Evaluating an Accelerated Rehabilitation Nursing Model After Hip Replacement: A Retrospective Cohort Study
نویسندگان
1 Department of Nursing, Affiliated Beijing Chaoyang Hospital of Capital Medical University, Beijing, China
2 Department of Orthopedics, Affiliated Beijing Chaoyang Hospital of Capital Medical University, Beijing, China
3 Department of Orthopedics, Affiliated Beijing Chaoyang Hospital of Capital Medical University, Beijing, China
4 Department of Orthopedics, Affiliated Beijing Chaoyang Hospital of Capital Medical University, Beijing, China
5 Department of Orthopedics, Affiliated Beijing Chaoyang Hospital of Capital Medical University, Beijing, China
doi
10.22034/ircmj.2025.487714.1604چکیده
Background and Objectives: Hip replacement surgery (HRS) is an effective treatment for advanced hip arthritis, yet traditional postoperative care can delay recovery. This study evaluates a perioperative accelerated rehabilitation nursing model tailored for HRS, focusing on rapid rehabilitation to enhance outcomes. Methods: A retrospective cohort study was conducted with 200 patients who underwent unilateral total HRS at our facility between January 2022 and December 2023. Patients were divided into a control group receiving standard care (n = 112) and an intervention group receiving additional accelerated rehabilitation nursing (n = 88) over 12 weeks. Outcomes measured preoperatively and at 10 days postoperatively included physical and mental stress levels (measured one day before and after surgery), Harris Hip Scores, pain levels (VAS, NRS), Activities of Daily Living (ADL), quality of life, complications, and patient satisfaction. Statistical analysis included t-tests for continuous variables, chi-square tests for categorical data, and ANCOVA for post-intervention outcomes controlling for baseline values (α= 0.05). Results: The intervention group showed improved postoperative Harris Hip Scores (58.19 vs. 56.29, P=0.009) and reduced pain (VAS: 2.47 vs. 2.76, P=0.003; NRS: 2.77 vs. 3.07, P=0.005). Enhanced ADL scores (62.75 vs. 61.17, P=0.045) and reduced complications (6 vs. 49, P<0.001) were observed. Patient satisfaction increased significantly (59.09% very satisfied vs. 47.32%, P=0.006). Serum cortisol and stress scale scores were higher postoperatively in the intervention group, indicating increased stress (cortisol: P=0.025; SAS: P=0.008; SDS: P=0.018). Conclusion: The perioperative accelerated rehabilitation nursing model significantly enhances recovery outcomes and patient satisfaction in HRS, while increasing physiological stress levels.
