Analysis of the effect of using combined extended care services to improve home rehabilitation of patients discharged from hospital after hip replacement surgery
运用联合延续护理服务提高髋关节置换术后出院患者居家康复的效果分析

摘要

目的 研究延续护理服务的实施路径及在髋关节置换术出院患者护理中的应用价值。方法 随机数字表分组方法及流程下，将我院80例行人工髋关节置换术治疗的患者分为YN组40例和YX组40例，术后出院护理中YN组患者实施常规护理，YX组患者在YN的基础上联合实施延续护理。对比两组患者术后并发症（感染、假体松动、血栓形成、关节脱位）的发生率，评价患者髋关节功能（髋关节Harris评分法），并调查护理满意度。结果 YX组患者术后并发症的发生率为5%，低于YN组的15%（P＜0.05）。YX组患者术后髋关节功能优良率为82.50%，高于YN的70%（P＜0.05）。YX组患者护理满意度为95%，高于YN组的75%（P＜0.05）。结论 髋关节置换术后出院患者予以延续护理服务可有效降低患者术后并发症的发生率，提高髋关节功能康复效果，提高患者护理满意度。

Abstract

Objective To study the implementation path of extended care service and its application value in the care of patients discharged from the hospital after hip arthroplasty.
Methods Under the random number table grouping method and process, 80 patients treated with artificial hip arthroplasty in our hospital were divided into 40 cases in the YN group and 40 cases in the YX group, and in the postoperative discharge care, patients in the YN group were implemented with routine care, and patients in the YX group were jointly implemented with continuation care on the basis of YN. The incidence of postoperative complications (infection, prosthesis loosening, thrombosis, and joint dislocation) was compared between the two groups, the patients' hip function was evaluated (Hip Harris Score Method), and nursing satisfaction was investigated.
Results The incidence of postoperative complications in the YX group was 5%, which was lower than that of 15% in the YN group (P < 0.05). The rate of excellent postoperative hip function in the YX group was 82.50%, which was higher than that of 70% in the YN group (P < 0.05). The satisfaction of nursing care for patients in the YX group was 95%, which was higher than that of 75% in the YN group (P < 0.05).
Conclusion   Continuous nursing care for patients discharged from hospital after hip arthroplasty can effectively reduce the incidence of postoperative complications, improve the effect of functional rehabilitation of the hip joint, and increase the satisfaction of patient care.