Wang Yan, Zhu Yanying, Yang Bo
Altern Ther Health Med. 2023 Sep;29(6):254-259.
The aim of our study was to investigate the effect of implementing doctor-nurse integrated care combined with health education on joint function recovery, incidence of deep vein thrombosis, coping style, self-efficacy and nursing care satisfaction in patients undergoing hip arthroplasty.
This is a clinical prospective randomized study with 83 patients who underwent total hip arthroplasty in the orthopedic department of our hospital between May 2019 and May 2022 selected by a random number table. They were divided into 2 groups: the observation group (n = 42) and the control group (n = 41). Both groups used the integrated care model during the perioperative period. Patients in the observation group were also given health education and the differences in the incidence of lower limb deep vein thrombosis, hip function score, coping style, self-efficacy and nursing satisfaction in the 2 groups were compared.
Preoperatively, there was no statistically significant difference between the Harris Hip Score (HHS) in the observation group and the control group (P > .05); the HHS in the observation group was higher than in the control group at 2 weeks and 1 month after surgery, and the difference was statistically significant (P < .05); there was no statistically significant difference between the confrontation, avoidance and submission scores of the 2 groups the first day after surgery (P > .05); while the confrontation and avoidance scores in the observation group were higher than in the control group at 2 weeks after surgery, with statistical significance. There was no statistically significant difference between role function, emotional control, symptom management and nurse-patient communication scores in the 2 groups the first day after surgery (P > .05); while the emotional control, symptom management and nurse-patient communication scores in the observation group were higher than in the control group at 2 weeks after surgery, and the differences were statistically significant (P < .05). Overall patient satisfaction in the observation group was better than in the control group, and the difference was statistically significant (P < .05). There was no statistically significant difference in the incidence of lower limb deep vein thrombosis in the 2 groups (P > .05).
The implementation of an integrated care model combined with health education in patients with hip arthroplasty is beneficial to improving self-efficacy, patient trauma coping style, promoting early hip function recovery and improving nursing care satisfaction.
本研究旨在探讨实施医护一体化护理联合健康教育对髋关节置换术患者关节功能恢复、深静脉血栓形成发生率、应对方式、自我效能感及护理满意度的影响。
这是一项临床前瞻性随机研究，采用随机数字表法选取2019年5月至2022年5月在我院骨科行全髋关节置换术的83例患者。将其分为2组：观察组（n = 42）和对照组（n = 41）。两组在围手术期均采用一体化护理模式。观察组患者还接受健康教育，比较两组下肢深静脉血栓形成发生率、髋关节功能评分、应对方式、自我效能感及护理满意度的差异。
术前，观察组与对照组的Harris髋关节评分（HHS）差异无统计学意义（P > 0.05）；术后2周和1个月时，观察组的HHS高于对照组，差异有统计学意义（P < 0.05）；术后第1天，两组的对抗、回避和屈服评分差异无统计学意义（P > 0.05）；而术后2周时，观察组的对抗和回避评分高于对照组，差异有统计学意义。术后第1天，两组的角色功能、情绪控制、症状管理及护患沟通评分差异无统计学意义（P > 0.05）；而术后2周时，观察组的情绪控制、症状管理及护患沟通评分高于对照组，差异有统计学意义（P < 0.05）。观察组患者总体满意度优于对照组，差异有统计学意义（P < 0.05）。两组下肢深静脉血栓形成发生率差异无统计学意义（P > 0.05）。
对髋关节置换术患者实施一体化护理模式联合健康教育有利于提高自我效能感、改善患者创伤应对方式、促进髋关节功能早期恢复并提高护理满意度。
