Altern Ther Health Med. 2023 Jul;29(5):216-221.
To compare the outcomes of routine nursing vs continuous nursing in promoting the recovery of hip joint function and self-care ability and improving the psychological state of patients receiving hip joint replacement.
A total of 312 patients who had received hip joint replacement were randomly divided into 2 groups: the routine nursing group and the continuous nursing group. Continuous nursing included guidance for the recovery of muscle function, psychological support, emotional support and pain control. The patients were followed up until 3 months after discharge. Harris Hip (HHS), Barthel Index (BI), Self-rating Depressive Scale (SDS), and Numeric Rating Scale (NRS) scores were compared in the 2 groups at discharge and at 1 and 3 months after discharge.
After discharge, the HHS and BI score increased in both groups. The SDS and NRS scores gradually decreased in the 2 groups. These changes were more pronounced in the intervention group. There were significant differences in these indicators between the 2 groups upon discharge and at 1 and 3 months after discharge. The outcome indicators were compared at different time points in the intervention group. In the control group, there was no significant difference in the SDS or NRS scores at 1 and 3 months after discharge.
Continuous nursing promotes the recovery of hip joint function and self-care ability and improves the psychological state and pain control in patients undergoing hip joint replacement.
比较常规护理与连续护理对促进髋关节功能恢复和自理能力、改善髋关节置换患者心理状态的效果。
将 312 例行髋关节置换术的患者随机分为常规护理组和连续护理组。连续护理包括肌肉功能恢复指导、心理支持、情感支持和疼痛控制。患者随访至出院后 3 个月。比较两组患者出院时、出院后 1 个月和 3 个月的髋关节 Harris（HHS）评分、Barthel 指数（BI）、抑郁自评量表（SDS）和数字评分量表（NRS）评分。
出院后，两组 HHS 和 BI 评分均升高，SDS 和 NRS 评分逐渐下降，干预组变化更明显。两组出院时及出院后 1 个月和 3 个月的上述指标比较，差异均有统计学意义。干预组不同时间点的结果指标比较，出院后 1 个月和 3 个月的 SDS 和 NRS 评分差异无统计学意义。
连续护理可促进髋关节置换患者髋关节功能恢复和自理能力，改善心理状态和疼痛控制。
