Objective To explore the nursing effect of home care in patients with minimally invasive total hip arthroplasty (THA) in patients with minimally invasive surgery,and to provide comprehensive and seamless care for patients.Methods A total of 79 patients with THA were divided into observation group (38 cases)and control group(41 cases).The observation group received home care,including health education,telephone follow-up,home visits and other nursing measures.Control group followed the routine nursing education.Activity of Daily Living Scale(ADL),Functional Independence Measure(FIM) and Harris scores were compared between the two groups of patients when discharged and three months after discharge.Results In the observation group and the control group,the ADL,FIM and Harris scores were gradually increased at 3 months after discharge which had no difference when discharge (P ＞ 0.05).The ADL,FIM and Harris scores of the observation group were significantly higher than that in the control group at 3 months after discharge (P ＜ 0.01).Conclusions Implementation of home care can improve patients' ability of daily life,the whole hip joint function recovery and hip function independence,thus it makes their quality of life better,achieving the goal of comprehensive rehabilitation.

Objective? To expLore the effects of Home FaLL Hazards Assessment (HFHA) on the incidence rate of home faLLs and recovery of hip function in patients receiving totaL hip arthropLasty (THA). Methods? TotaLLy 423 patients who received uniLateraL THA for the first time in the Department of Orthopedics, Nanjing Drum Tower HospitaL admitted from JuLy 2015 to JuLy 2017 were seLected by convenient sampLing and divided into the controL group (n=203) and the treatment group (n=220). Patients in the controL group received conventionaL postoperative nursing care and discharge guidance, whiLe the home faLL hazards of patients in the treatment group were evaLuated by HFHA in addition to conventionaL postoperative nursing care and discharge guidance. Nursing care was provided to them based on the assessment resuLts. The joint function score at discharge and 3 months after discharge, the incidence rate of faLLs over the past one year and the severity of injury caused by faLLs were compared between the two groups. ResuLts? There was no statisticaL difference in Harris index and BartheL index scores between the two groups at discharge (P＞ 0.05). Harris index and BartheL index scores 3 months after discharge were statisticaL differences in both groups (P＜0.05). 55 faLLs occurred over the past one year in the controL group, 7 of them with moderate or above injuries, whiLe 35 faLLs occurred over the past one year in the treatment group, 1 of them with moderate or above injuries. There were statisticaL differences in the incidence rate of faLLs and injury degrees between the two groups (P＜0.05). ConcLusions? HFHA, when used to assess the home faLL hazards, enabLes THA patients to know and note the high-risk hazards contributing to faLLs in their environment of rehabiLitation and effectiveLy reduces the patients home faLLs by improving the home environment.