The application of continuous nursing after hip and knee replacement
延续性护理在髋膝关节置换术后的应用研究

摘要

目的 本文主要针对延续性护理与常规护理进行探讨，观察在髋膝关节置换术后应用区别护理的临床效果，并判定对患者预后的影响。方法 本文笔者纳入100例2022年1月-2023年1月于我院行髋膝关节置换术治疗的患者参与本次研究，均分两组，将延续性护理应用于研究组患者（50例）、常规护理应用于参照组患者（50例），观察临床效果并对各组数据进行组间比对。结果 对各项研究数据统计发现，术后1个月患者髋关节功能评分以及膝关节功能评分数据对比无差异性（P＞0.05）；而术后2-3个月关节功能评分两组数据存在差异性（P＜0.05）；术后患者1-3关节疼痛评分，两组数据研究组偏低、参照组较高（P＜0.05）；术后患者1-3个月的躯体功能、生理功能、心理功能、精神状态等生活质量评分，研究组均偏高于参照组（P＜0.05）；调查患者总满意率显示研究组高于参照组（P＜0.05）。结论 针对髋膝关节置换术后患者分别开展延续性护理与常规护理，可见延续性护理效果更加明显，患者术后关节功能、疼痛感均得到快速改善，对患者生活质量的提升起到非常大的作用，效果得到患者认可，临床具有广泛应用意义。

Abstract

Objective This article mainly for continuity of care and routine care to explore, observe the clinical effect of differential care after hip and knee replacement, and determine the impact on the prognosis of patients.
Methods The author included 100 cases of patients who underwent hip and knee replacement treatment in our hospital from January 2022 to January 2023 to participate in this study, evenly divided into two groups, the continuity of care was applied to the study group of patients (50 cases), conventional care was applied to the reference group of patients (50 cases), the clinical effect was observed and the data of each group were compared between groups.
Results There was no difference in hip function scores and knee function scores one month after surgery (P > 0.05). There were differences in joint function scores between the two groups at 2-3 months after surgery (P < 0.05). Postoperative 1-3 joint pain scores were lower in the study group and higher in the reference group (P < 0.05). The scores of physical function, physiological function, mental function, mental state and other quality of life in the study group were higher than those in the control group (P < 0.05). The total satisfaction rate in the study group was higher than that in the reference group (P < 0.05).
Conclusion   For patients after hip and knee replacement respectively carry out continuity of care and routine care, continuity of care effect is more obvious, patients with postoperative joint function, pain are rapidly improved, to improve the quality of life of patients play a very big role, the effect is recognized by patients, clinical has a wide range of application significance.