47例全髋关节置换患者术后超早期下床活动的康复护理.docVIP

47例全髋关节置换患者术后超早期下床活动的康复护理 中国康复理论与实践2008年箜鲞箜塑垦!!!!旦!竺!!::!:!:?597? ? 康复护理? 47例全髋关节置换患者术后超早期下床活动的康复护理 赵志芳,杨郁文,毛小培,洪艺,李秀燕,葛玉凤 [摘要]目的探讨超早期下床活动的康复护理对全髋关节置换术患者术后康复的影响.方法对47例全髋关节置换术患者 实施以下护理措施:传输超早期下床活动理念,术前充分准备(术前系统评估及康复训练),积极预防术后并发症,监测生命体征,规 范化功能锻炼,术后充分镇痛,尽早撤除各种管道,扶助下床活动.结果47例患者无1例出现深静脉栓塞,脱位,假体周围骨折,感 染,死亡等并发症,均于术后第1天下床活动,平均住院时间19d,其术前,术后14d,1个月,3个月和6个月的髋关节功能Harris 评分分别为54.26分,62.55分,73.58分,91.17分和93.35分.结论超早期下床活动的康复护理能促进全髋关节置换患者术后 关节功能恢复,减少并发症的发生,缩短住院时间. [关键词]全髋关节置换;早期;活动;康复护理 EffectofRehabilitionNursingwithEarlyMovementGettingOutofBedtoExerciseonPatientsafterTotalHipReplacement(47Case Report)ZHAOzhi—fang,YANGYu—wen,MA0Xiao—pei,eta1.T}LeDepartmentofOrthopaedics,ChineseTraditionalMedi— cineHospitalo,ZheiiangProvince,Hangzhou310006,Zhejiang,China Abstract:ObjectiveToevaluatetheeffectofrehabilitationnursingwithmovementgettingoutofbedinearlyperiodafteropera— tionontheDatientsundergonethetotalhipreplacement(THR).MethodsTherehabilitationnursingwasperformedto47patients undergoneTHRincludingmovementgettingoutofbedinearlyperiod;preparedsufficientlypre-operatively(evaluationandrehabili— tationtraining);avoidedthecomplicationspost—operatively;monitoredthevitalsigns;trainedstandardizely;relievedpainsufficient一 1v;tookoffthetubingasearlyaspossible;rehabilitatedwiththewalkingaid.ResultsNonehadDVT,dislocation,fracturearound theprosthesis,infections,deathetc,allpatientsgotoutofbedinthe1stdayafteroperation,theaveragetimeinhospitalwas19 days,andtheaverageHarrisscoreswere54.26,62.55,73.58,91.17and93.35atpre—operation,andin14thday,1stmonth,3rd monthand6thmonthpost—operationrespectively.C:onclusionRehabilitationnursingwithearlymovementgettingoutofbedtoexer— ciseafterTHRoperationcanpromotetherecoveryofthehipfunction,reducethecomplications,shortenthehospitalstay. Keywords:totalhipreplacement;earlystage;movement;rehabilitionnursing [中图分类号]R687.4[文献标识码]B[文章编号]1006—9771(2008)06—0597—02 [本文着录格式]赵志芳,杨郁文,毛小培,等.47例全髋关节置换患者术后超早期下床活动的康复护理¨J].中国康复理论与 实践,2008,14(6):597—598. 自1962年Charnley开创现代人工髋关节置换术以来,