摘要
目的:基于诺丁斯关怀理论构建全髋关节置换术患者功能锻炼干预方案并初步验证,为临床护理开展关怀实践提供参考依据。方法:通过文献回顾及专家论证会议构建基于诺丁斯关怀理论的全髋关节置换术患者功能锻炼干预方案。采用便利抽样方法,将2022年11月至2023年3月在广西某三级甲等医院入院治疗的全髋关节置换术患者纳入对照组(n=50),实施常规护理;将2023年4月—8月入院治疗的全髋关节置换术患者纳入干预组(n=50),在常规护理基础上,应用基于诺丁斯关怀理论构建的功能锻炼干预方案。比较两组患者不同时间点功能锻炼依从性及髋关节功能、术后首次下床活动时间、住院天数的差异。结果:在出院当天、术后1个月和术后3个月,干预组功能锻炼依从性得分分别为(58.02±4.13)、(50.86±4.72)、(40.68±3.15)分,均显著高于对照组的(52.02±2.10)、(44.06±2.65)、(36.70±1.64)分(均P<0.05);干预组髋关节功能得分分别为(63.68±8.34)、(79.28±7.36)、(92.34±3.56)分,均显著高于对照组的(58.52±7.93)、(69.90±8.82)、(84.48±8.81)分(均P<0.05);干预组首次下床活动时间早于对照组,且住院天数少于对照组(均P<0.05)。结论:基于诺丁斯关怀理论的全髋关节置换术患者功能锻炼干预方案的初步应用,证实了可提高患者功能锻炼依从性,促进髋关节功能恢复。
Objective:To construct a functional exercise intervention program for total hip arthroplasty patients based on Noddings'caring theory and conduct a preliminary validation,in order to provide a reference for clinical care practice.Methods:A functional exercise intervention program based on the Noddings'caring theory was developed through literature review and expert consultation.The total hip arthroplasty patients in a tertiary grade A hospital in Guangxi from November 2022 to March 2023 were included in the control group(n=50)and received routine care,while the intervention group(n=50)who were included from April to August 2023 received nursing intervention based on the Noddings'caring theory in addition to the routine care.The compliance of functional exercises and hip joint function at different time points,the time of the first postoperative ambulation,and the length of hospital stay were compared between the two groups.Results:On the day of discharge,1 month,and 3 months post-operation,the functional exercise compliance scores of the intervention group(58.02±4.13,50.86±4.72,and 40.68±3.15,respectively)were significantly higher than those of the control group(52.02±2.10,44.06±2.65,and 36.70±1.64,respectively)(all P<0.05).The hip function scores of the intervention group(63.68±8.34,79.28±7.36,and 92.34±3.56,respectively)were significantly higher than those of the control group(58.52±7.93,69.90±8.82,and 84.48±8.81,respectively)at each corresponding time point(all P<0.05).The time to first ambulation was significantly earlier in the intervention group than in the control group,and the length of hospital stay was significantly shorter(P<0.05).Conclusion:The intervention program of functional exercises for patients undergoing total hip replacement based on Noddings'caring theory has been preliminarily applied and it has been confirmed to improve the compliance of patients with functional exercises and promote the recovery of hip joint function.
作者
唐爱合
周兰岛
廖秋姣
熊艳
苏梦雪
罗前颖
TANG Aihe;ZHOU Landao;LIAO Qiujiao;XIONG Yan;SU Mengxue;LUO Qianying(Department of Joint Surgery and Geriatric Orthopedics,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise,Guangxi Zhuang Autonomous Region,533000,China)
出处
《中国护理管理》
北大核心
2026年第1期29-34,共6页
Chinese Nursing Management
基金
中国社会福利基金会护爱基金护理创新扶持工程护理研究课题(HLCXKT-20230187)
广西壮族自治区中医药管理局自筹经费科研课题(GXZYL20230366)。
