解放军护理杂志
解放軍護理雜誌
해방군호리잡지
NURSING JOURNAL OF CHINESE PEOPLE'S LIBERATION ARMY
2014年
22期
5-8
,共4页
持续性护理%老年%全髋关节置换%功能恢复
持續性護理%老年%全髖關節置換%功能恢複
지속성호리%노년%전관관절치환%공능회복
continuing nursing intervention%elderly patients%total hip arthroplasty%functional recovery
目的：探讨持续性护理干预对促进老年全髋关节置换术后患者功能恢复的作用。方法便利选取2011年5月至2013年5月在庆元县人民医院接受髋关节置换术的64例老年髋部骨折患者，采用随机数字表法分为干预组和对照组各32例。对照组接受髋部骨折术后常规护理；干预组在接受常规护理的同时，给予以功能锻炼和心理支持为核心的院内外持续性护理干预。分别于患者出院时及出院后1、3个月，比较两组患者的Harris髋关节评分、Barthel指数及老年抑郁量表（geriatric depression scale ，GDS）评分。结果出院时，两组患者的Barthel指数、Harris髋关节总评分差异均无统计学意义（P＞00．5），干预组Barthel指数及Harris髋关节总评分在出院后1、3个月时均明显高于对照组（均 P＜00．5）。出院时、出院后1个月，两组患者的GDS评分差异无统计学意义（ P＞00．5），干预组GDS评分在出院后3个月明显低于对照组（ P＜00．5）。结论以功能锻炼和心理支持为核心的持续性护理干预可以有效改善老年全髋关节置换术后患者髋关节功能、日常生活能力和抑郁症状，有助于促进患者的身心康复。
目的：探討持續性護理榦預對促進老年全髖關節置換術後患者功能恢複的作用。方法便利選取2011年5月至2013年5月在慶元縣人民醫院接受髖關節置換術的64例老年髖部骨摺患者，採用隨機數字錶法分為榦預組和對照組各32例。對照組接受髖部骨摺術後常規護理；榦預組在接受常規護理的同時，給予以功能鍛煉和心理支持為覈心的院內外持續性護理榦預。分彆于患者齣院時及齣院後1、3箇月，比較兩組患者的Harris髖關節評分、Barthel指數及老年抑鬱量錶（geriatric depression scale ，GDS）評分。結果齣院時，兩組患者的Barthel指數、Harris髖關節總評分差異均無統計學意義（P＞00．5），榦預組Barthel指數及Harris髖關節總評分在齣院後1、3箇月時均明顯高于對照組（均 P＜00．5）。齣院時、齣院後1箇月，兩組患者的GDS評分差異無統計學意義（ P＞00．5），榦預組GDS評分在齣院後3箇月明顯低于對照組（ P＜00．5）。結論以功能鍛煉和心理支持為覈心的持續性護理榦預可以有效改善老年全髖關節置換術後患者髖關節功能、日常生活能力和抑鬱癥狀，有助于促進患者的身心康複。
목적：탐토지속성호리간예대촉진노년전관관절치환술후환자공능회복적작용。방법편리선취2011년5월지2013년5월재경원현인민의원접수관관절치환술적64례노년관부골절환자，채용수궤수자표법분위간예조화대조조각32례。대조조접수관부골절술후상규호리；간예조재접수상규호리적동시，급여이공능단련화심리지지위핵심적원내외지속성호리간예。분별우환자출원시급출원후1、3개월，비교량조환자적Harris관관절평분、Barthel지수급노년억욱량표（geriatric depression scale ，GDS）평분。결과출원시，량조환자적Barthel지수、Harris관관절총평분차이균무통계학의의（P＞00．5），간예조Barthel지수급Harris관관절총평분재출원후1、3개월시균명현고우대조조（균 P＜00．5）。출원시、출원후1개월，량조환자적GDS평분차이무통계학의의（ P＞00．5），간예조GDS평분재출원후3개월명현저우대조조（ P＜00．5）。결론이공능단련화심리지지위핵심적지속성호리간예가이유효개선노년전관관절치환술후환자관관절공능、일상생활능력화억욱증상，유조우촉진환자적신심강복。
Objective To discuss the effect of continuing nursing intervention in promoting functional re‐covery of elderly patients after total hip arthroplasty .Methods By convenience sampling ,64 elderly pa‐tients with total hip arthroplasty were selected and equally divided into intervention group and control group .Control group received conventional nursing ,and intervention group received functional exercise and psychological support continuing nursing intervention on the basis of conventional nursing .Harris score , Barthel index and GDS score of two groups were compared on the time of discharge and first and third months after discharge .Results There were no statistic significance of Barthel index and Harris score between two groups of patients(P>0 0.5) .Barthel index and Harris score of intervention group at first month and third months after discharge were higher than control group (all P<0 0.5) .GDS score of two group on discharge and one month after discharge had no significant difference(P>0 0.5) .GDS score of intervention group at three months after discharge were lower than control group(P<0 .05) .Conclusion Continuous nursing inter‐vention w hich focus on functional exercises and psychological support could help to promote the hip func‐tion ,activities of daily living and depression level of elderly patients after total hip arthroplasty .
