Application of fast-track surgery combined with a clinical nursing pathway in the rehabilitation of patients undergoing total hip arthroplasty

Objective To explore the effect of fast-track surgery combined with a clinical nursing pathway in the rehabilitation of patients treated with total hip arthroplasty (THA). Methods We enrolled 70 patients diagnosed with avascular necrosis who were treated with a THA. All patients were randomly divide...

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Bibliographic Details
Published in:Journal of international medical research 2020-01, Vol.48 (1), p.300060519889718-300060519889718
Main Authors: Zhang, Chunhua, Xiao, Jun
Format: Article
Language:English
Subjects:
Adult
Aged
Arthroplasty, Replacement, Hip - adverse effects
Arthroplasty, Replacement, Hip - rehabilitation
Clinical Research Report
Critical Pathways
Female
Femur Head Necrosis - surgery
Hip joint
Humans
Joint replacement surgery
Length of Stay
Male
Middle Aged
Nursing
Patient Satisfaction
Perioperative Care - methods
Perioperative Nursing - methods
Prospective Studies
Rehabilitation
Treatment Outcome
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Summary:Objective To explore the effect of fast-track surgery combined with a clinical nursing pathway in the rehabilitation of patients treated with total hip arthroplasty (THA). Methods We enrolled 70 patients diagnosed with avascular necrosis who were treated with a THA. All patients were randomly divided into either a control or a study group. The control group received routine nursing during the perioperative period while the study group received a fast-track surgery combined with a clinical nursing pathway. Results There was no significant difference in general condition between the two groups, including the Harris hip score and the SF-36 scale of health. At the third week and the third month after the operation, the Harris hip score and the health SF-36 score of the study group increased significantly compared with the control group. In addition, the study group had a lower incidence of total complications and a shorter hospitalization time, as well as higher satisfaction scores for nursing work compared with the control group. Conclusion Fast-track surgery combined with a clinical nursing pathway can effectively improve the clinical symptoms and self-efficacy of patients undergoing THA, and improve the patients' satisfaction with hospitalization.
ISSN:0300-0605
1473-2300
DOI:10.1177/0300060519889718