS), Harris score and functional status of hip function score were used for evaluation of curative effect. The measurement data were analyzed by t-test and the count data were analyzed byχ2 test. P <0.05 was considered statistically significant. Results There was no significant difference in perioperative VAS scores between the two groups (P> 0.05). However, in the Harris score, the scores of one week and two weeks postoperatively in the experimental group were (62.86 ± 15.58) and (83.81 ± 10.23) points respectively, which were all better than those in the control group. The difference was statistically significant (P <0.05). The proportion of patients who walked independently after rehabilitation nursing in the experimental group was significantly better than that in the control group, with significant difference (P <0.05). Conclusion For patients with hip replacement, perioperative nursing rehabilitation pathway can improve patient compliance and efficacy, which is worthy of clinical promotion