人工髋关节置换术后全面护理干预对改善髋关节创伤性骨关节炎患者生活能力效果研究

摘要

Objective To explore the comprehensive nursing intervention after hip arthroplasty for improving the living ability of patients with traumatic osteoarthritis of the hip. Methods Study selected from January 2014 to January 2014 in treatment of 100 cases of hip arthroplasty patients as the research object, its with random number table method can be divided into observation group (50 cases) and control group (50 cases) and control group patients with routine nursing, postoperative observation group of patients after the implementation of comprehensive nursing intervention, compared two groups of patients after the intervention effect and satisfaction, and take the quality of life questionnaire (SF-36) evaluate patients quality of life, anxiety (HAMA) and Hamilton depression scale (HAMD) to evaluate patients psychological status after the intervention. Results Intervention group patients after curative effect was 96.00%, signiifcantly higher than that of control group 82.00%, P<0.05. Observation group nursing intervention in patients with total satisfaction rate was 98.00%, significantly higher than the control group 84.00%, P<0.05. Observation group of patients after the intervention of SF-36, HAMA and HAMD rating scale were signiifcantly better than the control group, P<0.05, the difference is statistically signiifcant. Conclusion Patients with traumatic osteoarthritis of the hip to implement artiifcial hip replacement treatment effect is good, be patient better recovery of patients after comprehensive nursing intervention, the quality of life significantly increased, psychological condition improved, nursing satisfaction is high, and has high clinical value.%目的：探究人工髋关节置换术后全面护理干预对改善髋关节创伤性骨关节炎患者生活能力效果。方法研究选取2014年1月-2016年1月进行人工髋关节置换术治疗的100例患者作为研究对象，将其以随机数字表法分为观察组(50例)与对照组(50例)，对照组患者术后常规护理，观察组患者术后实施全面护理干预，对比两组患者干预后疗效及满意度，并采取生活质量量表(SF-36)评估患者生活质量，汉密尔顿焦虑(HAMA)及抑郁(HAMD)量表评估患者干预后心理状态。结果观察组患者干预后疗效优良率为96.00%，显著高于对照组82.00%，P＜0.05；观察组患者护理干预总满意率为98.00%，明显高于对照组84.00%，P＜0.05；观察组患者干预后SF-36、HAMA、HAMD量表评分均显著优于对照组，P均＜0.05，差异具有统计学意义。结论髋关节创伤性骨关节炎患者实施人工髋关节置换术治疗效果良好，予以患者术后全面护理干预后患者恢复更好，生活质量显著提升，心理状态改善，且护理满意度高，具有较高临床实施价值。