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Influence of intensive nursing under the concept of accelerated rehabilitation surgery on the prognosis effect of patients with femoral head necrosis undergoing total hip replacement
GE Yixuan1   HUANG Zhihui2   WAN Rong1▲#br#
1.Department of Quality Management, the 904th Hospital of the Chinese People’s Liberation Army Joint Logistic Support Force, Jiangsu Province, Wuxi   214044, China; 
2.Department of Orthopedics, the 904th Hospital of the Chinese People’s Liberation Army Joint Logistic Support Force, Jiangsu Province, Wuxi   214044, China
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Abstract  Objective To explore the influence of intensive nursing under the concept of accelerated rehabilitation surgery in prognosis effect of patients with femoral head necrosis undergoing total hip replacement. Methods A total of 148 patients with femoral head necrosis who underwent total hip replacement surgery in the 904th Hospital of the Chinese People’s Liberation Army Joint Logistic Support Force from April 2020 to May 2022 were selected and divided into reference group and intervention group by random number table method. The reference group (74 cases) received routine rehabilitation nursing intervention measures. The intervention group (74 cases) implemented the intensive nursing intervention measures under the concept of accelerated rehabilitation surgery. After one day of admission and 14 days of intervention, exercise fear (Chinese version of the kinetic phobia assessment table), joint injury (osteoarthritis index), and hip motion were analyzed in the two groups. Results After 14 days of intervention, the scores of Chinese version of the kinetic phobia assessment table and osteoarthritis index in both groups were lower than those at one day of admission, and those of intervention group were lower than those of reference group, the differences were statistically significant (P<0.05). After 14 days of intervention, the degree of joint extension, adduction, flexion, and abduction in the intervention group were higher than those in the reference group, and the differences were statistically significant (P<0.05). Conclusion Intensive nursing intervention under the concept of accelerated rehabilitation surgery can alleviate the fear of movement in patients undergoing total hip replacement with femoral head necrosis, improve the condition of joint injury, and increase the range of hip joint movement.
Key wordsFemoral head necrosis      Total hip replacement      Concept of accelerated rehabilitation surgery      Exercise fear      Joint function     
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GE Yixuan1 HUANG Zhihui2 WAN Rong1▲
Cite this article:   
GE Yixuan1 HUANG Zhihui2 WAN Rong1▲. Influence of intensive nursing under the concept of accelerated rehabilitation surgery on the prognosis effect of patients with femoral head necrosis undergoing total hip replacement[J]. 中国医药导报, 2023, 20(27): 183-186.
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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.27.41     OR     https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I27/183
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