精细化管理在髋关节置换围手术期健康教育护理作用.docVIP

精细化管理在髋关节置换围手术期健康教育护理作用 　　[摘要] 目的 观察探讨精细化管理在髋关节置换围手术期健康教育的临床护理作用。 方法 经医院伦理委员会通过，将120例行髋关节置换手术的患者按照护理方式不同分为实验组和对照组，实验组给予患者精细化管理，对对照组患者采取常规护理模式，比较两组患者的Harris评分、Barthel指数评分、并发症发生率、患者生活质量评分以及患者对护理服务的满意度等情况。 结果 经过手术后，实验组患者的Harris评分、Barthel指数评分、生活质量评分以及患者的满意度均较对照组高，且差异有统计学意义（P0.05）；实验组患者术后并发症发生率明显低于对照组，且差异有统计学意义（P0.05）。 结论 精细化管理在髋关节置换围手术期的健康教育有良好的临床表现，可在临床推广。 　　[关键词] 精细化管理；髋关节置换；围手术期；健康教育 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 2095-0616（2017）14-130-03 　　Nursing effect of fine management on perioperative health education in hip replacement 　　OU Lizhen CHEN Mingqing XIA Jianzhen 　　Gaoming District Peoples Hospital of Foshan City，Foshan 528500，China 　　[Abstract] Objective To investigate the clinical nursing effect of fine management in perioperative health education of hip replacement. Methods Adopted by the ethics committee of the hospital，120 cases underwent hip arthroplasty were divided into experimental group and control group according to the different nursing methods.The experimental group received fine management，and the control group received routine nursing.The Harris score，was Barthel Index，the incidence of complications，the quality of life and the nursing satisfaction of two groups were compared. Results After operation，the Harris score，Barthel index，quality of life and patient nursing satisfaction of the experimental group were higher than those of the control group （P0.05）.The postoperative complication rate of the experimental group was significantly lower than that of the control group，which showed significant difference （P0.05）. Conclusion Fine management for perioperative health education in the hip replacement shows a good clinical manifestations，worthy of clinical promotion. 　　[Key words] Fine management；Hip replacement；Perioperative；Health education 　　目前，?y关节置换手术的对象多为60岁以上的老年人群，对于老年人群的髋关节置换，其要考虑伴有的老年慢性疾病，因此，对于老年人群的护理工作尤为变得重要[1]。本研究就以在髋关节置换围手术期健康教育的精细化管理为主要研究对象，探讨其对髋关节置换患者的临床护理效果。现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选取2014年6月～2016年12月来我院行髋关节置换手术的120例患者为研究