Abstract:【Objective】To explore the effect of transitional care model on the rehabilitation of elderly patients after total hip arthroplasty. 【Methods】From November 2020 to August 2022, 136 patients with artificial total hip arthroplasty admitted to the Department of Traumatology and Arthroplasty of our hospital were selected as the study subjects and divided into experimental and control groups using the random number table method, with 68 patients in each group. In the control group, conventional treatment and care were used, while in the experimental group ( the observation group), a transitional care model was applied. The Harris Hip Function Score and Barthel Index were compared between the two groups. 【Results】There was no statistically significant difference in the preoperative Harris hip function scores between the two groups of patients (P>0.05). The Harris hip function scores of the two groups of patients at each time point after discharge were higher than those before surgery, and the scores in the observation group was higher than those in the control group, and the difference was statistically significant (P<0.05). The Barthel index scores of the two groups of patients at each time point after discharge were higher than those before surgery, and the scores in the observation group was higher than those in the control group, and the difference was statistically significant (P<0.05).【Conclusion】The transitional care model can significantly improve the functional rehabilitation and self-care ability of the hip joint in the elderly patients after total hip arthroplasty.
卜俏梅, 刘跃晖, 谭海涛, 王昌芬, 胡桂鲜, 吴灿, 刘洋, 徐高兵, 刘文卓. 过渡期护理模式对老年患者全髋关节置换术后康复的应用效果分析*[J]. 医学临床研究, 2023, 40(12): 1842-1845.
BU Qiaomei,LIU Yuehui,TAN Haitao,et al. Effectiveness of Transitional Care Model in The Rehabilitation of Elderly Patients after Total Hip Arthroplasty. JOURNAL OF CLINICAL RESEARCH, 2023, 40(12): 1842-1845.
[1] FERGUSON R J, PALMER A J, TAYLOR A, et al. Hip replacement[J].Lancet, 2018, 392(10158): 1662-1671.
[2] MONAGHAN B, GRANT T, HING W, et al. Functional exercise after total hip replacement (FEATHER): a randomised control trial[J].BMC Musculoskelet Disord,2012, 13: 237.
[3] 季涧琳, 陆群峰, 杨利灵,等. 过渡期护理的概念分析[J].中华护理杂志, 2022, 57(3): 374-379.
[4] 龚相丹, 冯晓敏, 郑红梅. 过渡期护理的国内外研究现状[J].护理学报, 2017, 24(15): 35-38.
[5] NAYLOR M, BROOTEN D, JONES R, et al. Comprehensive discharge planning for the hospitalized elderly. A randomized clinical trial[J].Ann Intern Med,1994, 120(12): 999-1006.
[6] NAYLOR M D, HIRSCHMAN K B, HANLON A L, et al. Comparison of evidence-based interventions on outcomes of hospitalized, cognitively impaired older adults[J].J Comp Eff Res,2014,3(3): 245-257.
[7] NILSDOTTER A, BREMANDER A. Measures of hip function and symptoms: Harris Hip Score (HHS), Hip Disability and Osteoarthritis Outcome Score (HOOS), Oxford Hip Score (OHS), Lequesne Index of Severity for Osteoarthritis of the Hip (LISOH), and American Academy of Orthopedic Surgeons (AAOS) Hip and Knee Questionnaire[J].Arthritis Care Res (Hoboken),2011, 63(Suppl 11): S200-S207.
[8] HARTIGAN I. A comparative review of the Katz ADL and the Barthel Index in assessing the activities of daily living of older people[J].Int J Older People Nurs,2007, 2(3): 204-212.
[9] 刘翠鲜, 沈志祥. 老年跌倒的特点与预防策略[J].中国老年学杂志, 2013, 33(2): 459-461.
[10] 刘志伟, 叶欣, 高嘉琪, 等. 2009—2019年北京地区老年髋部骨折流行病学特点及年度变化趋势分析[J].北京医学, 2022, 44(6): 494-498.
[11] COLEMAN E A, BOULT C. Improving the quality of transitional care for persons with complex care needs[J].J Am Geriatr Soc,2003, 51(4): 556-557.
[12] MORKISCH N, UPEGUI-ARANGO L D, CARDONA M I, et al. Components of the transitional care model (TCM) to reduce readmission in geriatric patients: a systematic review[J].BMC Geriatr,2020, 20(1): 345.
[13] 郗君梅,朱清文,廖芹,等.低年资护士使用Barthel指数评分量表的调查分析[J].国际护理学杂志,2016,35(24):3330-3332.