协同护理干预对全髋关节置换术术后老年患者负性情绪、髋关节功能和生活质量的影响

肖莉萍

[摘要]目的 探討协同护理干预对全髋关节置换术（THA）术后老年患者负性情绪、髋关节功能和生活质量的影响。方法 选取2018年3月～2019年3月在我院行THA治疗的60例老年患者作为研究对象，按照随机数字表法分为对照组（n=30）和干预组（n=30）。对照组术后采用常规护理，干预组在对照组的基础上给予协同护理干预措施。比较两组术后干预1、3、6个月抑郁、焦虑评分、髋关节功能评分及生活质量评分。结果 两组术后干预1、3、6个月抑郁、焦虑评分低于干预前，差异有统计学意义（P<0.05）。两组干预3、6个月抑郁、焦虑评分低于干预1个月，差异有统计学意义（P<0.05）。两组术后干预6个月抑郁、焦虑评分低于干预3个月，差异有统计学意义（P<0.05）。观察组术后干预1、3、6个月抑郁、焦虑评分低于对照组，差异均有统计学意义（P<0.05）。两组术后干预3、6个月Harris髋关节功能评分、SF-36评分高于干预1个月，差异有统计学意义（P<0.05）。两组术后干预6个月Harris髋关节功能评分、SF-36评分高于干预3个月，差异有统计学意义（P<0.05）。两组术后干预1、3、6个月SF-36评分高于干预前，差异有统计学意义（P<0.05）。观察组术后干预1、3、6个月Harris髋关节功能评分、SF-36评分高于对照组，差异均有统计学意义（P<0.05）。结论 协同护理干预能明显改善THA术后老年患者的负性情绪、髋关节功能和生活质量，值得临床推广应用。

[关键词]协同护理干预;全髋关节置换术;负性情绪;髋关节功能;生活质量

[中图分类号] R473.6          [文献标识码] A          [文章编号] 1674-4721（2020）6（b）-0208-04

[Abstract] Objective To explore the influence of cooperative nursing intervention on negative emotion， hip joint function and quality of life of elderly patients after total hip replacement （THA）. Methods From March 2018 to March 2019， 60 elderly patients who underwent THA in our hospital were selected as the study objects， and they were divided into the control group and the intervention group by the random number table method， 30 cases in each group. The patients in the control group were given routine nursing， and the patients in the intervention group were given cooperative nursing intervention on the basis of the control group. The depression， anxiety scores， hip joint function scores and quality of life scores were compared between the two groups at 1， 3 and 6 months after intervention. Results The scores of depression and anxiety in the two groups at 1， 3 and 6 months after intervention were lower than those before intervention， with statistical differences （P<0.05）. The scores of depression and anxiety in the two groups at 3 and 6 months after intervention were lower than those at 1 month after intervention， with statistical differences （P<0.05）. The scores of depression and anxiety in the two groups at 6 months after intervention were lower than those at 3 months after intervention， with statistical differences （P<0.05）. The scores of depression and anxiety in the observation group at 1， 3 and 6 months after intervention were lower than those in the control group， with statistical differences （P<0.05）. The Harris hip joint function score and SF-36 score of the two groups at 3 and 6 months after intervention were higher than those at 1 month after intervention， with statistical differences （P<0.05）. The Harris hip joint function score and SF-36 score in the two groups at 6 months after intervention were higher than those at 3 months after intervention， with statistical differences （P<0.05）. The SF-36 score of the two groups at 1， 3 and 6 months after intervention were higher than those before intervention， with statistical differences （P<0.05）. The Harris hip joint function score and SF-36 score in the observation group at 1， 3 and 6 months after intervention were higher than those in the control group， with statistical differences （P<0.05）. Conclusion Cooperative nursing intervention can significantly improve the negative emotions， hip joint function and quality of life of the elderly patients after THA， which is worthy of clinical promotion and application.

[Key words] Cooperative nursing intervention; Total hip replacement; Negative emotion; Hip joint function， Quality of life

临床中，全髋关节置换术（THA）较复杂，给患者带来比较严重创伤，多数患者在术后1～2周内出院，但术后功能康复锻炼是一个长期连续的过程，且需要患者自主地积极功能康复训练以巩固手术效果[1-2]。……