Altern Ther Health Med. 2024 Feb;30(2):30-35.
This study aims to investigate the use of an elastic traction band in conjunction with pain evaluation in geriatric patients after hip replacement.
Eighty hip arthroplasty cases involving senior patients at our institution were chosen for this study, covering the period from February 2021 to January 2022. They were separated into the control and observation groups using the premise of comparing and contrasting the two groups' shared fundamental characteristics. Traditional nursing care was given to the control group, while the observation group got an elastic stretch traction belt and pain assessment nursing care. The application effect of the two groups was observed.
Before surgery, there was no statistically significant difference in the Harris hip function score between the two groups (P > .05). Harris scores for research items in both groups improved 6 months after surgery, compared to scores obtained before surgery (P < .05), and the increase was greater in the observation group than in the control group (P < .05). Self-efficacy for physical activity, coping, and the overall SER scale were all greater in the observation group than in the control group (P < .05). There was no statistically significant difference between the two groups on any measure of material wellbeing (P > .05). Mental and physical health scores were better in the observation group than in the control group (P < .05). Patients' social dimensions were compared to those of two control groups, and the results showed no statistically significant difference in terms of social function aspects (P > .05), although the control group reported much lower levels of enjoyment, learning, and work, the observation group reported significantly greater levels (P < .05). Patient treatment compliance study using a rank sum test revealed that the observation group's postoperative exercise compliance was considerably greater than that of the control group. Observation group members were more compliant than control group members, with an average rank of 30.829 compared to 40.171 for both groups (P < .05).
Patients who have had hip arthroplasty may benefit from using an elastic traction belt in conjunction with pain assessment to increase the likelihood that they would participate in rehabilitation exercises, so enhancing their self-efficacy, hip function, and quality of life.
本研究旨在探讨弹性牵引带联合疼痛评估在老年髋关节置换术后患者中的应用。
选取我院 2021 年 2 月至 2022 年 1 月收治的 80 例老年髋关节置换术患者,采用组间对比的方法,将患者分为对照组和观察组,每组 40 例。对照组给予常规护理,观察组在对照组的基础上给予弹性拉伸牵引带和疼痛评估护理,观察两组的应用效果。
术前两组 Harris 髋关节功能评分比较,差异无统计学意义(P >.05)。两组术后 6 个月的 Harris 研究项目评分均高于术前(P <.05),观察组高于对照组(P <.05)。观察组患者的躯体活动效能感、应对方式、总体 SER 量表得分均高于对照组(P <.05)。两组物质生活维度得分比较,差异无统计学意义(P >.05)。观察组患者的心理健康、生理健康评分均优于对照组(P <.05)。观察组患者的社会维度评分与对照组比较,社会功能维度差异无统计学意义(P >.05),而在享受、学习和工作方面,对照组得分均低于观察组,差异有统计学意义(P <.05)。秩和检验比较两组患者的治疗依从性,观察组术后运动依从性明显优于对照组,观察组依从性明显优于对照组,平均秩次为 30.829,对照组为 40.171(P <.05)。
髋关节置换术后患者应用弹性牵引带联合疼痛评估,可提高患者参与康复锻炼的积极性,增强自我效能感,改善髋关节功能,提高生活质量。