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应用介入治疗模式改善老年全髋关节置换术患者术后恢复质量的临床效果

Clinical Effect of Application of Interventional Treatment Models for Improvement of Quality of Postoperative Recovery in Elderly Patients with Total Hip Arthroplasty.

作者信息

Shen Jia-Li, Hang Ling-Yan, He Fan, Xu Xiao, Sun Hui-Ping

机构信息

Department of Orthopaedic, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, 310006, People's Republic of China.

出版信息

Int J Gen Med. 2022 Nov 25;15:8343-8351. doi: 10.2147/IJGM.S388209. eCollection 2022.

Abstract

OBJECTIVE

To investigate the application value of the interventional treatment model for improving the recovery of elderly patients after total hip arthroplasty (THA).

METHODS

A total of 50 patients who received THA were randomly divided into the control group (25 cases) undergoing traditional treatment and the experimental group (25 cases) undergoing intervention of cognition, emotion, environment, education, nutrition, and sleep. The mini-mental state examination (MMSE) score, the incidence and duration of postoperative cognitive dysfunction (POCD), the out-of-bed activity time, hospital stays, and the satisfaction degree of patients were compared between the two groups.

RESULTS

There was no statistically significant difference in basic information between the two groups. On days 7 and 14 after surgery, the MMSE score of the control group was significantly lower than that of the experimental group (P <0.05). The incidence of POCD in the experimental group was lower and its duration was shorter than in the control group but without statistical significance. Besides, the significantly decreased out-of-bed activity time, the reduced length of hospital stay, and the higher satisfaction degree were observed in the experimental group (P <0.05).

CONCLUSION

Interventional treatment model could significantly increase the MMSE score, accelerate the recovery of elderly patients after THA, and increase their satisfaction degree.

摘要

目的

探讨干预治疗模式对提高老年全髋关节置换术(THA)患者术后康复效果的应用价值。

方法

选取50例行THA的患者,随机分为对照组(25例)接受传统治疗,实验组(25例)接受认知、情感、环境、教育、营养及睡眠方面的干预。比较两组患者的简易精神状态检查表(MMSE)评分、术后认知功能障碍(POCD)的发生率及持续时间、下床活动时间、住院时间以及患者满意度。

结果

两组患者的基本信息无统计学差异。术后第7天和第14天,对照组的MMSE评分显著低于实验组(P<0.05)。实验组POCD的发生率低于对照组,持续时间短于对照组,但无统计学意义。此外,实验组下床活动时间显著缩短,住院时间缩短,满意度更高(P<0.05)。

结论

干预治疗模式可显著提高MMSE评分,加速老年THA患者术后康复,提高其满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcae/9707534/4169fbf79d19/IJGM-15-8343-g0001.jpg

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