多学科协作模式下分层护理对髋关节置换患者术后疼痛管理及功能恢复的影响

The Impact of Hierarchical Nursing under the Multi-Disciplinary Collaboration Model on Postoperative Pain Management and Functional Recovery of Patients Undergoing Hip Replacement Surgery

摘要: 目的：探讨MDT模式下分层护理在髋关节置换患者术后疼痛管理、关节功能恢复及康复进程的影响。方法：本研究纳入2024年6月~2025年12月在桂林医科大学第二附属医院骨科一病区接受髋关节置换术的80例患者，采用随机分组方式，设观察组(40例)与对照组(40例)。对照组实施常规围术期护理，观察组实施MDT模式下分层护理。比较两组术后不同时间点视觉模拟评分法(VAS)评分、Harris髋关节评分、康复进程指标及护理满意度。结果：观察组各项观察指标均显著优于对照组，包括术后VAS评分(24 h、48 h、72 h)、Harris评分(术后1个月、3个月)、首次下床活动时间、住院天数及护理满意度(P < 0.05)。结论：将MDT模式与分层护理相结合，能够有效缓解THA患者术后疼痛，促进髋关节功能恢复，加速康复进程，提升患者对护理工作的认可度，值得在临床实践中推广应用。

Abstract: Purpose: Exploring the impact of hierarchical nursing under MDT mode on postoperative pain management, joint function recovery, and rehabilitation process in patients undergoing hip replacement surgery. Method: This study included 80 patients who underwent hip replacement surgery in the Orthopedics Department of the Second Affiliated Hospital of Guilin Medical University from June 2024 to December 2025. They were randomly divided into an observation group (40 cases) and a control group (40 cases). The control group received routine perioperative care, while the observation group received stratified care under MDT mode. Compare the visual analogue scale (VAS) scores, Harris hip joint scores, rehabilitation process indicators, and nursing satisfaction between two groups at different postoperative time points. Result: All observation indicators in the observation group were significantly better than those in the control group, including postoperative VAS scores (24 h, 48 h, 72 h), Harris scores (1 month, 3 months after surgery), first mobilization time, length of hospital stay, and nursing satisfaction (P < 0.05). Conclusion: Combining MDT mode with tiered nursing can effectively alleviate postoperative pain in THA patients, promote hip joint function recovery, accelerate rehabilitation process, and enhance patients’ recognition of nursing work. It is worth promoting and applying in clinical practice.