摘要
目的 分析损伤控制策略结合手术室个性化护理在行髋关节置换术患者中的应用价值。方法 选取江苏省建湖县人民医院2021年1月至2023年12月收治的86例拟行髋关节置换术患者,使用简单随机抽样法将其分为观察组(43例)和对照组(43例),2组均接受常规护理和手术室个性化护理,观察组加用损伤控制策略。对比2组患者的手术和术后恢复指标等。结果 与对照组相比,观察组的手术时间、术后下床活动时间、住院时间均更短或更早,术中出血量更少,并发症总发生率更低(P均<0.05)。与同期对照组相比,术后1 d,观察组的抑郁-焦虑-压力量表各维度评分均更低,且2组评分均比干预前明显降低;术后1 d、出院前和出院1个月后,观察组的视觉模拟评分法和牛津髋关节功能量表评分均更低,且2组均比干预前明显降低,均有统计学差异(P均<0.05)。结论 损伤控制策略结合手术室个性化护理有助于缩短髋关节置换术时间、促进术后恢复、降低并发症发生风险,且能够帮助患者改善心理状态、疼痛感和髋关节功能。
Objective To analyze the application value of damage control strategy combined with personalized nursing in the operating room in patients undergoing hip replacement surgery.Methods Eighty-six patients who were scheduled to undergo hip replacement surgery at Jianhu People's Hospital in Jiangsu Province from January 2021 to December 2023 were selected and randomly divided into an observation group(43 cases)and a control group(43 cases)using a simple random sampling method.Both groups received routine care and personalized nursing in the operating room,while the observation group received the damage control strategy.The indexes of operation and postoperative recovery were compared between the two groups.Results Compared with the control group,the observation group had shorter or earlier surgical time,postoperative ambulation time,hospitalization time,less intraoperative blood loss,and lower overall incidence of complications(P<0.05).Compared with the control group at the same time,on postoperative day 1,the Depression Anxiety Stress Scale scores in the observation group were lower in all dimensions,and the scores in both groups were significantly lower than those before intervention.On postoperative day 1,before discharge,and one month after discharge,the scores of Visual Analogue Scale and Oxford Hip Score were lower in the observation group,and they were significantly lower than those before intervention in both groups,with statistical differences(P<0.05).Conclusion Damage control strategy combined with personalized nursing in the operating room can help shorten the time of hip replacement surgery,promote postoperative recovery,reduce the risk of complications,and help patients improve their psychological state,pain perception,and hip function.
作者
唐霞
吕杨
王慧
陈一新
TANG Xia;LYU Yang;WANG Hui;CHEN Yixin(Jianhu People's Hospital,Yancheng,Jiangsu,224700,China)
出处
《中西医结合护理(中英文)》
2025年第5期81-84,共4页
Journal of Clinical Nursing in Practice
关键词
髋关节置换术
损伤控制策略
手术室个性化护理
髋关节功能
hip replacement surgery
damage control strategy
personalized nursing in the operating room
hip function
