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| Application of stratified intervention under risk assessment strategy in nursing of patients after hip arthroplasty |
| FAN Jingjing BIAN Liyan CHEN Yuan▲#br# |
| Department of Orthopedics, Nanjing First Hospital Nanjing Hospital Affiliated to Nanjing Medical University, Jiangsu Province, Nanjing 210006, China |
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Abstract Objective To investigate the impact of a stratified intervention under a risk assessment strategy on the outcome of patient care after hip arthroplasty. Methods Two hundred patients with femoral head necrosis carried hip arthroplasty in the Department of Orthopedics, Nanjing First Hospital from April 2020 to January 2022 were selected and divided into observation and control groups using computer-generated random numbers, with 100 cases in each group. The control group adopted conventional nursing interventions while the observation group adopted stratified interventions under conventional nursing combined with risk assessment strategies, and both groups were intervened until the time of discharge. The degree of pain at discharge (assessed using the numerical pain score [NRS]), hip function (assessed using the Harris hip function rating scale) before the intervention and at discharge, activities of daily living (assessed using the modified Barthel index [MBI]), and postoperative complications were compared between the two groups. Results The pain level at discharge was lower in the observation group than that in the control group, and the difference was statistically significant (P＜0.05). At discharge, the Harris hip function and MBI scores of both groups were higher than before the intervention, while those in the observation group were higher than those in the control group, with statistically significant differences (P＜0.05). The overall incidence of postoperative complications in the observation group was lower than that in the control group, and the difference was statistically significant (P＜0.05). Conclusion Stratified interventions under the risk assessment strategy can reduce the degree of pain, accelerate the recovery of hip function, and enhance patients' activities of daily living after hip arthroplasty with fewer postoperative complications.
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