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Application effect of “3 H” combined with “five step” method in elderly hip arthroplasty#br# |
HU Qin SHI Juan▲ ZHU Xiaoqin SUN Chao |
Department of Orthopedics, the Affiliated Jiangning Hospital of Nanjing Medical University, Jiangsu Province, Nanjing 211000, China |
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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.
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