Abstract
OBJECTIVE: To analyze the effect of painless rehabilitation nursing for hip replacement patients. METHOD: 124 elderly patients who underwent total knee arthroplasty in our hospital from June 2019 to June 2020 were selected as study subjects. They were randomly divided into observation group and control group. The control group was given routine nursing care, and the observation group was given painless rehabilitation care on the basis of the control group. Knee circumference, knee pain, knee function, agitation and sleep duration were recorded and compared between the two groups. RESULTS: The changes of knee circumference diametral in both groups were significantly decreased at 1, 3 and 7 days after operation; The changes of knee circumference diametral in the observation group were significantly smaller than those in the control group at 3,7 days after operation (P <0.05). VAS (Visual Analogue Scale) scores at 1, 3 and 7 d after operation were significantly decreased in both groups; The score of the observation group was significantly lower than that of the control group, and the difference was statistically significant (P <0.05). HSS (Hospital for special surgery) scores increased significantly in both groups at 1 week, 1 month, 3 months and 6 months after operation. All the comparisons were statistically significant (P <0.05); HSS scores of observation group were significantly higher than control group at 1 week, 1 month, 3 months and 6 months after surgery. The difference was statistically significant (P <0.05). The agitation rate of the observation group was lower than that of the control group (P <0.05). Compared with the control group, the sleep time of observation group increased significantly in each period, with statistically significant difference (P <0.05). CONCLUSION: Perioperative painless rehabilitation nursing interventions for patients with hip replacement could significantly relieve swelling and pain, it was helpful for the patients to recover the function of knee joint after operation and worthy of clinical application.