快速康复外科理念在老年人工髋关节置换患者护理中应用.doc

快速康复外科理念在老年人工髋关节置换患者护理中应用 　　【摘要】 目的：探讨快速康复外科理念在老年人工髋关节置换患者围手术期护理中的应用，并评估其有效性和安全性。方法：选取2014年2月-2015年2月期间本院骨科病房收治的120例老年人工髋关节置换患者为研究对象，随机分为对照组和快速康复外科组，每组各60例，分别给予常规护理及快速康复护理，观察并比较两组患者对护理工作的满意度、住院时间、髋关节功能、再住院率及术后并发症等情况。结果：快速康复外科组患者的满意度显著优于对照组，住院时间显著低于对照组，术后髋关节功能显著优于对照组，两组比较差异均有统计学意义（P0.05）。结论：在老年人工髋关节置换患者外科护理中应用快速康复外科理念，可以明显提高患者的满意度，缩短住院时间，提高患者髋关节功能的恢复，值得推广应用 【关键词】 快速康复； 老年； 髋关节置换； 骨科； 护理 【Abstract】 Objective：To explore the efficacy and safety of fast-track surgery（FTS） program in the perioperative nursing of aged patients with artificial hip replacement.Method：Total 120 patients who received artificial hip replacement from February 2014 to February 2015 in our hospital were chose as the research objects， all the patients were randomly divided into two groups，FTS group and control group，60 cases in each group.The control group was given routine nursing and the FTS group was given fast-track surgery nursing.Patients satisfaction to nursing work，length of hospital stay，the function of hip joint，rehospitalization rate and postoperative complications of two groups were observed and compared.Result：The patients satisfaction of the FTS group was significantly better than the control group，the length of hospital stay was significantly lower than the control group，and the postoperative hip joint function was significantly better than the control group，the differences between the two groups had statistical significance（P0.05）.Conclusion：The usage of FTS in the perioperative nursing of aged patients with artificial hip replacemen could significantly improve the patients satisfaction，shorten hospitalization time，improve the recovery of hip joint activity，so it is worthy of popularization and application. 【Key words】 Fast-track surgery； Old； Artificial hip replacement； Department of osteology； Nursing First-author’s address：Qingdao Municipal Hospital（Eastern Area），Qingdao 266071，China doi：10.3969/j.issn.1674-4985.2016.34.022 快速康?屯饪疲?fast-track surgery，FTS）是一种在围手术期