摘要
目的 分析髋关节置换术中应用基于风险评估策略的分层干预的价值。方法 将2025年1月-2025年11月内接受髋关节置换术后的195例患者区组随机法分为2组,观察组98例实施基于风险评估策略的分层干预,对照组97例实施常规术后护理,对比相关观察指标。结果 护理后,观察组HHS髋部评分、疼痛评分、Barthel指数量评分优于对照组,差异有统计学意义(P﹤0.05)。结论 髋关节置换术应用基于风险评估策略的分层干预,能有效缓解疼痛,促进髋关节功能恢复,提高自理能力。
关键词: 风险评估;分层干预;髋关节置换术
Abstract
Objective To analyze the value of applying stratified intervention based on risk assessment strategies in hip joint replacement surgeries. Methods From January 2025 to November 2025, 195 patients who underwent hip replacement surgery were randomly divided into two groups. 98 patients in the observation group received stratified intervention based on risk assessment strategies, while 97 patients in the control group received routine postoperative care. The relevant observation indicators were compared. Results After the nursing intervention, the HHS hip score, pain score, and Barthel index score of the observation group were better than those of the control group, and the difference was statistically significant (P<0.05). Conclusion The application of stratified intervention based on risk assessment strategy in hip joint replacement surgery can effectively relieve pain, promote the recovery of hip joint function, and enhance the self-care ability.
Key words: Risk assessment; Stratified intervention; Hip replacement surgery
参考文献 References
[1] 龚洪军.全髋与半髋关节置换术治疗老年股骨颈骨折的疗效比较[J].临床骨科杂志,2023,26(1):38-41.
[2] 陆斐,金爱东,任英,等.全髋关节置换患者48小时全程护理模式的研究[J].中华护理杂志,2022,57(10):1157-1164.
[3] 张迪,谢中华,王珊珊,等.机器人疼痛智能分级管理在髋膝关节置换术后急性疼痛管理中的应用[J].中华现代护理杂志,2024,30(36):4986-4990.
[4] 范晶晶,卞丽艳,陈媛.风险评估策略下的分层干预在髋关节置换术后患者护理中的应用[J].中国医药导报,2022, 19(34):194-197.
[5] 呼瑞,崔红梅.基于风险评估策略下分层护理干预对老年髋关节置换术患者的影响[J].山西医药杂志,2021,50(13): 2132-2135.
[6] 林楚琪,伊莉,陈丽言,等.以风险评估为依据的分层护理对老年髋关节置换患者术后并发症及生活质量的影响[J].云南医药,2021,42(01):87-89.
[7] 张继如,胡娟,田秀梅,等.专科护理质量敏感指标在后入路髋关节置换术后安全管理中的构建与应用[J].蚌埠医学院学报,2023,48(12):1770-1773.
[8] 彭璐.基于计划行为理论的分阶段康复护理在老年髋关节置换术后患者中的应用[J].医疗装备,2025,38(23):110-112+116.
[9] 谢倩明,廖春燕,陈国伟,等.老年髋关节置换术患者运动感知的分型预测及护理启示[J].中华护理杂志, 2025, 60(19): 2364-2370.
[10] 宋麟茹,曹亚琴,闵继康,等.基于健康信念模式的奥塔戈运动在全髋关节置换术后患者居家康复中的应用研究[J].中华护理杂志,2025,60(24):2949-2956.
[11] 古桂芳,钟丽清,李志雄.以健康信念模式为理论框架个案管理模式在SuperPATH微创全髋关节置换术患者中的应用[J].现代临床护理,2021,20(6):19‑25.
[12] 王菲,杨洁,贺静.全髋关节置换术后患者疼痛灾难化现况及其影响因素[J].现代临床护理,2025,24(1):9‑15.