早期ADL自理能力训练对人工髋关节置换术患者的效果观察.docVIP

早期ADL自理能力训练对人工髋关节置换术患者的效果观察 　　[摘要] 目的 探讨早期ADL自理能力训练对人工髋关节置换术患者的效果。 方法 将80例人工髋关节置换术患者按照入院时间的先后顺序随机分为常规训练组和早期训练组，每组各40例，常规训练组按照常规护理模式进行护理，早期训练组在常规训练组的基础上早期应用ADL自理能力训练模式，比较两组的效果。 结果 早期训练组的生活自理能力、患者及家属满意度明显高于常规训练组，并发症发生率明显低于常规训练组，差异有统计学意义（P0.05）。 结论 ADL自理能力训练能有效提高患者的自我护理能力，提高患者及家属的满意率，降低并发症的发生率，提高日常生活质量。 　　[关键词] ADL自理能力训练；人工髋关节置换；护理 　　[中图分类号] R493 [文献标识码] B [文章编号] 1674-4721（2014）08（a）-0114-04 　　Effect observation of the early ADL self-care training in the patients with total hip arthroplasty 　　CHEN Shu-ling PAN Lian DONG Sheng-nan 　　The First Orthopaedics Department，Dongguan Houjie Hospital Affiliated toGuangdong Medical College，Dongguan 523945，China 　　[Abstract] Objective To explore the effect observation of the early ADL self-care training in the patients with total hip arthroplasty. Methods 80 patients with artificial hip joint replacement were randomly divided into regular training group and early training group，with 40 cases in each group，the regular training group was given conventional nursing，early training group was given early application of ADL ability training mode on the basis of the control group，the effect of the two groups were conmpared. Results The self-care ability， satisfaction of patients and their family members in early training group were significantly higher than those of regular training group，the complication rate was lower than that of regular training group，the difference was statistically significant （P0.05）. Conclusion ADL self-care training can effectively improve patient self-care，improve patient and family satisfaction，reduce complications and improve the quality of daily life. 　　[Key words] ADL self-care training；Hip arthroplasty；Care 　　人工全髋关节置换术就是利用人工材料将人体的股骨头和髋臼置换，具有解除关节疼痛，保持关节活动度，保持关节稳定性和不影响或修复肢体长度的综合优点[1-2]。术后功能训练是预防发生并发症、保证手术效果的重要环节[3]。由于人工髋关节置换患者大部分为高龄患者，常合并其他疾病，手术创伤大，术后需较长时间才能恢复完全的日常生活自理能力。故通过时间进展合理安排对患者实行ADL自理能力训练，可提高患者及家属的满意度，提高患者日常生活自理能力，降低卧床护理并发症，从而提高患者的生活质量，满足患者的自我需求，体现自我价值。本科将收治的80例患者按入院时间顺序分为早期训练组和常规训练组，早期训练组