Application of grading activities in total hip arthroplasty patients
10.3969/j.issn.1673-9701.2025.29.005
- VernacularTitle:分级活动在全髋关节置换术患者中的应用
- Author:
Xiaoling LIANG
1
;
Yexiang YANG
1
;
Kun WANG
1
;
Tangzhao LIANG
1
;
Dandan GUAN
1
Author Information
1. 中山大学附属第三医院关节外科创伤骨科,广东 广州 510000
- Publication Type:Journal Article
- Keywords:
Total hip arthroplasty;
Postoperative delirium;
Grading activities;
Joint function
- From:
China Modern Doctor
2025;63(29):19-22
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the intervention effect of grading activities on postoperative delirium in patients undergoing total hip arthroplasty(THA).Methods A total of 100 patients who underwent THA at the Third Affiliated Hospital of Sun Yat-sen University from January 2024 to January 2025 were selected as subjects.Using a randomized digital table method,patients were divided into intervention group(n=50)and control group(n=50).The control group received standard postoperative care,while intervention group began implementing grading activities program immediately upon returning to the ward.Delirium incidence,Harris hip function scale(HHS)score,Pittsburgh sleep quality index,average length of hospital stay,average hospitalization costs,and patient satisfaction were compared between two groups.Results Postoperative delirium in intervention group was significantly lower than that in control group(P＜0.05).There were statistically significant differences in HHS,pain scores,and joint function scores between two groups.Sleep quality and higher satisfaction rates were better in intervention group than those in control group,while average hospital stays and total hospitalization costs were lower in intervention group than those in control group with statistically significant(P＜0.05).Conclusion Early grading activities can prevent the occurrence of postoperative delirium in patients with THA,reduce postoperative pain,improve joint function and sleep quality,and effectively improve patient satisfaction.
