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Application effect of continuous care of interactive standard theory in patients after artificial hip replacement in accelerated rehabilitation surgery |
NVRGUL·Mithat1 SHI Lingyun2 WANG Xinling3▲ |
1.School of Nursing of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China;
2.Department of Joint Surgery, the First Affiliated Hospital, Xinjiang Uygur Autonomous Region, Urumqi 830011, China;
3.Nursing Department, the Fifth Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China |
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Abstract Objective To investigate the effect and evaluation of continuous care in patients undergoing artificial hip replacement (THA) by using Interactive standard theory in enhanced recovery after surgery (ERAS). Methods From December 2017 to July 2018, 102 patients with THA in Joint Surgery Department of the First Affiliated Hospital of Xinjiang Medical University were selected, patients were divided into experimental group and control group by random number table method. The control group adopted traditional discharge and follow-up nursing mode, and the experimental group adopted interactive standard theory for continuous care on this basis. The scores of hip joint function (Harris), daily living ability (ADL), pain, complication rate and satisfaction after discharge were compared between the two groups. Results During postoperative follow-up, Harris score, ADL score and patient satisfaction of the experimental group were higher than those of the control group, while pain score and complication rate were lower than those of the control group. The difference was statistically significant (P < 0.05 or P < 0.01). Conclusion In the case of THA patients in ERAS mode, the application of interactive compliance theory to implement continuity care achieved good results, which is conducive to further promoting the early out-of-hospital rehabilitation of patients and enriching and improving the connotation of ERAS and high-quality nursing service, which is worth promoting in clinical practice.
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[1] 梁廷波.加速康复外科理论与实践[M].2018版.北京:人民卫生出版社,2018:7-8.
[2] 刘曼,卢丽.延伸护理在老年髋部骨折患者术后康复中的应用[J].护理实践与研究,2014,11(2):48-49.
[3] 高巧霞.延伸护理服务在髋关节置换术后患者康复训练中的应用[J].世界最新医学信息文摘,2015(45):211-211.
[4] 李晓慧,孙思.系统性出院指导对老年高血压患者服药依从性的影响[J].中国循环杂志,2014(s1):199-199.
[5] 周宗科,翁习生,曲铁兵,等.中国髋、膝关节置换术加速康复-围术期管理策略专家共识[J].中华骨与关节外科杂志,2016,9(1):1-9.
[6] 姜安丽.护理理论[M].北京:人民卫生出版社,2009:143-157.
[7] 嵇秀明,夏珊敏.达标理论在临床护理健康教育中的应用研究[J].当代护士:上旬刊,2018(3):4-5.
[8] 温寅林,王玲.达标理论在糖尿病出院患者延续护理中的应用效果[J].全科护理,2016,14(8):810-812.
[9] 赵莉,李东.德国医院出院管理模式及对我国的启示[J].护理研究,2014(23):2936-2937.
[10] 沈彬,翁习生,廖刃,等.中国髋、膝关节置换术加速康复-围术期疼痛与睡眠管理专家共识[J].中华骨与关节外科杂志,2016,9(2):91-97.
[11] Krohn DA. Discharge Instructions in the Outpatient Setting:Nursing Considerations [J]. J Radiology Nursing,2008, 27(1):29-33.
[12] 孟庆峰.髋关节置换术对股骨颈骨折老年患者的治疗作用研究[J].中国实用医药,2018,13(4):16-17.
[13] 李苗苗,代永静.Barthel指数评分量表在康复护理中的应用进展[J].护士进修杂志,2018,33(6):508-510.
[14] 陈希聪,周观明,刘少华,等.多模式镇痛在人工髋关节置换术中的应用效果[J].中国当代医药,2017,24(6):44-46.
[15] 张少云,谢锦伟,裴福兴.髋、膝关节置换患者出院后非计划再入院危险因素及原因[J].中国矫形外科杂志,2017,25(23):2156-2159.
[16] Bernard H. Patients experience of enhanced recovery after surgery(ERAS) [J]. Br J Nurs,2014,23:100-106.
[17] 叶佐武,裘维焰,张耀锋,等.基于J2EE技术的出院后健康管理服务体系的设计与实践[J].中国医院,2014(6):68-70.
[18] 黄溢,王月萍,陆浩惠,等.“四位一体”指导下延续性照护在2型糖尿病患者护理中的效果研究[J].当代护士:上旬刊,2018(6):51-53.
[19] 江志伟,李宁,黎介寿.加速康复外科的概念及临床意义[J].中国实用外科杂志,2007,27(2):131-133.
[20] 王亚婷,蔡婷婷,曹梅娟,等.金的达标理论在护理健康教育中的应用与展望[J].中华现代护理杂志,2016,22(19):2806-2809.
[21] 孙鸿燕,李帆,陶春花,等.金的达标理论在我国临床护理实践中的应用研究进展[J].护理研究,2017,31(9):1029-1031. |
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