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3H护理对全髋关节置换术后康复的影响 被引量:7

Effect of 3H nursing service model on postoperative rehabilitation of total hip arthroplasty
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摘要 目的探讨3H护理对全髋关节置换术(THA)后康复的影响。方法将70例THA患者随机分为观察组35例,对照组35例。对照组给予一般常规护理,观察组全部应用3H护理服务模式进行干预,比较2组患者治疗前、出院时及出院后1、3个月Harris髋关节评分、巴塞尔(Barthel)指数和老年抑郁量表(GDS)评分等指标。结果 2组患者出院后1个月与3个月的Harris髋关节评分、Barthel指数比较,观察组明显优于对照组,差异有统计学意义(P<0.05);2组患者出院后1个月的GDS量表评分比较,差异无统计学意义(P>0.05);2组患者出院后3个月的GDS评分比较,差异有统计学意义(P<0.05)。结论 3H护理服务模式能够明显改善患者的髋关节康复程度,提高患者的日常生活能力水平,能有效改善患者的抑郁状态,其效果明显优于常规护理模式。 Objective To investigate the effect of 3H nursing service model on the rehabilitation after total hip arthroplasty(T HA) .Methods 70 cases of T HA were selected as the research subjects and randomly assigned into the control group(35 cases) and the observation group(35 cases) .The control group was given the general conven‐tional nursing care and the observation group executed the 3H nursing service mode for conducting intervention .The Harris hip score ,Geriatric Depression Scale(GDS) score and Barthel index before treatment ,at discharge between the two groups .Results The Harris hip score and Barthel index at 1 ,3 months after leaving hospital in the observation group were superior to those in the control group ,the differences were statistically significant( P 〈0 .05) ;But the difference in the GDS score at 1 month after discharge had no statistical significanec( P 〉 0 .05) ;While which at 3 months after discharge had statistical difference between the two groups (P 〈 0 .05) .Conclusion The 3H nursing service model can improve the rehabilitation degree of hip joint function ,increase the daily living ability of the pa‐tients ,effectively decrease the depression status of the patients and its effect is significantly superior to the conven‐tional nursing mode .
作者 杨杨
出处 《检验医学与临床》 CAS 2015年第15期2227-2228,2231,共3页 Laboratory Medicine and Clinic
关键词 3H 护理 全髋关节置换术 HARRIS 髋关节评分 Barthel 指数 老年抑郁量表评分 3H nursing service total hip arthroplasty Harris hip score Barthel index GDS score
作者简介 杨杨,女,主管护师,本科,主要从事临床骨科护理方面的工作。
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