Evidence-based care in the prevention of complications after total hip replacement application.docVIP

 PAGE \* MERGEFORMAT 10 Evidence-based care in the prevention of complications after total hip replacement application [Keywords:] evidence-based nursing; total hip replacement Total hip arthroplasty (THA) and femoral head osteonecrosis in elderly surgical trauma common one, with a wound to stimulate a large, bleeding, bone glue and other characteristics required to strengthen the perioperative management is one of the keys to improve surgery . In order to investigate the application of evidence-based care model to prevent complications after total hip replacement, this article on elderly patients after total hip replacement application of evidence-based care model for nursing, received good results. 1 Materials and Methods 1.1 General Information The group of 65 patients, male 40 cases, 25 females, 55 to 70 years in 10 cases, 42 patients aged 70 to 80 80 to 90 years 9 cases, 4 cases over 90 years. Including 9 cases of traffic accident injury, pathologic fracture in 2 cases, 8 cases of femoral head necrosis, 46 cases of fracture of their own falls. preoperative 39 patients with cardiovascular disease, respiratory system disease in 16 patients, 13 patients with diabetes mellitus (preoperative blood glucose control in 7.6 mmol / L). 1.2 Methods risk, elderly patients because of its poor physical fitness, poor adaptation to the environment and poor body resistance characteristics after total hip replacement have higher complications. Because the activity less, stay in bed for a long time, prone to pressure ulcers, respiratory and urinary tract infection, the total hip arthroplasty in patients with primary nursing goal is to reduce the incidence of complications and promote patient recovery. THA complications in patients prone to dislocation of the hip, lower extremity deep vein thrombosis, stress ulcers, urinary tract infection, the actual situation for the patient care program developed. 1.3 Results The patients were followed up 63 patients, fol