中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
20期
76-80
,共5页
鲁娟%余洁静%吴苗苗%吴娇臻%周一飞
魯娟%餘潔靜%吳苗苗%吳嬌臻%週一飛
로연%여길정%오묘묘%오교진%주일비
加速康复理念%微创髋关节置换术%围手术期护理
加速康複理唸%微創髖關節置換術%圍手術期護理
가속강복이념%미창관관절치환술%위수술기호리
Fast-track rehabilitation concept%Minimally invasive hip replacement surgery%Perioperative nursing
目的：评价加速康复外科理念指导下微创髋关节置换患者围手术期康复治疗的效果。方法选取我院收治的股骨头无菌性坏死及股骨颈骨折患者72例，按入院时间分成FTS护理组和传统护理组，每组36例。传统护理组患者实施传统的临床路径， FTS组患者实施应用FTS贯穿于人工髋关节置换术临床路径中进行治疗及护理优化，对两组患者的护理及治疗效果进行回顾性分析。结果 FTS组护理满意度优于传统护理组（P＜0．05），FTS组住院天数及住院费用均低于传统组（P＜0．05），两组术后远期康复效果第3个月及第6个月ADL评分无明显差异（t=-1.467、P=0.147；t=-1.599、P=0.114)，但在近期康复效果术后2周及1个月ADL评分可看出，FTS组患者ADL分值高于传统护理组，差异有统计学意义（t=-2.307、P=0.024；t=-2.451、P=0.017)。结论在人工髋关节置换术临床路径中，应用加速康复理念能有效防止并发症的发生，缩短住院天数及减少住院费用，提高护理满意度，加快人工髋关节置换术患者功能恢复，提高生活质量。
目的：評價加速康複外科理唸指導下微創髖關節置換患者圍手術期康複治療的效果。方法選取我院收治的股骨頭無菌性壞死及股骨頸骨摺患者72例，按入院時間分成FTS護理組和傳統護理組，每組36例。傳統護理組患者實施傳統的臨床路徑， FTS組患者實施應用FTS貫穿于人工髖關節置換術臨床路徑中進行治療及護理優化，對兩組患者的護理及治療效果進行迴顧性分析。結果 FTS組護理滿意度優于傳統護理組（P＜0．05），FTS組住院天數及住院費用均低于傳統組（P＜0．05），兩組術後遠期康複效果第3箇月及第6箇月ADL評分無明顯差異（t=-1.467、P=0.147；t=-1.599、P=0.114)，但在近期康複效果術後2週及1箇月ADL評分可看齣，FTS組患者ADL分值高于傳統護理組，差異有統計學意義（t=-2.307、P=0.024；t=-2.451、P=0.017)。結論在人工髖關節置換術臨床路徑中，應用加速康複理唸能有效防止併髮癥的髮生，縮短住院天數及減少住院費用，提高護理滿意度，加快人工髖關節置換術患者功能恢複，提高生活質量。
목적：평개가속강복외과이념지도하미창관관절치환환자위수술기강복치료적효과。방법선취아원수치적고골두무균성배사급고골경골절환자72례，안입원시간분성FTS호리조화전통호리조，매조36례。전통호리조환자실시전통적림상로경， FTS조환자실시응용FTS관천우인공관관절치환술림상로경중진행치료급호리우화，대량조환자적호리급치료효과진행회고성분석。결과 FTS조호리만의도우우전통호리조（P＜0．05），FTS조주원천수급주원비용균저우전통조（P＜0．05），량조술후원기강복효과제3개월급제6개월ADL평분무명현차이（t=-1.467、P=0.147；t=-1.599、P=0.114)，단재근기강복효과술후2주급1개월ADL평분가간출，FTS조환자ADL분치고우전통호리조，차이유통계학의의（t=-2.307、P=0.024；t=-2.451、P=0.017)。결론재인공관관절치환술림상로경중，응용가속강복이념능유효방지병발증적발생，축단주원천수급감소주원비용，제고호리만의도，가쾌인공관관절치환술환자공능회복，제고생활질량。
Objective To evaluate the perioperative rehabilitation treatment effects of the patients receiving minimally invasive hip replacement under the guidance of fast-track rehabilitation surgery concept. Methods Seventy-two pa-tients with femoral head aseptic necrosis and femoral neck fractures treated in our hospital were selected and divided into the FTS nursing group and the traditional nursing group according to the hospital admission time, with 36 patients in each group. The traditional nursing group followed the traditional clinical pathway and the FTS group followed the clinical pathway with FTS run through artificial hip replacement for the purpose of treatment and optimized nursing. The nursing and treatment effects of the two groups were analyzed retrospectively. Results The FTS group had better nursing satisfaction than the traditional nursing group (P<0.05), and shorter hospital stay and lower hospitalization cost than the traditional group (P<0.05). In terms of postoperative long-term rehabilitation effect, the two groups were not significantly different in the ADL scores in the 3rd and 6th month(t=-1.467, P=0.147;t=-1.599, P=0.114), but in terms of postoperative short-term rehabilitation effect, the FTS group had higher ADL scores than the traditional nursing group in the 2nd week and 1st month, with statistically significant differences (t=-2.307, P=0.024; t=-2.451, P=0.017). Conclusion In the clinical pathway of artificial hip replacement, the application of fast-track rehabilitation concept can effectively prevent the occurrence of complications, shorten hospital stay, reduce hospitalization cost, improve nursing satisfaction, accelerate functional recovery of the patients receiving artificial hip replacement and improve the quality of life.
