摘要
目的探讨快速康复外科(FTS)理念在全髋关节置换术患者围术期护理中的应用效果。方法2017年1月至2018年12月在桂林医学院附属医院脊柱骨病外科行椎管内麻醉全髋关节置换手术患者120例,按随机数字表法分为研究组(n=60)和对照组(n=60)。对照组采取常规围术期护理,研究组采取快速康复理念护理,比较两组患者术后疼痛评分(VAS)、术后首次下床活动时间、平均住院日、髋关节功能及围术期并发症发生率。结果研究组并发症发生率为6.67%低于对照组的21.67%,差异有统计学意义(P<0.05);两组患者术后1 d疼痛VAS评分比较,差异无统计学意义(P>0.05),研究组术后3 d疼痛VAS评分低于对照组,差异有统计学意义(P<0.05);研究组术后首次下床活动时间为(2.51±0.58)d,短于对照组的(4.16±0.54)d,差异有统计学意义(P<0.05);研究组平均住院时间为(10.10±2.65)d,短于对照组的(14.07±2.03)d,差异有统计学意义(P<0.05);研究组术后2周、术后1个月、术后3个月髋关节功能评分均高于对照组,差异有统计学意义(P<0.05)。结论将FST理念应用于全髋关节置换术患者的围术期护理,可加快患者术后康复,改善髋关节功能,减轻疼痛,减少患者住院时间,降低术后并发症发生率,提高患者满意度及生活质量。
Objective To explore the effect of fast track surgery(FTS)concept in the perioperative nursing for patients undergoing of total hip arthroplasty.Methods A total of 120 patients who underwent total hip arthroplasty with intraspinal anesthesia in Department of Spine and Orthopedic Surgery in Affiliated Hospital of Guilin Medical University from January 2017 to December 2018 were selected and divided into the study group(n=60)and the control group(/I=60)according to the random number table method.The control group received conventional perioperative nursing,while the study group received the FTS concept nursing.The postoperative pain scores(visual Analogue Scale,VAS),first out—of—bed activity time,average length of stay,hip function and incidence of perioperative complications were compared between the two groups.Results The incidence of complications in the study group and the control group were 6.67%lower than that of 21.67%in the study group,with statistically significant difference(P<0.05).There were no statistically significant differences in the VAS pain scores at 1 d after operation between the two groups(P>0.05).The VAS pain scores were lower in the study group than those in the control group at 3 d after operation,with statistically significant differences(P<0.05).The first out-of-bed activity time in the study group after operation was(2.51±0.58)days shorter than that of(4.16±0.54)days in the control group,with statistically significant difference(P<0.05).The average hospital stayj in the study group was(10.10±2.65)lower than that of(14.07±2.03)days in the control group,with statistically significant difference(P<0.05).The hip function scores at 2 weeks,1 month and 3 months after operation were higher in the study group than those in the control group,with statistically significant differences(P<0.05).Conclusion The application of the FST concept in the perioperative nursing of patients undergoing total hip arthroplasty can accelerate the postoperative rehabilitation of patients,improve hip function,reduce pain,shorten the length of stay,reduce the incidence of postoperative complications and improve patients'satisfaction and quality of life.
作者
洪钦
宋恩鸿
欧干芳
王亚丽
HONG Qin;SONG Enhong;OU Ganfang;WANG Yali(Department of Spine and Orthopedic Surgery,the Affiliated Hospital of Guilin Medical University,Guangxi,Guilin 541001,China)
出处
《中国医药科学》
2021年第20期131-134,共4页
China Medicine And Pharmacy
基金
广西壮族自治区卫生厅科研课题(Z20170818)。
关键词
快速康复
全髋关节置换术
围术期
护理
Rapid rehabilitation
Total hip arthroplasty
Perioperative pe riod
Nursing
