Abstract:

Objective　To explore the construction and practical results of the model system based on Internet + nursing service, and to analyze its role in elderly patients after hip replacement at home. Methods　This study was a randomized controlled trial. A total of 60 elderly patients at home who had undergone hip replacement surgery in Guangzhou First People's Hospital from June 2022 to June 2023 were selected as the study subjects, including 35 males and 25 females, with an age of (68.37±5.24) years old. They were divided into a control group and an observation group by the random number table method, 30 cases in each group. The control group adopted routine nursing service, and the observation group constructed and applied the Internet + nursing service model. The Harris hip function score, Barthel index, and complication rate were compared between the two groups. Independent sample t test and χ² test were used. Results　The Harris hip function scores of the observation group 1, 3, and 6 months after intervention were (59.66±5.27), (73.25±2.39), and (87.54±3.78), respectively, the Harris hip function scores of the control group 1, 3, and 6 months after intervention were (53.21±5.18), (64.28±2.18), and (75.67±2.21), respectively, and the Harris hip function scores of the observation group 1, 3, and 6 months after intervention were better than those of the control group (t=4.781, 15.188, and 14.848, all P<0.001). The Barthel indexes of the observation group 1, 3, and 6 months after intervention were (55.46±2.29), (73.66±3.39), and (82.97±3.77), respectively, the Barthel indexes of the control group 1, 3, and 6 months after intervention were (49.21±2.18), (68.61±2.85), and (74.42±3.51), respectively, and the Barthel indexes of the observation group 1, 3, and 6 months after intervention were better than those of the control group (t=10.827, 6.245, and 9.091, all P<0.001). The incidence of complications was 6.67% (2/30) in the observation group and 20.00% (6/30) in the control group, and the incidence of complications in the observation group was relatively low (P<0.05). Conclusion　Internet + nursing service plays an important role in elderly patients after hip replacement at home, which effectively improves their quality of life, with a low incidence of complications and high clinical nursing significance, and is worthy of further study.

Key words:

Hip replacement, Quality of life, Home care, Internet + nursing service

摘要：

目的　探讨基于互联网+护理服务的模式体系建设及实践成果，分析其在髋关节置换术后老年居家患者中发挥的作用。方法　本研究为随机对照试验。选择2022年6月至2023年6月在广州市第一人民医院进行髋关节置换术后的居家患者60例作为研究对象，其中男性35例，女性25例，年龄为（68.37±5.24）岁。采用随机数字表法分为对照组和观察组两组，每组各30例。对照组采用常规护理服务，观察组则构建并应用互联网+护理服务模式。比较两组患者的Harris髋关节功能评分、Barthel指数、并发症发生率。采用独立样本t检验和χ²检验。结果　观察组患者干预后1、3、6个月的Harris髋关节功能评分分别为（59.66±5.27）、（73.25±2.39）、（87.54±3.78）分，对照组患者干预后1、3、6个月的Harris髋关节功能评分分别为（53.21±5.18）、（64.28±2.18）、（75.67±2.21）分，观察组干预后1、3、6个月的Harris髋关节功能评分均优于对照组（t=4.781、15.188、14.848，均P<0.001）。观察组患者干预后1、3、6个月的Barthel指数分别为（55.46±2.29）、（73.66±3.39）、（82.97±3.77）分，对照组患者干预后1、3、6个月的Barthel指数分别为（49.21±2.18）、（68.61±2.85）、（74.42±3.51）分，观察组干预后1、3、6个月的Barthel指数均优于对照组（t=10.827、6.245、9.091，均P<0.001）。观察组患者的并发症发生率为6.67%（2/30），对照组患者的并发症发生率为20.00%（6/30），观察组患者具有较低的并发症发生率（P<0.05）。结论　互联网+护理服务在老年居家髋关节置换术后患者中发挥了重要作用，有效改善了患者的生活质量，且并发症发生率较低，具有较高的临床护理意义，值得进一步研究。

关键词:

髋关节置换术, 生活质量, 居家护理, 互联网+护理服务