全髋关节置换术零缺陷全视角护理与常规护理比较△

Zero-defect all-round nursing versus conventional nursing in total hip arthroplasty

摘要:

[目的]探究零缺陷全视角护理模式在全髋关节置换术（total hip arthroplasty, THA）中的应用效果。[方法] 随机数表法将 2022 年 1 月—2023 年 12 月接受 THA 治疗的 105 例患者分为两组，其中 53 例采用零缺陷全视角护理（联合组），另外 52 例采用常规护理 （常规组）。对比两组围手术期相关资料。[结果] 联合组在手术时长 [(82.5±7.6) min vs (86.4±8.3) min, P= 0.014]、失血量 [(201.4±28.7) mL vs (250.5±31.2) mL, P＜0.001]、下床活动时间 [(2.0±0.3) d vs (4.0±0.5) d, P＜0.001]、住院时间 [(8.5± 1.1) d vs (10.0±1.7) d, P＜0.001] 和护理缺陷事件总发生率（1.9% vs 17.3%, P=0.018）均显著优于常规组。术后 3 d，联合组在 VAS 评分 [(2.1±0.6) vs (2.6±0.8), P＜0.001]、抑郁 DASS-21 评分 [(3.8±1.5) vs (4.8±1.7), P=0.002]、焦虑 DASS-21 评分 [(5.3±1.9) vs (6.5± 2.4), P=0.005] 和 QoR-15 评分 [(128.0±20.3) vs (115.8±21.0), P=0.003] 均显著优于常规组。此外，联合组出院时 Harris 评分显著优于常规组 [(56.0±6.4) vs (52.5±6.2), P=0.005]。[结论]零缺陷全视角护理干预能明显减少 THA 患者手术时间及失血量，减轻其疼痛及不良情绪，有利于患者术后恢复，提高恢复质量及髋关节功能。

Abstract:

[Objective] To explore the outcome of the zero-defect all-round nursing in total hip arthroplasty (THA). [Methods] A total of 105 patients who were receiving THA from January 2022 to December 2023 were included into this study and divided into two groups by the random number table method. Among them, 53 cases received zero-defect full-perspective care (the combined group), and the other 52 cases received conventional care (the conventional group). The perioperative relevant data were compared between the two groups. [Results] The combined group proved significantly superior to the conventional group in term of the operation time [(82.5±7.6) min vs (86.4± 8.3) min, P=0.014], intraoperative blood loss [(201.4±28.7) mL vs (250.5±31.2) mL, P＜0.001], postoperative ambulation time [(2.0±0.3) days vs (4.0±0.5) days, P＜0.001], hospital stay [(8.5±1.1) days vs (10.0±1.7) days, P＜0.001] and total incidence of nursing defect events (1.9% vs 17.3%, P=0.018). Three days postoperatively, the combined group was significantly better than the conventional group regarding pain VAS score [(2.1±0.6) vs (2.6±0.8), P＜0.001], depression DASS-21 score [(3.8±1.5) vs (4.8±1.7), P=0.002], anxiety DASS-21score [(5.3±1.9) vs (6.5±2.4), P=0.005] and QoR-15 score [(128.0±20.3) vs (115.8±21.0), P=0.003]. In addition, the combined group also proved significnatly superior to the conventional group in Harris score at discharge [(56.0±6.4) vs (52.5±6.2), P=0.005]. [Conclusion] The zero-defect all-round nursing intervention can significantly reduce the operation time and blood loss in THA, alleviate pain and negative emotions, facilitate postoperative recovery of patients, and improve the quality of recovery and hip joint function.