综合护理在行髋关节置换术后患者中髋关节功能及心理状态的应用效果
The Application Effect of Comprehensive Nursing on Hip Function and Psychological Status in Patients after Hip Replacement
DOI: 10.12677/acm.2024.1441247, PDF,   
作者: 王晓君*:新疆医科大学附属中医医院骨二科,新疆 乌鲁木齐;马 婷:新疆医科大学附属中医医院,新疆 乌鲁木齐
关键词: 综合护理髋关节髋关节置换髋关节功能心理Comprehensive Nursing Hip Joint Hip Replacement Hip Function Psychology
摘要: 目的:比较综合护理在行髋关节置换术后患者中髋关节功能及心理状态的应用效果分析。方法:本研究回顾性分析2020年6月至2022年6月本院收治的因髋关节疾病行髋关节置换的患者60例为研究对象,比较在干预前、干预后VAS评分评估患肢疼痛分级,采用SAS评分、SDS评分、PSQI评分、Harris评分评估患者干预前、干预后关节功能以及患者心理、睡眠状态。结果:观察组与对照组分别在干预前,干预后进行统计学分析,干预前两组未见统计学差异(P < 0.05)。干预后VAS评分、SAS评分、SDS评分、PSQI评分、Harris评分比较差异具有统计学意义(P < 0.05)。结论:综上所述,通过综合性护理措施来进行髋关节置换术后的后护理工作,能明显缓解患者术后疼痛,提高患者生活质量。
Abstract: Purpose: To compare the analysis of the application effect analysis of comprehensive nursing care on hip joint function and psychological status in patients after hip arthroplasty. Methods: This study retrospectively analysed 60 patients admitted to our hospital from June 2020 to June 2022 who underwent hip replacement due to hip joint disease as the study object, and carried out a comparison of the pain grading of the affected limbs assessed by the VAS score before and after intervention, and the joint function of patients before and after intervention and the patients’ psychological and sleep status assessed by using the SAS score, the SDS score, the PSQI score, and the Harris score. Results: The observation and control groups were statistically analysed before and after the intervention, respectively, and no statistical difference was observed between the two groups before the intervention (P < 0.05). After the intervention, VAS score, SAS score, SDS score, PSQI score and Harris score were statistically different (P < 0.05). Conclusion: In conclusion, postoperative care after hip arthroplasty through comprehensive nursing measures can significantly relieve patients’ postoperative pain and improve their quality of life.
文章引用:王晓君, 马婷. 综合护理在行髋关节置换术后患者中髋关节功能及心理状态的应用效果[J]. 临床医学进展, 2024, 14(4): 1934-1940. https://doi.org/10.12677/acm.2024.1441247

参考文献

[1] Petis, S., Howard, J.L., Lanting, B.L., et al. (2015) Surgical Approach in Primary Total Hip Arthroplasty: Anatomy, Technique and Clinical Outcomes. Canadian Journal of Surgery, 58, 128-139. [Google Scholar] [CrossRef] [PubMed]
[2] Scott, C.E.H., Clement, N.D., Davis, E.T., et al. (2022) Modern Total Hip Arthroplasty: Peak of Perfection or Room for Improvement? The Bone & Joint Journal, 104-B, 189-192. [Google Scholar] [CrossRef
[3] Meermans, G., Konan, S., Das, R., et al. (2017) The Direct Anterior Approach in Total Hip Arthroplasty: A Systematic Review of the Literature. The Bone & Joint Journal, 99-B, 732-740. [Google Scholar] [CrossRef
[4] Higgins, B.T., Barlow, D.R., Heagerty, N.E., et al. (2015) Anterior vs. Posterior Approach for Total Hip Arthroplasty, a Systematic Review and Meta-Analysis. The Journal of Arthroplasty, 30, 419-434. [Google Scholar] [CrossRef] [PubMed]
[5] Falez, F., Papalia, M., Favetti, F., et al. (2017) Total Hip Arthroplasty Instability in Italy. International Orthopaedics, 41, 635-644. [Google Scholar] [CrossRef] [PubMed]
[6] Flevas, D.A., Tsantes, A.G. and Mavrogenis, A.F. (2020) Direct Anterior Approach Total Hip Arthroplasty Revisited. JBJS Reviews, 8, E0144. [Google Scholar] [CrossRef
[7] Moerenhout, K., Derome, P., Laflamme, G.Y., et al. (2020) Direct Anterior versus Posterior Approach for Total Hip Arthroplasty: A Multicentre, Prospective, Randomized Clinical Trial. Canadian Journal of Surgery, 63, E412-E417. [Google Scholar] [CrossRef] [PubMed]
[8] Konan, S. and Duncan, C.P. (2018) Total Hip Arthroplasty in Patients with Neuromuscular Imbalance. The Bone & Joint Journal, 100-B, 17-21. [Google Scholar] [CrossRef
[9] 张锡玮, 侯德才. 补肾活血法保髋治疗股骨头坏死的疗效观察[J]. 实用药物与临床, 2023, 26(11): 1010-1012.
