Application of Fast Track Surgery Concept in Perioperative Nursing of Elderly Patients with Total Hip Arthroplasty

Objective To explore the effect of fast track surgery(FTS) concept on the perioperative nursing of elderly patients with total hip arthroplasty(THA).Methods From October 2009 to December 2011,69 THA patients in the hospital were divided into observational group(n=33)and control group(n=36).The control group adopted the conventional perioperative nursing,while the observational group was implemented with FTS concept based on the conventional perioperative nursing.Afterwards,pain degrees(visual analog scale,VAS),anxious status(Hamilton anxiety scale,HAMA),and other physiological indicators of the two groups were compared at 1 d before operation and 7 d after operation.Results There was no significant difference in the HAMA and VAS scores,systolic blood pressure,diastolic blood pressure and heart rate between the two groups before operation(P0.05).However,the scores of HAMA and VAS,systolic blood pressure,diastolic blood pressure and heart rate were significantly lessened after operation(P0.05 or P0.01)in the observational group.After operation,the VAS and HAMA scores and heart rate of the observational group were significantly lower than those of the control group(P0.01 or P0.05),while no significant difference was observed in the systolic blood pressure and diastolic blood pressure between the two groups(P0.05).Conclusion FST concept in the perioperative nursing of elderly THA patients helps to reduce the perioperative anxiety,relieve the postoperative pain and improve the patients' blood pressure and heart rate and other physiological indicators,which is worth further clinical application.