Effects of case management mode combined with enhanced recovery after surgery nursing in the perioperative period of patients undergoing hip replacement
10.3760/cma.j.cn115682-20200619-03968
- VernacularTitle:个案管理模式联合加速康复外科护理在髋关节置换术患者围手术期中的应用
- Author:
Qianhui XU
1
;
Jie ZHANG
;
Tianqi TAO
;
Bing XIA
Author Information
1. 南京医科大学附属南京医院（南京市第一医院）运动关节科 210000
- Keywords:
Perioperative care;
Arthroplasty, replacement, hip;
Case management model;
Enhanced recovery after surgery
- From:
Chinese Journal of Modern Nursing
2021;27(3):379-383
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of case management mode combined with enhanced recovery after surgery (ERAS) nursing in the perioperative period of hip replacement patients.Methods:From January 2018 to May 2020, cluster sampling was used to select 110 patients undergoing hip replacement who were admitted to the Department of Orthopedics, Nanjing First Hospital as the research object. According to the odd and even number of admission order, patients were divided into observation group and control group. After epidural anesthesia, patients in both groups were treated with posterolateral hip incision approach. Control group carried out ERAS nursing, and observation group implemented case management mode combined with ERAS nursing for perioperative management. We observed the intraoperative blood loss, postoperative time in bed, postoperative hospital stay, hospitalization expenses of patients between two groups, and compared the Harris score and Visual Analogue Scale (VAS) of the two groups score before surgery, one day, one month and three months after surgery.Results:The intraoperative blood loss, postoperative time in bed, postoperative hospital stay and hospitalization expenses of observation group were lower than those of control group; the Harris scores of observation group before surgery, one day, one month and three months after surgery were higher than those of control group; the VAS scores of patients in observation group were lower than those of control group at one day, one month and three months after surgery; the differences were all statistically significant ( P<0.05) . Conclusions:Case management mode combined with ERAS nursing can accelerate the postoperative rehabilitation of patients undergoing hip replacement, shorten the hospital stay, reduce the hospitalization expense, and improve the hip joint Harris score of patients.
