Application of “standard procedure of analgesic care” in postoperative care of disabled elderly patients after hip replacement under multidisciplinary joint model
ZHAGN Liwei1 YANG Yiqun1 LI Qun2 XIAO Yaolin1▲
1.Department Nursing, Chinese Medicine Gezhouba Central Hospital·the Third Clinical Medical College of Three Gorges University, Hubei Province, Yichang 443000, China;
2.Department Emergency Medicine, Chinese Medicine Gezhouba Central Hospital·the Third Clinical Medical College of Three Gorges University, Hubei Province, Yichang 443000, China
Abstract：Objective To explore the application effect of “standard procedure of analgesic care” in the nursing of disabled elderly patients after hip replacement under the model of multidisciplinary association (MDT). Methods From January to December 2018, 40 disabled elderly patients who planned to undergo artificial hip replacement were selected from the Orthopedic Surgery Department of the Chinese Medicine Gezhouba Central Hospital·the Third Clinical Medical College of Three Gorges University (hereinafter referred to as “our hospital”). Random number table method was used to divide the patients into observation group and control group. 19 cases in control group were given postoperative analgesia routine nursing; 21 patients in the observation group adopted MDT model “standard procedure of analgesic care”. Short-term postoperative analgesia efficacy (pain intensity at 12 h, sleep duration at 72 h, time of first getting out of bed, and length of hospital stay), Harris hip score, Barthel index score, SF-36 quality of life score, postoperative complications and other indicators were compared between the two groups. Results There were significant differences in 12 h postoperative pain intensity, 72 h sleep time, first time out of bed, length of stay, Harris hip score, Barthel index score and SF-36 quality of life score at 1 and 3 months after discharge between the two groups (all P ＜ 0.05). There was no significant difference in the incidence of pulmonary infection, constipation, pressure sore, deep vein thrombosis and dislocation of prosthesis between the two groups (P ＞ 0.05). Conclusion MDT “analgesic nursing standard procedure” has definite analgesic effect on incapacitive elderly patients after hip replacement, and has the advantages of safety, reliability and feasibility.
张莉薇1 杨宜群1 李群2 肖耀玲1▲. 多学科联合模式下“镇痛护理标准流程”在失能老年患者髋关节置换术后护理中的应用[J]. 中国医药导报, 2019, 16(32): 148-151.
ZHAGN Liwei1 YANG Yiqun1 LI Qun2 XIAO Yaolin1▲. Application of “standard procedure of analgesic care” in postoperative care of disabled elderly patients after hip replacement under multidisciplinary joint model. 中国医药导报, 2019, 16(32): 148-151.
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2019, Vol. 16 
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