Abstract:Objective To explore the application effect of “3 H” combined with “five step” method applied in elderly hip replacement surgery. Methods A total of 120 elderly patients undergoing hip replacement in the Affiliated Jiangning Hospital of Nanjing Medical University from November 2019 to November 2020 were selected and they were divided into two groups by random number table method, with 60 patients in each group. The control group received routine intervention, and the observation group received “3 H” combined with “five step” intervention. The functional recovery of hip joint six months after surgery, and daily living ability, pain degree, and quality of life were compared between the two groups one day after surgery and at discharge. Results Six months after surgery, the excellent and good rate of hip function in the observation group was higher than that in the control group (P < 0.05). There were no significant differences in daily living scale (ADL) score and visual analog scale (VAS) score between the two groups on one day after surgery (P > 0.05). The ADL scores at discharge in both groups were higher than those on one day after surgery, the VAS score was lower than that on one day after surgery, and the ADL score in observation group was higher than that in control group, and the VAS score was lower than that in control group (P < 0.05). There were no significant differences in physiological, psychological, environmental, and social relationship scores between the two groups on one day after surgery (P > 0.05). The scores of physiological, psychological, environmental, and social relationship in both groups at discharge were higher than those one day after surgery, and the observation group was higher than those in the control group (P < 0.05). Conclusion The “3 H” combined with “five step” method used in the elderly hip replacement surgery can promote the recovery of hip joint function, improve the ability of daily living and quality of life, reduce the degree of pain, and reduce the occurrence of complications.
胡琴 时娟▲ 朱小芹 孙超. “三H”联合“五步”法在老年髋关节置换术中的应用效果[J]. 中国医药导报, 2022, 19(6): 150-154.
HU Qin SHI Juan▲ ZHU Xiaoqin SUN Chao. Application effect of “3 H” combined with “five step” method in elderly hip arthroplasty#br#. 中国医药导报, 2022, 19(6): 150-154.
[1] Papalia R,Campi S,Vorini F,et al. The Role of Physical Activity and Rehabilitation Following Hip and Knee Arthroplasty in the Elderly [J]. J Clin Med,2020,9(5):1401.
[2] Mitrovic D,Davidovic M,Erceg P,et al. The effectiveness of supplementary arm and upper body exercises following total hip arthroplasty for osteoarthritis in the elderly: a randomized controlled trial [J]. Clin Rehabil,2017,31(7):881-890.
[3] Yoo JI,Ha YC,Lim JY,et al. Early Rehabilitation in Elderly after Arthroplasty versus Internal Fixation for Unstable Intertrochanteric Fractures of Femur:Systematic Review and Meta-Analysis [J]. J Korean Med Sci,2017,32(5):858-867.
[4] 王哲敏,张洪波,蒋雪英,等.医联体干预模式对老年髋关节置换术后患者康复效果的影响[J].中国康复医学杂志,2019,34(11):1339-1342.
[5] Koneva ES,Lyadov KV,Shapovalenko TV,et al. The hardware techniques for the restoration of the gait stereotype in the patients following total hip replacement:the personalized approach [J]. Vopr Kurortol Fizioter Lech Fiz Kult,2018,95(1):26-34.
[6] Bork H. Rehabilitation after hip and knee endoprosthetic treatment in the elderly [J]. Orthopade,2017,46(1):69-77.
[7] Candela F,Zucchetti G,Ortega E,et a1. Preventing Loss of Basic Activities of Daily Living and Instrumental Activities of Daily Living in Elderly:Identification of IndMdual Risk Factors in a Holistic Perspective [J]. Holist Nurs Pract,2015,29(5):313-322.
[8] Heller GZ,Manuguerra M,Chow R. How to analyze the Visual Analogue Scale:Myths,truths and clinical relevance [J]. Scand J Pain,2016,13(1):67-75.
[9] 王宝英,何小俊.人工髋关节置换术后老年患者康复研究进展[J].中国康复,2020,35(3):157-160.
[10] Cheon YM,Yoon H. The Effects of 30-Minutes of Pre-Warming on Core Body Temperature,Systolic Blood Pressure,Heart Rate,Postoperative Shivering,and Inflammation Response in Elderly Patients with Total Hip Replacement under Spinal Anesthesia: A Randomized Double-blind Controlled Trial [J]. J Korean Acad Nurs,2017,47(4):456-466.
