Application of fast-track rehabilitation concept in perioperative nursing of minimally invasive hip replacement
- VernacularTitle:加速康复理念在微创髋关节置换围手术期护理中的应用
- Author:
Juan LU
1
;
Jiejing YU
;
Miaomiao WU
;
Jiaozhen WU
;
Yifei ZHOU
Author Information
1. 温州医科大学附属第二医院骨科
- Keywords:
Fast-track rehabilitation concept;
Minimally invasive hip replacement surgery;
Perioperative nursing
- From:
China Modern Doctor
2014;(20):76-80
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the perioperative rehabilitation treatment effects of the patients receiving minimally invasive hip replacement under the guidance of fast-track rehabilitation surgery concept. Methods Seventy-two pa-tients with femoral head aseptic necrosis and femoral neck fractures treated in our hospital were selected and divided into the FTS nursing group and the traditional nursing group according to the hospital admission time, with 36 patients in each group. The traditional nursing group followed the traditional clinical pathway and the FTS group followed the clinical pathway with FTS run through artificial hip replacement for the purpose of treatment and optimized nursing. The nursing and treatment effects of the two groups were analyzed retrospectively. Results The FTS group had better nursing satisfaction than the traditional nursing group (P<0.05), and shorter hospital stay and lower hospitalization cost than the traditional group (P<0.05). In terms of postoperative long-term rehabilitation effect, the two groups were not significantly different in the ADL scores in the 3rd and 6th month(t=-1.467, P=0.147;t=-1.599, P=0.114), but in terms of postoperative short-term rehabilitation effect, the FTS group had higher ADL scores than the traditional nursing group in the 2nd week and 1st month, with statistically significant differences (t=-2.307, P=0.024; t=-2.451, P=0.017). Conclusion In the clinical pathway of artificial hip replacement, the application of fast-track rehabilitation concept can effectively prevent the occurrence of complications, shorten hospital stay, reduce hospitalization cost, improve nursing satisfaction, accelerate functional recovery of the patients receiving artificial hip replacement and improve the quality of life.
