人工髋关节置换术患者居家护理方案的应用.docx

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人工髋关节置换术患者居家护理方案的应用

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【摘要】目的探讨人工髋关节置换术患者居家护理方案的应用效果。方法选取2012年3月份～2014年4月份入住我院行人工髋关节置换术患者80例，随机分为观察组和对照组，各40例，观察组采取居家护理方案，对照组采取常规护理方法。分析比较两组患者髋关节功能恢复情况、患者日常生活能力改善情况以及自我护理知晓率和依从率。结果观察组患者髋关节功能优良率明显高于对照组（92.5%67.5%），两组相比较差别具有统计学意义（P0.05）；观察组患者日常生活能力改善情况普遍均优于对照组，两组相比较差别具有统计学意义（P0.05）；观察组患者自我护理知晓率和依从率均显著高于对照组，两组相比较差别具有统计学意义（P0.05）。结论通过研究可知，人工髋关节置换术后患者居家护理方案的应用效果显著，明显改善患者日常生活能力，促进髋关节功能的恢复，提升患者自我护理意识和依从性，值得临床推荐应用。

【关键词】人工髋关节置换术；居家护理；髋关节功能Harris评分；日常生活能力；自我护理知晓率；依从率

Applicationofhomecareprogramforartificialhipreplacementsurgerypatients

AbstractObjectiveToinvestigatetheapplicationeffectsofhomecareprogramforartificialhipreplacementsurgerypatients.Methods80casesofartificialhipreplacementsurgerypatientsinourhospitalfromMarch2012toApril2014wereselectedandrandomlypidedintotheobservationgroupandcontrolgroup,eachgroupcontained40cases.Theobservationgroupweregivenhomecareprogram,andthecontrolgroupweregivenconventionalnursingmethod.Thehipfunctionrecovery,improvementinpatientswithactivitiesofdailyliving,self-careawarenessandcomplianceratesofthesetwogroupswereanalyzedandcompared.ResultsTheexcellentrateofhipfunctionoftheobservationgroupwassignificantlyhigherthanthecontrolgroup(92.5%67.5%),withstatisticalsignificancebetweengroups(P0.05);theimprovementinactivitiesofdailylivingoftheobservationgroupwascommonlyhigherthanthecontrolgroup,withstatisticalsignificancebetweengroups(P0.05);theself-careawarenessandcompliancerateoftheobservationgroupweresignificantlyhigherthancontrolgroup(P0.05).ConclusionThroughresearchshowsthattheeffectoftheapplicationofartificialhipreplacementpatientshomecareprogramissignificant,significantimprovementinpatientsdailylivingskills,andpromotetherecoveryofhipfunction,improvepatientself-careawarenessandcompliance,wort