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Application effect of enhanced recovery after surgery in the perioperative nursing of artificial hip replacement |
LIU Li-fang CHEN Jie▲ |
The Ninth Ward, the Fourth Affiliated Hospital of Nanchang University, Jiangxi Province, Nanchang 330002, China |
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Abstract Objective To investigate the application value of enhanced recovery after surgery (ERAS) in the perioperative nursing care of artificial hip replacement (THA), and provide new methods and new ideas or clinic. Methods A total of 60 patients with THA treated in our hospital from January 2017 to January 2019 were selected and divided into experimental group and control group according to the time sequence, 30 cases in each group.The experimental group received perioperative nursing with the concept of ERAS, while the control group received traditional nursing methods.The hip function, satisfaction, nutritio status, daily living ability were compared between two groups. Results The Harris scores of hip joints in the experimental group at 1, 2, and 4 weeks after surgery were all higher than those in the control group,with statistical differences(P<0.05);the nutritional scores of the experimental group on the day of operation,2 days and one week after operation were all higher than those of the control group, with statistical differences (P<0.05); the scores of activities of daily life function(ADL) scale (Barthel) scores in the experimental group were higher than those in the control group 1, 2 and 4 weeks after operation, and the differences were statistically significant (P<0.05); the total scores of conscious recovery, nursing attitude, technical operation, quality of rehabilitation guidance,other scores and satisfaction of the experimental group were higher than those of the control group, with statistical differences (P<0.05). Conclusion ERAS is obviously better than the traditional nursing.It not only promotes the rehabilitation of patients and improves the quality of life, but also significantly promotes and improves the quality of nursing.It has practical application value.
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