CAJ | 학술논문

目的：探讨专职康复护理对于生物型全髋关节置换术后功能恢复的影响。方法选择生物型全髋关节置换术患者114例，随机分为两组，观察组（ n＝63）由专职康复护士对其进行专职康复护理；对照组（ n＝51）由责任护士对其进行随机康复护理，采用Harris评分评价两组康复效果，并观察髋关节X线片检查情况及并发症情况。结果观察组患者出院前1 d Harris总评分（64．9±6．4）分、术后6周为（78．5±5．1）分、术后3个月为（90．0±4．2）分，均高于对照组，两组比较差异有统计学意义（ t值分别为5．377，3．059，4．288；P＜0．01），两组患者出院前1 d、术后6周、术后3个月疼痛程度、生活能力、行走能力评分比较差异均有统计学意义（P＜0．01）。两组患者髋关节X线片均显示假体良好、未有异常；两组患者并发症发生率观察组为0．0％，对照组为11．8％，差异有统计学意义（χ2＝6．981，P＜0．01）。结论专职康复护理促进了生物型人工全髋关节置换术后功能的恢复。
목적：탐토전직강복호리대우생물형전관관절치환술후공능회복적영향。방법선택생물형전관관절치환술환자114례，수궤분위량조，관찰조（ n＝63）유전직강복호사대기진행전직강복호리；대조조（ n＝51）유책임호사대기진행수궤강복호리，채용Harris평분평개량조강복효과，병관찰관관절X선편검사정황급병발증정황。결과관찰조환자출원전1 d Harris총평분（64．9±6．4）분、술후6주위（78．5±5．1）분、술후3개월위（90．0±4．2）분，균고우대조조，량조비교차이유통계학의의（ t치분별위5．377，3．059，4．288；P＜0．01），량조환자출원전1 d、술후6주、술후3개월동통정도、생활능력、행주능력평분비교차이균유통계학의의（P＜0．01）。량조환자관관절X선편균현시가체량호、미유이상；량조환자병발증발생솔관찰조위0．0％，대조조위11．8％，차이유통계학의의（χ2＝6．981，P＜0．01）。결론전직강복호리촉진료생물형인공전관관절치환술후공능적회복。
Objective To explore the effect of the full-time rehabilitation nursing on the functional recovery after the noncemented total hip replacement .Methods One hundred and fourteen patients with noncemented total hip replacement were chosen and randomly divided into the control group ( n=51 ) and the observation group (n=63).The control group received the random rehabilitation nursing through the executive nurses, and the observation group received the full-time rehabilitation nursing through the full-time rehabilitation nurses.Results The scores of Harris at 1 d before discharge , 6 weeks after the operation and 3 months after the surgery were respectively (64.9 ±6.4), (78.5 ±5.1), (90.0 ±4.2) in the observation group, and were higher than those in the control group , and the differences were statistically significant ( t =5.377,3.059, 4.288, respectively;P<0.01).The scores of pain degree , living ability, walk ability at 1 d before discharge, 6 weeks after the operation and 3 moths after the operation between two groups had statistical significances ( P<0.01);when two groups of patients discharged hip X-ray showed good prosthesis , no exception.Experimental group patients with complications of 0.0%, the control group in the incidence of complications was 11.8%, the difference was statistically significant (χ2 =6.981,P <0.01).Conclusions The full-time rehabilitation nursing promotes the functional recovery after the noncemented total hip replacement .