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目的:探讨综合护理在老年全髋关节置换术患者术后恢复中的应用。方法:将2010年1月~2014年12月收治的168例行全髋关节置换术治疗的老年髋部骨折患者随机分为对照组和观察组各84例,对照组给予常规护理,观察组在此基础上给予综合护理。比较两组患者髋关节功能、日常生活能力、抑郁症状和并发症情况。结果:干预后两组Harris评分、Barthel指数显著升高(P<0.05),且观察组Harris评分、Barthel指数显著高于对照组(P<0.05)。干预后两组GDS抑郁评分显著降低(P<0.05),且观察组GDS抑郁评分显著低于对照组(P<0.05)。观察组并发症发生率为6.0%,显著低于对照组34.5%(P<0.05)。结论:综合护理可有效提高老年全髋关节置换术患者术后关节功能、日常生活能力,降低抑郁症状和并发症发生率。
Objective: To explore the application of comprehensive nursing in the postoperative recovery of elderly total hip arthroplasty patients. Methods: A total of 168 elderly patients with hip fracture undergoing total hip arthroplasty from January 2010 to December 2014 were randomly divided into control group and observation group (n = 84). The control group was given routine nursing care. The observation group Based on this to give comprehensive care. Hip joint function, daily living ability, depressive symptoms and complications were compared between the two groups. Results: Harris score and Barthel index increased significantly in both groups (P <0.05), and Harris score and Barthel index in the observation group were significantly higher than those in the control group (P <0.05). After intervention, depression scores of GDS in both groups were significantly decreased (P <0.05), and depression scores of GDS in observation group were significantly lower than those in control group (P <0.05). The complication rate in observation group was 6.0%, which was significantly lower than that in control group (34.5%, P <0.05). Conclusion: Comprehensive nursing can effectively improve the joint function, daily living ability, depression symptoms and the incidence of complications in elderly total hip arthroplasty patients.