Effect of Painless Rehabilitation Nursing for Hip Replacement Patients

Overview

Journal Comput Math Methods Med

Publisher Hindawi

Specialty Medical Informatics

Date 2022 Jun 21

PMID 35726226

Authors

Xiaona Zhao

Ru Bai

Jing Yang

Affiliations

Soon will be listed here.

Abstract

Objective: To analyze the effect of painless rehabilitation nursing for hip replacement patients.

Method: 124 elderly patients who underwent total knee arthroplasty in our hospital from June 2019 to June 2020 were selected as study subjects. They were randomly divided into observation group and control group. The control group was given routine nursing care, and the observation group was given painless rehabilitation care on the basis of the control group. Knee circumference, knee pain, knee function, agitation and sleep duration were recorded and compared between the two groups.

Results: The changes of knee circumference diametral in both groups were significantly decreased at 1, 3 and 7 days after operation; The changes of knee circumference diametral in the observation group were significantly smaller than those in the control group at 3,7 days after operation (). VAS (Visual Analogue Scale) scores at 1, 3 and 7 d after operation were significantly decreased in both groups; The score of the observation group was significantly lower than that of the control group, and the difference was statistically significant (). HSS (Hospital for special surgery) scores increased significantly in both groups at 1 week, 1 month, 3 months and 6 months after operation. All the comparisons were statistically significant (); HSS scores of observation group were significantly higher than control group at 1 week, 1 month, 3 months and 6 months after surgery. The difference was statistically significant (). The agitation rate of the observation group was lower than that of the control group (). Compared with the control group, the sleep time of observation group increased significantly in each period, with statistically significant difference (P <0.05).

Conclusion: Perioperative painless rehabilitation nursing interventions for patients with hip replacement could significantly relieve swelling and pain, it was helpful for the patients to recover the function of knee joint after operation and worthy of clinical application.

References

Ezquerra L, Quilez M, Perez M, Albareda J, Seral B . Range of Movement for Impingement and Dislocation Avoidance in Total Hip Replacement Predicted by Finite Element Model. J Med Biol Eng. 2017; 37(1):26-34. PMC: 5325855. DOI: 10.1007/s40846-016-0210-4. View

van den Eeden Y, De Turck B, Van Den Eeden F . 24 hours stay after hip replacement. Acta Orthop. 2016; 88(1):24-28. PMC: 5251260. DOI: 10.1080/17453674.2016.1236229. View

Manner P . Editor's Spotlight/Take 5-2018 John Charnley Award: Analysis of US Hip Replacement Bundled Payments: Physician-initiated Episodes Outperform Hospital-initiated Episodes. Clin Orthop Relat Res. 2019; 477(2):268-270. PMC: 6370108. DOI: 10.1097/CORR.0000000000000626. View

Williamson L, Kautz D . Trauma-Informed Care Is the Best Clinical Practice in Rehabilitation Nursing. Rehabil Nurs. 2018; 43(2):73-80. DOI: 10.1097/RNJ.0000000000000091. View

Arakgi M, Degen R . Approach to a Failed Hip Arthroscopy. Curr Rev Musculoskelet Med. 2020; 13(3):233-239. PMC: 7251020. DOI: 10.1007/s12178-020-09629-9. View

Mupparapu M, Singer S . Editorial: The American Society of Anesthesiologists (ASA) physical status classification system and its utilization for dental patient evaluation. Quintessence Int. 2018; 49(4):255-256. DOI: 10.3290/j.qi.a40053. View

Daniels V, Strand A, Lai H, Hillier T . Impact of tablet-scoring and immediate score sheet review on validity and educational impact in an internal medicine residency Objective Structured Clinical Exam (OSCE). Med Teach. 2019; 41(9):1039-1044. DOI: 10.1080/0142159X.2019.1615609. View

McCarthy C, Uchihara Y, Vlychou M, Grammatopoulos G, Athanasou N . Development of malignant lymphoma after metal-on-metal hip replacement: a case report and review of the literature. Skeletal Radiol. 2017; 46(6):831-836. DOI: 10.1007/s00256-017-2612-y. View

Riviere C, Lazennec J, Van Der Straeten C, Auvinet E, Cobb J, Muirhead-Allwood S . The influence of spine-hip relations on total hip replacement: A systematic review. Orthop Traumatol Surg Res. 2017; 103(4):559-568. DOI: 10.1016/j.otsr.2017.02.014. View

10.

McNabb D, Jennings J, Levy D, Miner T, Yang C, Kim R . Direct Anterior Hip Replacement Does Not Pose Undue Radiation Exposure Risk to the Patient or Surgeon. J Bone Joint Surg Am. 2017; 99(23):2020-2025. DOI: 10.2106/JBJS.17.00351. View

11.

Cadossi M, Sambri A, Tedesco G, Mazzotti A, Terrando S, Faldini C . Anterior Approach in Total Hip Replacement. Orthopedics. 2016; 40(3):e553-e556. DOI: 10.3928/01477447-20161202-06. View