Dong Lu, Sun Yindi, Hu Jing, Xiang Jie, Liu Na, Zhu Hanghang, Zeng Xueqin
General Medicine Ward, Honghui Hospital, Xi'an Jiaotong University Xi'an 710054, Shaanxi, China.
Pain Ward of Orthopedics of Traditional Chinese Medicine, Honghui Hospital, Xi'an Jiaotong University Xi'an 710054, Shaanxi, China.
Am J Transl Res. 2023 Mar 15;15(3):1779-1788. eCollection 2023.
This retrospective study primarily analyzed the influence of evidence-based nursing (EBN) on postoperative complications (POCs), negative emotions (NEs) and limb function of patients undergoing hip arthroplasty (HA).
The research participants were 109 patients undergoing HA in Honghui Hospital, Xi'an Jiaotong University from September 2019 to September 2021. Among them, 52 patients who received routine nursing intervention were set as a control group, and 57 patients that received EBN were set as the research group. The POCs (infection; pressure sores, PS; lower extremity deep venous thrombosis, LEDVT), NEs (Hamilton Anxiety/Depression Scale, HAMA/HAMD), limb function (Harris Hip Score, HHS), pain intensity (Visual Analogue Scale, VAS), quality of life (QoL; Short-Form 36 Item Health Survey, SF-36) and sleep quality (Pittsburgh Sleep Quality Index, PSQI) were compared. Finally, the risk factors of complications in patients undergoing HA were identified by Logistic regression.
The incidence of POCs such as infection, PS and LEDVT was markedly lower in the research group than that in the control group. The postinterventional HAMA and HAMD scores of the research group were obviously lower than the baseline (before intervention) and those of the control group. The research group also exhibited obviously higher scores in various dimensions of the HHS and SF-36 than the baseline and control group. Moreover, the post-interventional VAS and PSQI scores of the research group were markedly reduced compared with the baseline and those of the control group. Factors including drinking history, place of residence and nursing modality were found to be not associated with an increased risk of complications in patients undergoing HA.
EBN can lower the incidence of POCs, mitigate NEs and pain perception, and enhance limb function, QoL and sleep quality in patients undergoing HA, so it is worth popularizing.
本回顾性研究主要分析循证护理（EBN）对髋关节置换术（HA）患者术后并发症（POC）、负面情绪（NE）及肢体功能的影响。
研究对象为2019年9月至2021年9月在西安交通大学附属红会医院接受HA的109例患者。其中，52例接受常规护理干预的患者设为对照组，57例接受EBN的患者设为研究组。比较两组患者的POC（感染、压疮、下肢深静脉血栓形成）、NE（汉密尔顿焦虑/抑郁量表）、肢体功能（Harris髋关节评分）、疼痛强度（视觉模拟量表）、生活质量（健康调查简表36项）及睡眠质量（匹兹堡睡眠质量指数）。最后，通过Logistic回归分析确定HA患者并发症的危险因素。
研究组感染、压疮及下肢深静脉血栓形成等POC的发生率明显低于对照组。研究组干预后的汉密尔顿焦虑量表和汉密尔顿抑郁量表评分明显低于基线（干预前）及对照组。研究组在Harris髋关节评分和健康调查简表36项各维度的得分也明显高于基线及对照组。此外，研究组干预后的视觉模拟量表和匹兹堡睡眠质量指数评分与基线及对照组相比明显降低。发现饮酒史、居住地及护理方式等因素与HA患者并发症风险增加无关。
EBN可降低HA患者POC的发生率，减轻NE和疼痛感知，提高肢体功能、生活质量及睡眠质量，值得推广。
