Qi XY, Zhou HY, Xing YH. Effect of continuous nursing on rehabilitation of older patients with joint replacement after discharge. World J Clin Cases 2024; 12(21): 4558-4565 [PMID: 39070847 DOI: 10.12998/wjcc.v12.i21.4558]
Corresponding Author of This Article
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
Research Domain of This Article
Orthopedics
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Clin Cases. Jul 26, 2024; 12(21): 4558-4565 Published online Jul 26, 2024. doi: 10.12998/wjcc.v12.i21.4558
Table 1 Baseline information
Baseline data
Convention group, n = 60
Continuation group, n = 53
χ2/t
P value
Sex
0.022
0.883
Male
32 (53.33)
29 (54.72)
Female
28 (46.67)
24 (45.28)
Age in years
67.32 ± 12.28
66.51 ± 12.54
0.347
0.730
Clinical diagnosis
0.122
0.941
Hip fracture
35 (58.33)
32 (60.38)
Ischemic necrosis of femoral head
22 (36.67)
19 (35.85)
Degenerative disease of the hip joint
3 (5.00)
2 (3.77)
Modus operandi
0.941
0.864
Unilateral total hip replacement
5 (8.33)
6 (11.32)
Bilateral total hip replacement
39 (65.00)
33 (62.26)
Unilateral femoral head replacement
16 (26.67)
14 (26.42)
Prosthesis fixation
0.834
0.761
Cement fixation
39 (65.00)
30 (56.60)
Cementless fixation
21 (35.00)
23 (43.40)
Table 2 Harris score
Time
Convention group, n = 60
Continuation group, n = 53
t
P value
On the day of discharge
43.68 ± 7.22
44.03 ± 6.25
0.274
0.785
3 months after discharge
55.07 ± 9.32
59.86 ± 9.24
2.737
0.007
6 months after discharge
71.22 ± 8.57
78.52 ± 9.86
4.211
< 0.001
Table 3 Short form 36 score
Time
Convention group, n = 60
Continuation group, n = 53
t
P value
On the day of discharge
382.45 ± 90.22
380.16 ± 92.14
0.133
0.894
3 months after discharge
592.36 ± 110.32
643.24 ± 112.37
2.425
0.017
6 months after discharge
614.35 ± 105.22
703.88 ± 108.92
4.440
< 0.001
Table 4 Complications and readmission
Group
Complication
Readmission (rate)
Hip dislocation
Lower extremity venous thrombosis
Joint stiffness
Urinary tract infection
Aggregate
Convention group, n = 60
3 (5.00)
2 (3.33)
3 (5.00)
4 (6.67)
12 (20.00)
8 (13.33)
Continuation group, n = 53
0 (0.00)
1 (1.13)
1 (1.13)
0 (0.00)
2 (2.26)
0 (0.00)
z/χ2
0.777
5.413
5.764
P value
0.791
0.020
0.006
Citation: Qi XY, Zhou HY, Xing YH. Effect of continuous nursing on rehabilitation of older patients with joint replacement after discharge. World J Clin Cases 2024; 12(21): 4558-4565