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目的探讨综合护理对老年全髋关节置换术(THA)患者的影响。方法选取2014年2月至2015年6月吉林省人民医院收治的行THA治疗的78例老年患者作为研究对象,按随机数字表法将其分为对照组和观察组,各39例。对照组患者给予骨科常规护理,观察组患者实施综合护理,比较两组患者护理效果。结果干预后,观察组患者的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均明显低于对照组,差异均有统计学意义(均P<0.05);观察组患者术后疼痛视觉模拟量表(VAS)评分为(3.2±1.8)分,显著低于对照组的(5.9±1.8)分,差异有统计学意义(t=4.2514,P<0.05);观察组患者的护理满意度明显高于对照组,差异有统计学意义(P<0.05)。结论综合护理能有效缓解老年THA患者的不良情绪,减轻术后疼痛程度,降低术后并发症发生率,提高护理质量。
Objective To investigate the effect of comprehensive nursing on elderly total hip arthroplasty (THA) patients. Methods A total of 78 elderly patients admitted to Jilin Provincial People’s Hospital from February 2014 to June 2015 were enrolled in this study. They were divided into control group and observation group according to random number table. Patients in the control group were given routine orthopedic care and patients in the observation group were given comprehensive nursing care. The nursing effects of the two groups were compared. Results After intervention, the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores of the observation group were significantly lower than those of the control group (all P <0.05); the patients in the observation group The VAS score of post-pain was (3.2 ± 1.8) points, which was significantly lower than that of control group (5.9 ± 1.8) points, the difference was statistically significant (t = 4.2514, P <0.05) Nursing satisfaction was significantly higher than the control group, the difference was statistically significant (P <0.05). Conclusion Comprehensive nursing can effectively relieve the bad emotions of elderly patients with THA, reduce postoperative pain, reduce the incidence of postoperative complications and improve the quality of nursing.