The research of patient diary based on the concept of enhanced recovery after surgery in patients undergoing total hip arthaoplasty

doi:10.3877/cma.j.issn.2096-0263.2021.04.007

Abstract

Abstract:

Objective

To explore the effect of course diary based on the concept of rapid rehabilitation in patients undergoing total hip replacement.

Methods

110 patients who underwent total hip replacement in our hospital from January 2018 to December 2018 were randomly divided into control group (55 cases) and experimental group (55 cases). The control group received routine perioperative nursing. On this basis, the nursing staff in the experimental group instructed the patients and their families to record "course diary based on the concept of fast-track surgery". The outcome of pain control, Harris score and Barthel index score were observed.

Results

The outcome of pain control in the experimental group at discharge. The Harris score and Barthel Index scores of 1 month and 3 months after operation were higher than those of the control group,the difference was statistically significant (P<0.01).

Conclusion

Using the course diary which based on the concept of fast-track surgery can effectively improve the patient's pain control outcome, ensure the body's nutrition supply, promote the recovery of hip joint function, improve the ability of self-care, and achieve the purpose of rapid rehabilitation.

Key words: Enhanced recovery after surgery, Patient diary, Arthaoplasty, replacement, hip

Xuemei Zhou, Ping Hou, Dongmei Gui, Huili Zhou, Wei Xia, Yi Hu. The research of patient diary based on the concept of enhanced recovery after surgery in patients undergoing total hip arthaoplasty[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2021, 07(04): 238-244.

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References 24

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组别	例数	性别（例）		年龄（岁，±s）	BMI（Kg/m²，±s）	文化程度（例）			陪护人员（例）			术前合并症
组别	例数	男	女	年龄（岁，±s）	BMI（Kg/m²，±s）	文盲	小学	初中及以上	配偶	子女	护工及其他	高血压	糖尿病	心脏病
试验组	55	19	36	75.3±0.8	22.9±0.3	33	9	13	17	21	17	21	8	6
对照组	52	12	40	74.8±1.1	22.8±0.3	28	8	16	14	20	18	25	4	8
统计值		χ²=1.708		t=0.353	t=0.308	χ²=0.240			χ²=0.585			χ²=0.193
P值		>0.05		>0.05	>0.05	>0.05			>0.05			>0.05

组别	例数	性别（例）		年龄（岁，±s）	BMI（Kg/m²，±s）	文化程度（例）			陪护人员（例）			术前合并症
组别	例数	男	女	年龄（岁，±s）	BMI（Kg/m²，±s）	文盲	小学	初中及以上	配偶	子女	护工及其他	高血压	糖尿病	心脏病
试验组	55	19	36	75.3±0.8	22.9±0.3	33	9	13	17	21	17	21	8	6
对照组	52	12	40	74.8±1.1	22.8±0.3	28	8	16	14	20	18	25	4	8
统计值		χ²=1.708		t=0.353	t=0.308	χ²=0.240			χ²=0.585			χ²=0.193
P值		>0.05		>0.05	>0.05	>0.05			>0.05			>0.05

时间	无痛	轻度疼痛			中度疼痛			重度疼痛
时间	0分	1分	2分	3分	4分	5分	6分	7分	8分	9分	10分




镇痛方式	□转移注意力　□口服药物　□肌注药物　□静脉输液

时间	无痛	轻度疼痛			中度疼痛			重度疼痛
时间	0分	1分	2分	3分	4分	5分	6分	7分	8分	9分	10分




镇痛方式	□转移注意力　□口服药物　□肌注药物　□静脉输液

日期	功能锻炼内容	执行情况
月日	□深呼吸、有效咳嗽次/组，每天组	□能完成计划的100% □能完成计划的70% □能完成计划的50% □完成计划<50%
	□踝泵运动次/组，每天组
	□股四头肌运动次/组，每天组
	□直腿抬高次/组，每天组
	□遵医嘱扶助行器床边站立分钟/次，每天次
	□遵医嘱扶助行器下床行走米/次，每天次
	□坐位练习分钟/次，每天次
	□站立伸髋、屈髋、髋外展次/组，每天组
	□其他

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