Application of home care in total hip replacement patients with minimally invasive OCM approach

Abstract

Objective To explore the nursing effect of home care in patients with minimally invasive total hip arthroplasty(THA) in patients with minimally invasive surgery, and to provide comprehensive and seamless care for patients. Methods A total of 79 patients with THA were divided into observation group (38 cases)and control group(41 cases). The observation group received home care, including health education, telephone follow-up, home visits and other nursing measures. Control group followed the routine nursing education. Activity of Daily Living Scale(ADL), Functional Independence Measure(FIM) and Harris scores were compared between the two groups of patients when discharged and three months after discharge. Results In the observation group and the control group, the ADL, FIM and Harris scores were gradually increased at 3 months after discharge which had no difference when discharge(P>0.05). The ADL, FIM and Harris scores of the observation group were significantly higher than that in the control group at 3 months after discharge(P<0.01). Conclusions Implementation of home care can improve patients′ ability of daily life, the whole hip joint function recovery and hip function independence, thus it makes their quality of life better, achieving the goal of comprehensive rehabilitation. Key words: Elderly; Total hip arthroplasty; Rehabilitation; Quality of life; Home care