[11] 赵一琼,陈淑娟,仇荣敏,等.基于精准护理理论引导下应用精准康复护理对直接前路微创髋关节置换术患者结局的影响[J].现代中西医结合杂志,2019,28(19):2141-2145.
[12] 叶茂,常宁,梁苗苗,等.老年髋关节置换术患者下肢深静脉血栓的影响因素分析[J].实用骨科杂志,2020,26(1):4-7.
[13] 朱慧杰,薄晗,刘玥,等.老年患者全髋关节置换术后恶心呕吐的危险因素[J].中华麻醉学杂志,2020,40(5):552-556.
[14] Jame Bozorgi AA,Ghamkhar L,Kahlaee AH,et al. The Effectiveness of Occupational Therapy Supervised Usage of Adaptive Devices on Functional Outcomes and Independence after Total Hip Replacement in Iranian Elderly: A Randomized Controlled Trial [J]. Occup Ther Int,2016,23(2):143-153.
[15] 李鹏程,姚娜,陈小霞,等.基于康复训练卡的家庭作业在老年髋关节置换术后快速康复中的临床观察[J].实用老年医学,2020,34(2):171-173.
[16] 谢倩倩,张咏梅,宋凌霞,等.基于BCW理论的早期康复锻炼对老年全髋关节置换术后患者康复效果的影响[J].中国医药导报,2020,17(7):181-184.
[17] Gauchard GC,Van?觭on G,Meyer P,et al. On the role of knee joint in balance control and postural strategies: effects of total knee replacement in elderly subjects with knee osteoarthritis [J]. Gait Posture,2010,32(2):155-160.
[18] 鲁义,姚嘉茵,龚楚链,等.老年髋关节置换术患者术后慢性疼痛的相关因素及其预测模型[J].临床麻醉学杂志,2019,35(12):1197-1200.
[19] Ling Y,Ter Meer LP,Yumak Z,et al. Usability Test of Exercise Games Designed for Rehabilitation of Elderly Patients After Hip Replacement Surgery:Pilot Study [J]. JMIR Serious Games,2017,5(4):e19.
[20] Roberts JL,Pritchard AW,Williams M,et al. Mixed methods process evaluation of an enhanced community-based rehabilitation intervention for elderly patients with hip fracture [J]. BMJ Open,2018,8(8):e021486.
[21] 武文亚,高钰琳.252名骨科护士髋关节置换术后假体脱位预防的知信行水平分析[J].护理学报,2019,26(11):60-64.
[22] 涂婵,张理宾,邢航,等.3+1整体康复护理对老年全麻髋关节置换术POCD患者中认知功能恢复和生活质量的影响[J].医学临床研究,2018,35(5):860-863.
[23] 庄正陵,丁俊辉,柳洪周,等.早期康复锻炼联合硬膜外镇痛对髋关节置换术老年病人肢体功能和免疫功能的影响[J].安徽医药,2019,23(1):94-98.
[24] 李鹏.预见性护理联合快速康复护理对人工髋关节置换术后患肢功能恢复的影响[J].中国医药科学,2020, 10(17):153-155,192.
[25] 陈敏,田少娟,王冬梅.延续性护理模式在全髋关节置换术后的应用效果[J].中国当代医药,2021,28(9):188-190.
[26] 陈翠萍,凌莉,刘洁珍,等.老年患者全髋关节置换术出院计划的制定与实施[J].护理学杂志,2018,33(4):7-10.
[27] 唐丽文,李宁,陈春英.接纳与承诺疗法在老年髋关节置换术后患者早期康复锻炼中的应用[J].中国临床护理,2019,11(6):468-471,475.
[28] 谢倩倩,张咏梅,宋凌霞,等.基于BCW理论的早期康复锻炼对老年全髋关节置换术后患者康复效果的影响[J].中国医药导报,2020,17(7):181-184.
[29] 邱晓妮,黄妙红,杜现芬.快速康复外科护理联合康复训练对人工全髋关节置换术患者预后的影响[J].中国医药科学,2021,11(1):179-181.