快速康复外科理念在老年全髋关节置换术围手术期护理中的应用

发布时间：2018-01-15 16:24

本文关键词：快速康复外科理念在老年全髋关节置换术围手术期护理中的应用　出处：《当代护士(上旬刊)》2016年12期 　论文类型：期刊论文

【摘要】：目的探讨快速康复外科理念应用于老年全髋关节置换术患者围手术期管理的效果。方法将2014年1月~2015年3月在本院骨科行全髋关节置换的老年患者分为对照组和观察组。对照组采用传统围手术期护理;观察组在传统围手术期护理基础上,融入快速康复外科理念的方法,比较两组患者的心理状态、手术前后Harris评分、术后首次下床活动时间以及并发症的发生情况。结果观察组患者术后焦虑评分、术后首次下床活动时间、平均住院天数和术后并发症的发生率均明显低于对照组,差异有统计学意义(P0.05),而术后1周、1月、3月的Harris评分明显优于对照组,差异有统计学意义(P0.05)。结论快速康复外科理念应用于老年全髋关节置换术围手术期护理,可减少并发症的发生,缩短住院时间,促进老年患者的术后恢复。
[Abstract]:Objective to investigate the effect of rapid rehabilitation surgery on the perioperative management of elderly patients undergoing total hip replacement. Methods from January 2014 to March 2015, total hip replacement was performed in the orthopedic department of our hospital. The patients were divided into control group and observation group. On the basis of traditional perioperative nursing, the observation group was integrated with the method of rapid rehabilitation surgery to compare the psychological state and Harris score of the two groups before and after operation. Results the postoperative anxiety score and the first time of getting out of bed after operation were observed in the observation group. The average days of hospitalization and the incidence of postoperative complications were significantly lower than those in the control group, the difference was statistically significant (P 0.05). However, the Harris score of 1 week, January and March was significantly better than that of the control group. Conclusion the concept of rapid rehabilitation surgery can reduce the incidence of complications and shorten the hospitalization time in the perioperative nursing care of the elderly patients with total hip arthroplasty. To promote postoperative recovery in elderly patients.
【作者单位】：江苏省宜兴市人民医院骨科;
【分类号】：R473.6
【正文快照】： 全髋关节置换术(Total Hip Arthroplasty,THA)是一种成熟的骨外科手术,是重建髋关节功能、缓解疼痛、纠正畸形的有效治疗手段。该手术在我国广泛开展,但由于老年患者各器官机能的衰退、以及手术的创伤,常影响到老年患者术后的康复效果。快速康复外科(FTS)理念2001年由丹麦腹部

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