制订个体化持续性干预方案，并探讨其在全髋关节置换术后患者居家康复早期中的应用效果。

以江苏大学附属武进医院骨科2019年4月1日至2020年6月30日收治的单侧人工全髋关节置换术100例患者为研究对象进行前瞻性随机对照研究。其中男性47例，女性53例；年龄58~83岁，平均年龄(70.12±13.74)岁。将研究对象按随机数字表法分为干预组和对照组，每组各50例。两组患者的一般资料差异无统计学意义(P>0.05)，具有可比性。试验组采用视频应用、围手术期强化、出院前再次巩固等方法；对照组仅采用常规护理方法。对比两组患者在住院期间，出院后1个月和3个月髋关节功能评分和生活质量评分等指标的差异。

出院后3个月试验组的髋关节功能评分为(78.02±7.80)分，高于对照组的(71.35±9.47)分；出院后3个月试验组的生活质量评分为(98.47±14.94)分，高于对照组的(93.06±17.34)分，差异有统计学意义(P<0.05)。试验组在其他两个时间节点的评分也明显高于对照组，差异有统计学意义(P<0.05)。

对于THA术后患者，应根据不同时期关节功能的变化特点，采取个性化的干预方案，以提高患者髋关节功能及生活能力。

To formulate an individualized continuous intervention plan for patients after hip arthroplasty, and to explore its application effect in the early stage of home rehabilitation.

A comparative study was conducted on 100 patients with unilateral total hip arthroplasty who were admitted to the Department of Orthopedics, Wujin Hospital Affiliated to Jiangsu University from April 1, 2019 to June 30, 2020. Among them, there were 47 males and 53 females, aged 58-83 years, with an average of (70.12±13.74) years. The subjects were randomly divided into the intervention group and the control group with 50 cases in each group according to the random number table method. The experimental group used video application, perioperative reinforcement, and reconsolidation before discharge, while the control group only used routine nursing methods. The indicators of hip joint function and quality of life during hospitalization, 1 month and 3 months after discharge were compared between the two groups.

Three months after discharge, the hip joint function scores of the two groups of patients (78.02 were admitted to the Department were significantly higher than those in the control group (71.35±9.47 in the control group); the scores of quality of life of patients 3 months after discharge (98.47ion scores of the two groups of patients (78.02 were admitted to the Dein the control group (93.06±17.34), the difference was statistically significant (P<0.05). The scores of the other two time nodes in the experimental group were also significantly higher than those in the control group, but there was no statistical significance between the two groups (P>0.05).

The improvement characteristics of joint function of patients in different periods are different. Nurses should adopt individualized intervention plan according to the change characteristics of joint function in different periods, so as to improve the hip joint function and life ability of patients and meet the physical and mental needs of patients.