Effect of traditional Chinese and Western medicine combined nursing intervention on pain of patients ;after hip replacement

Abstract

Objective To explore the clinical effect of traditional Chinese and Western medicine combined nursing intervention on pain control in patients after hip replacement .Methods Sixty-eight patients with hip replacement from January 2011 to April 2013 were divided into the experimental group and control group according to the random number table , each with 34 cases.The control group received the routine pain nursing intervention, and the experimental group received the auricular point and wrist ankle needle intervention on the＆amp;nbsp;basis of the control group.The degree of pain, adverse reactions, the days and costs of hospitalization, patients’ satisfaction and hip joint range of motion two weeks after operation .Results The scores of degree of pain in experimental group each time period were significantly lower than those in the control group , and the differences were statistically significant （P<0.05）.The rate of adverse reactions and the days and costs of hospitalization were respectively 11.7%, （12.32 ±3.42）d, （38 561.46 ±3 247.02） yuan in the experimental group, and were significantly lower than 26.5%, （16.78 ±4.76） d, （42 512.87 ±3 853.23） yuan in the control group, and the differences were statistically significant （t=-3.452, 3.227, respectively;P<0.05）. The patients’ satisfaction was 94.3% in the experimental group, and was significantly higher than 82.7% in the control group, and the difference was statistically significant （t=4.232, P<0.05）.The hip joint range of active and passive motion two weeks after operation were respectively （97.86 ±6.56）°, （113.76 ±7.76）°in the experimental group, and were better than （90.14 ±6.23）°, （101.31 ±7.12）°in the control group, and the differences were statistically significant （t =-2.227, -3.216, respectively; P<0.05）.Conclusions The traditional Chinese and Western medicine combined nursing intervention can effectively relieve the postoperative pain in patients after hip replacement , and is in favor of the rehabilitation of joint function so as to improve the quality of clinical nursing . Key words: Arthroplasty,replacement,hip; Pain; Nursing intervention; Auricular point; Wrist ankle needle