Effects of enhanced recovery after surgery nursing on joint function and quality of life of patients after hip replacement

Abstract

Objective To explore the effects of nursing based on the concept of enhanced recovery after surgery (ERAS) on joint function and quality of life of patients after hip replacement. Methods A total of 350 patients after hip replacement who were treated in Suining Municipal Hospital of TCM from January 2015 to December 2018 were selected and they were randomly divided into the conventional group and the ERAS group, with 175 cases in each group. The conventional group was given conventional nursing intervention while the ERAS group was given ERAS-based nursing intervention. The extubation time, ambulation time, hospital stay, Harris score, quality of life (SF-36) score and hospitalization medical expenses in the two groups were compared. Results The extubation time, ambulation time and hospital stay in the ERAS group were respectively (30.2±10.4) min, (1.2±0.6) d and (10.7±3.2) d, all significantly shorter than those in the conventional group, the differences were statistically significant (t=12.975, 14.349, 9.586; P<0.01) . The Harris score of patients in the ERAS group was (87.2±5.5) points and that in the conventional group was (81.6±6.3) points, the difference between the two groups was statistically significant (t=8.858, P<0.01) . The general health of SF-36 scale of patients in the ERAS group in the ERAS group was (81.35±5.81) points and that in the conventional group was (74.17±5.16) points, the difference between the two groups was statistically significant (t=12.223, P<0.01) . The laboratory fees, bed fees, nursing expenses, medicine expenses and total hospitalization expenses of the ERAS group were all lower than those in the conventional group, the differences were statistically significant (P<0.01) . Conclusions ERAS-based nursing intervention has a good clinical effect on the rehabilitation of patients after hip replacement. It can significantly improve hip function, promote the rehabilitation process and improve the quality of life. Key words: Arthroplasty, replacement, hip; Quality of life; Rehabilitation nursing; Enhanced recovery after surgery; Hip replacement; Joint function