| ObjectivesUnderstand the demographic and sociological data of patients with panic disorder after total hip arthroplasty(THA),and compare IARA model intervention and conventional nursing intervention on the degree of panic,hip pain,and first getting out of bed after THA.The difference in activity time,hospitalization days,hip joint function;to explore the influence of IARA mode intervention program on the rehabilitation outcome of patients with panic disorder after THA,and to improve the compliance of patients with postoperative rehabilitation exercises.Methods1.According to the inclusion criteria,this study selected 88 patients with panic disorder after THA in the orthopedics department of a tertiary a hospital from January 2020 to August 2020 as the research objects.After signing the informed consent form,they were numbered according to the admission order,and grouped by a computer-generated list randomly.The control group was given routine nursing interventions,including lower limb muscle training,walking exercises,weight-bearing exercises;the experimental group was based on routine nursing interventions carrying out IARA mode intervention,mainly including standard procedures and intervention procedures.2.Within 24 hours after the operation,after the patient’s consciousness recovers,use the Tampa Scale for Kinesiophobia(TSK)to assess whether the patient has panic disorder,and those who are assessed as panic disorder,combined with admission data,fill in the total hip General information survey form for patients with joint replacement,and collect indicators such as hip joint pain.Record the first time to get out of bed after the operation.On the 7th day after operation,the Visual Analog Scale(VAS)was used to evaluate the patient’s pain.On the day of discharge,TSK and Harris Hip Score(HHS)were used to assess the patient’s degree of terrorism and hip function rehabilitation,repeat measurement of pain indicators and record the number of days in hospital.3.Use IBM SPSS 25.0 software to perform statistical analysis on the data,using mean±standard deviation(x±S),frequency,percentage[n(%)]to describe the general data of patients;measurement data obey normal distribution,use t test,when it does not obey the normal distribution,the non-parametric Kruskal-Wallis H test is used;the chi-square test is used to compare the differences between groups for the count data;the repeated measures analysis of variance is used to evaluate the changing trend of various indicators,and P<0.05 is considered as yes Statistical significance.Results1.According to the inclusion and exclusion criteria,a total of 83 patients with panic disorder after total hip arthroplasty were included in this study,including 41 cases in the experimental group and 42 cases in the control group.The average age of patients with panic disorder after THA was(56.27±15.55)years,the average height was(164.98±8.09)cm,the average weight was(64.18±11.01)kg,and the average BMI was(23.51±3.33)kg/cm2.Among them,male patients accounted for 61.40%and female patients accounted for 38.60%;the left side of the surgical site accounted for 56.60%,and the right side accounted for 43.40%.Comparison of age,height,weight,BMI,gender,family residence,lifestyle,education level,marital status,work status,medical payment method,family monthly income,past disease history,pain years,etc.between the two groups of patients is not statistically available the academic difference(P>0.05)indicates that the baseline data are comparable.2.Comparison of panic disorder between the two groups of patients after THA:The paired t-test showed that the average TSK score of the test group decreased from(47.32±5.05)to(34.00±5.68);the average TSK score of the control group decreased from(46.71±5.24)points dropped to(42.02±5.28)points.With the passage of time,the average TSK scores of the two groups decreased,and the difference was statistically significant(P<0.05).The TSK mean scores of the two groups were compared at different time points,and the data was analyzed by two independent sample t-tests.The results showed that there was no statistically significant difference in the TSK mean scores between the intervention group and the control group at 24 h after surgery(t=0.534,P=0.595),but the difference in TSK score between the intervention group and the control group on the discharge day was statistically significant(t=-6.666,P<0.001).3.Comparison of hip joint function between the two groups after THA:the average HHS score of the experimental group was(77.98±4.58)points,the average HHS score of the control group was(69.21±5.31)points,and the average HHS score of the experimental group was higher than that of the control group.It is statistically significant(t=8.049,P<0.001).4.Comparison of hip pain between the two groups after THA:repeated measurement analysis of variance showed that the average VAS score of the test group gradually decreased from 4.07 to 1.82,1.32;the average VAS score of the control group gradually decreased from 4.52 to 2.56,1.98,indicating two The pain degree of the patients in the group decreased with the increase of time,but the VAS score of the test group decreased significantly than that of the control group.Two independent sample t-tests showed that the VAS scores of the test group were lower than those of the control group at each time point after the intervention,and the difference was statistically significant(P<0.05).5.Comparison of the time to get out of bed for the first time between the two groups after THA:the average time to get out of bed for the test group was(1.98±0.82)d,and the time for the control group to get out of bed for the first time was(4.31±1.89)d.Independent samples were used The t test analyzes the data.The results showed that the time of getting out of bed for the first time in the experimental group was earlier than that in the control group,and the difference was statistically significant(t=7.255,P<0.001).6.Comparison of the length of stay in the two groups after THA:the average length of stay in the intervention group and the control group were(11.41±3.79)days and(15.74±4.29)days,respectively.The average length of stay in the experimental group was less than that of the control group.Statistically significant(t=-4.860,P<0.001).ConclusionsCompared with conventional nursing intervention,IARA mode intervention is scientific and reliable.It can effectively reduce the degree of panic disorder in patients after THA,relieve postoperative pain,promote hip function recovery,shorten hospital stay,and save medical resources. |
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