Effects of exercise rehabilitation nursing combined with pain management on preventing deep vein thrombosis and postoperative pain in aged patients with joint replacement
10.3760/cma.j.cn115682-20220323-01380
- VernacularTitle:运动康复护理结合疼痛管理预防老年关节置换患者深静脉血栓及术后疼痛的效果
- Author:
Liujuan ZHANG
1
;
Chunyan XU
;
Feifei WANG
;
Ji SHEN
;
Qian ZHANG
Author Information
1. 浙江省人民医院（杭州医学院附属人民医院）望江山院区干部五科老年医学科，杭州 310024
- Keywords:
Aged;
Arthroplasty, replacement;
Rehabilitation nursing;
Deep vein thrombosis;
Pain management;
Hemorheology
- From:
Chinese Journal of Modern Nursing
2022;28(25):3465-3469
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of exercise rehabilitation nursing combined with pain management on preventing deep vein thrombosis (DVT) and postoperative pain in aged patients with joint replacement.Methods:Totally 110 patients undergoing joint replacement at Zhejiang Provincial People's Hospital from January 2018 to July 2021 were selected by convenience sampling and divided into an observational group and a control group, with 55 patients in each group. Patients in the control group received routine nursing, while patients in the observation group underwent exercise rehabilitation nursing combined with pain management. The hemorheological indexes, Visual Analog Scores (VAS) , and the incidence of DVT before and after nursing intervention were compared between the two groups.Results:Before nursing intervention, there was no significant difference in hemorheological indexes and VAS scores between the two groups ( P>0.05) . After nursing intervention, the whole blood mid-shear viscosity, low-shear viscosity, plasma viscosity, platelet aggregation rate, VAS score, and incidence of DVT in the observation group were lower than those in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:Exercise rehabilitation nursing combined with pain management can improve the hemorheological indexes of aged patients after joint replacement, effectively relieve their postoperative pain, and reduce the incidence of postoperative DVT.
