Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 26, 2024; 12(21): 4558-4565
Published online Jul 26, 2024. doi: 10.12998/wjcc.v12.i21.4558
Effect of continuous nursing on rehabilitation of older patients with joint replacement after discharge
Xiao-Yan Qi, Hong-Yan Zhou, Yu-Hong Xing
Xiao-Yan Qi, Hong-Yan Zhou, Yu-Hong Xing, Department of Orthopaedics, The Third Hospital of Shijiazhuang, Shijiazhuang 050011, Hebei Province, China
Co-first authors: Xiao-Yan Qi and Hong-Yan Zhou.
Author contributions: Qi XY and Zhou HY contributed equally to this work and are co-first authors; Qi XY and Zhou HY designed the research and wrote the first draft of the manuscript; Qi XY, Zhou HY and Xing YH contributed to conceiving the research and analyzing the data; Qi XY and Zhou HY conducted the analysis and provided guidance for the research; All authors reviewed and approved the final manuscript.
Supported by Hebei Provincial Medical Science Research Key Project Plan, No. 20181057.
Institutional review board statement: This study was approved by the Ethic Committee of The Third Hospital of Shijiazhuang.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All authors declare that there is no conflict of interest.
Data sharing statement: The data that support the results of this research are available upon reasonable request from the corresponding author.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Yan Qi, BMed, Nurse, Department of Orthopaedics, The Third Hospital of Shijiazhuang, No. 15 Tiyu South Street, Chang'an District, Shijiazhuang 050011, Hebei Province, China. qixiaoyan2023@126.com
Received: April 1, 2024
Revised: May 21, 2024
Accepted: May 30, 2024
Published online: July 26, 2024
Processing time: 90 Days and 23.6 Hours
Abstract
BACKGROUND

Joint replacement is a common treatment for older patients with high incidences of hip joint diseases. However, postoperative recovery is slow and complications are common, which reduces surgical effectiveness. Therefore, patients require long-term, high-quality, and effective nursing interventions to promote rehabilitation. Continuity of care has been used successfully in other diseases; however, little research has been conducted on older patients who have undergone hip replacement.

AIM

To explore the clinical effect of continuous nursing on rehabilitation after discharge of older individuals who have undergone joint replacement.

METHODS

A retrospective analysis was performed on the clinical data of 113 elderly patients. Patients receiving routine nursing were included in the convention group (n = 60), and those receiving continuous nursing, according to various methods, were included in the continuation group (n = 53). Harris score, short form 36 (SF-36) score, complication rate, and readmission rate were compared between the convention and continuation groups.

RESULTS

After discharge, Harris and SF-36 scores of the continuation group were higher than those of the convention group. The Harris and SF-36 scores of the two groups showed an increasing trend with time, and there was an interaction effect between group and time (Harris score: Fintergroup effect = 376.500, Ftime effect = 20.090, Finteraction effect = 4.824; SF-36 score: Fintergroup effect = 236.200, Ftime effect = 16.710, Finteraction effect = 5.584; all P < 0.05). Furthermore, the total complication and readmission rates in the continuation group were lower (P < 0.05).

CONCLUSION

Continuous nursing could significantly improve hip function and quality of life in older patients after joint replacement and reduce the incidence of complications and readmission rates.

Keywords: Continuous nursing; Discharge; Older adults; Joint replacement; Rehabilitation; Effect

Core Tip: Hip joint diseases are frequent in the older population. The prevalence rate is high, and its damage to the health and life of the older individuals poses a substantial burden. Here, we analyzed the effect of continuous care on rehabilitation after discharge of older patients undergoing joint replacement. Using the Harris score, short form 36 score, complication rate, and readmission rate as observational indicators, we proposed the effectiveness of extended continuous care in the rehabilitation after discharge of older patients who have undergone joint replacement, which is a breakthrough in the efficacy and rehabilitation of older patients undergoing joint replacement.