Effects of the systematic "three preventions and three positions" nursing on preventing arthritic prosthesis dislocation after total hip arthroplasty
10.3760/cma.j.issn.1674-2907.2017.15.015
- VernacularTitle:系统化三防三位护理措施在预防不同疾病行人工髋关节置换术患者假体脱位中的应用效果
- Author:
Na GAO
1
;
Bingdu TONG
;
Ying JIANG
;
Qing WANG
;
Manli ZHAO
;
Yufen MA
Author Information
1. 100730,中国医学科学院 北京协和医院骨科
- Keywords:
Arthroplasty;
replacement;
hip;
Hip prosthesis;
Dislocations;
Nursing care
- From:
Chinese Journal of Modern Nursing
2017;23(15):2015-2018
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of the systematic "three preventions and three positions" nursing on preventing arthritic prosthesis dislocation after total hip arthroplasty (THA) for different diseases. Methods Based on historical control,459 patients who received THA in the orthopedics department of a hospital between January 2012 and December 2013 were selected as a control group. Patients in the control group received conventional nursing as well as health education and perioperative care as per routines. Totally 768 patients who received THA in the same hospital between January 2014 and December 2016 were selected as a treatment group. On the basis of conventional nursing,patients in the treatment group received targeted holistic nursing derived from the systematic "three preventions and three positions" nursing. The incidence of arthritic prosthesis dislocation between the two groups 3 months after THA was then compared.Results The incidence of arthritic prosthesis dislocation of the treatment group was 0.65%,including 1.56% for revision of THA,0.90% for femoral neck fractures,0.64% for osteonecrosis of the femoral head (ONFH),and 0.70% for congenital hip disorder (CHD) patients,while the incidence of arthritic prosthesis dislocation of the control group was 2.18%, which included 33.33% for revision of THA,1.25% for femoral neck fractures,0.70% for ONFH,and 0.70% for CHD patients. The treatment group′s incidence of arthritic prosthesis dislocation was lower than that of the control group (χ2=5.552;P<0.05):The incidence of arthritic prosthesis dislocation of THA revision patients in the treatment group was significantly lower than that of the patients in the control group (χ2=5.485;P<0.05);and the incidence of arthritic prosthesis dislocation among femoral neck fractures,ONFH and CHD patients in the treatment group was lower than the patients in the control group (χ2=0.309,0.743,2.771;P>0.05). Conclusions The systematic "three preventions and three positions" nursing helps to reduce the incidence of arthritic prosthesis dislocation after THA and THA revision,which is worthy of application and expansion.
