Study on the construction and intervention of sensitive indicators of falls at home in hip replacement patients

ObjectiveTo study the application of nursing intervention based on the construction of sensitive indicators in preventing falling of hip replacement patients.

MethodsA total of 34 patients with the first total hip replacement admitted in 2019 were selected as the control group, and routine nursing was carried out; 40 patients with the first total hip replacement in 2020 were selected as the observation group, and nursing intervention constructed by sensitive indicators based on falls at home of hip joint was adopted. The improvement rate of home environment, fall efficacy score and Harris hip score were compared between the two groups after intervention.

ResultsOne month after discharge, except that there was no significant difference in the evaluation of clothes and shoes (P>0.05), the implementation rate of other home environment improvements in the observation group was higher than that in the control group (P < 0.05 to P < 0.01). There was no significant difference in the fall efficacy and Harris score of hip joint between the two groups at discharge (P>0.05). At 1 and 3 months after operation, the fall efficacy and Harris score of hip joint in both groups increased significantly with time (P < 0.01), and the fall efficacy and Harris score of hip joint in the observation group were higher than those in the control group (P < 0.05 to P < 0.01).

ConclusionsNursing intervention constructed by sensitive indicators based on falls at home of hip joint can improve the safe home environment of patients, improve the fall efficiency of patients, and promote the recovery of hip function.