[10] 黄捷, 施扬华, 谭桢, 等. 吻合血管游离腓骨移植治疗股骨头坏死[J]. 中国组织工程研究, 2024, 28(21): 3373-3379.
[11] Kayani, B., Konan, S., Chandramohan, R., et al. (2019) The Direct Superior Approach in Total Hip Arthroplasty. British Journal of Hospital Medicine (London), 80, 320-324. [Google Scholar] [CrossRef] [PubMed]
[12] Lum, Z.C., Coury, J.G. and Cohen, J. (2017) Taper Technology in Total Hip Arthroplasty. JBJS Reviews, 5, E2. [Google Scholar] [CrossRef
[13] Morton, J., Christensen, T., Lajam, C., et al. (2022) Cemented Stems in Total Hip Arthroplasty What Is Old and What Is New Again? Bulletin of the Hospital for Joint Diseases (2013), 80, 11-16.
[14] Zagra, L. and Caboni, E. (2017) Total Hip Arthroplasty Instability Treatment without Dual Mobility Cups: Brief Overview and Experience of Other Options. International Orthopaedics, 41, 661-668. [Google Scholar] [CrossRef] [PubMed]
[15] Koli, E., Mittl, G.S. and Zuckerman, J.D. (2015) Simultaneous versus Staged Total Hip Arthroplasty: A Review. Bulletin of the Hospital for Joint Diseases (2013), 73, 78-82.
[16] Arantis, M.G., Mandrekas, P.I., Stasi, S., et al. (2022) Serum Biomarkers for the Assessment of Muscle Damage in Various Surgical Approaches in Primary Total Hip Arthroplasty: A Systematic Review of Comparative Studies. International Orthopaedics, 46, 1681-1692. [Google Scholar] [CrossRef] [PubMed]
[17] Wodowski, A.J., Throckmorton, T.W., Mihalko, W.M., et al. (2021) Anterior Supine Intermuscular Total Hip Arthroplasty at an Ambulatory Surgery Center versus Hospitalization: Cost and Adverse Events. Orthopedic Clinics of North America, 52, 209-214. [Google Scholar] [CrossRef] [PubMed]
[18] Ogonda, L., Cassidy, R.S. and Beverland, D.E. (2022) A Conservative Approach to Dislocation Following Total Hip Arthroplasty: A Review of 8606 Hips. HIP International, 32, 291-297. [Google Scholar] [CrossRef] [PubMed]
[19] Ramezani, A., Ghaseminejad Raeini, A., Sharafi, A., et al. (2022) Simultaneous versus Staged Bilateral Total Hip Arthroplasty: A Systematic Review and Meta-Analysis. Journal of Orthopaedic Surgery and Research, 17, Article No. 392. [Google Scholar] [CrossRef] [PubMed]
[20] Aggarwal, V.K., Iorio, R., Zuckerman, J.D., et al. (2020) Surgical Approaches for Primary Total Hip Arthroplasty from Charnley to Now: The Quest for the Best Approach. JBJS Reviews, 8, E0058. [Google Scholar] [CrossRef
[21] O’Connor, J.P., Holden, P. and Gagnier, J.J. (2022) Systematic Review: Preoperative Psychological Factors and Total Hip Arthroplasty Outcomes. Journal of Orthopaedic Surgery and Research, 17, Article No. 457. [Google Scholar] [CrossRef] [PubMed]
[22] Gheewala, R.A., Young, J.R., Villacres Mori, B., et al. (2023) Perioperative Management of Leg-Length Discrepancy in Total Hip Arthroplasty: A Review. Archives of Orthopaedic and Trauma Surgery, 143, 5417-5423. [Google Scholar] [CrossRef] [PubMed]
[23] Vajapey, S.P., Morris, J., Lynch, D., et al. (2020) Nerve Injuries with the Direct Anterior Approach to Total Hip Arthroplasty. JBJS Reviews, 8, E0109. [Google Scholar] [CrossRef
[24] Jennings, J.M., Dennis, D.A. and Yang, C.C. (2016) Corrosion of the Head-Neck Junction after Total Hip Arthroplasty. Journal of the American Academy of Orthopaedic Surgeons, 24, 349-356. [Google Scholar] [CrossRef
[25] De Fine, M., Romagnoli, M., Toscano, A., et al. (2017) Is There a Role for Femoral Offset Restoration during Total Hip Arthroplasty? A Systematic Review. Orthopaedics & Traumatology: Surgery & Research, 103, 349-355. [Google Scholar] [CrossRef] [PubMed]
[26] 刘存干. 中西医结合在早期股骨头坏死保髋治疗中的应用[J]. 光明中医, 2022, 37(17): 3200-3202.
[27] 及松洁, 张隆浩, 徐黎, 等. 改良髓芯减压植骨联合体外冲击波治疗早期股骨头坏死的疗效[J]. 实用医学杂志, 2022, 38(15): 1913-1918.