Preventive effect analysis of"three prevention and three position"targeted nursing on prosthesis dislocation of patients with artificial hip joint replacement
TIAN Gui-xiang
Department of Nursing,Shangyou County Chinese Medicine Hospital of Ganzhou City in Jiangxi Province,Ganzhou 341200,China
Abstract：Objective To study the preventive effect of “three prevention and three position” targeted nursing on prosthesis dislocation of patients with artificial hip joint replacement(AHJR).Methods A total of 414 AHJR patients admitted to our hospital from June 2014 to December 2015 were selected as the control group and given routine care.A total of 428 AHJR patients admitted to our hospital from January 2016 to July 2017 were selected as the observation group,based on the conventional nursing,"three-prevention and three-prevention"targeted nursing was given.The incidence of endoprosthesis dislocation within 3 months after surgery,anxiety and depression before and after nursing,and quality of life before and after nursing were compared between the two groups.Results The incidence of prosthesis dislocation within 3 months after surgery in the observation group was significantly lower than that in the control group,the difference was statistically significant(P＜0.05).There was no statistically significant difference in the incidence of femoral neck fracture,femoral head necrosis and congenital hip joint disease between the two groups(P＞0.05).There was no significant difference in SAS and SDS scores between the two groups before nursing (P＞0.05).SAS and SDS scores of the two groups after nursing were significantly lower than those before nursing,and those in the observation group were lower than that of the control group,the differences were statistically significant(P＜0.05).There was no significant difference in SF-36 scores between the two groups before nursing(P＞0.05).The SF-36 scores of the two groups were significantly higher after nursing than before nursing,the differences were statistically significant(P＜0.05),and those in the observation group were higher than the control group,the differences were statistically significant(P＜0.05).Conclusion The“three prevention and three position” targeted nursing has a significant preventive effect on prosthetic dislocation of AHJR,which is beneficial to relieve anxiety and depression of patients,and effectively improve patients satisfaction and quality of life,so it is worthy of clinical application.
Wang D，Li DH，Li Q，et al.Subtrochanteric shortening osteotomy during cementless total hip arthroplasty in young patients with severe developmental dysplasia of the hip[J].BMC Musculoskelet Disord，2017，18（1）：491.
Pisecky L，Hipmair G，Schauer B，et al.30-years of experience with the cementless implanted Alloclassic total hip arthroplasty system-An ultra-long-term follow-up[J].J Orthop，2017，15（1）：18-23.
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