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EVALUATING THE EFFECTIVENESS OF POSTOPERATIVE PAIN MANAGEMENT AND EARLY MOBILIZATION CARE PROCEDURES FOR PATIENTS AFTER HIP REPLACEMENT SURGERY AT NAM DINH GENERAL HOSPITAL IN 2024
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Abstract
Objective: This study aims to evaluate the effectiveness of pain management and early mobilization care following hip replacement surgery. Subjects and Methods: A clinical experimental study with a control group was conducted on 48 patients who under went hip replacement surgery at the Department of Orthopedics and Trauma, Nam Dinh General Hospital, from August 1, 2023, to August 30, 2024. The patients were divided into two groups: the control group received standar nursing care according to the department’s existing protocol, while the intervention group was provided with a pain-focused nursing care protocol combined with early mobilization exercises initiated 6 to 8 hours after surgery. Results: The Visual Analog Scale (VAS) pain scores of the intervention group significantly decreased after the intervention and remained lower than those of the control group at all measured time points (p < 0.001). The Functional Independence Measure (FIM) scores of the intervention group were significantly higher than those of the control group on day 1, day 2, and at discharge (p < 0.001). The average hospital stay for the intervention group was shorter compared to the control group (5.9 ± 1.2 days vs. 6.7 ± 1.9 days, p = 0.001). Conclusion: Combining pain management with early mobilization within 6–8 hours after hip replacement surgery provides significant benefits including pain reduction, improving functional independence, and shortening hospital stay duration
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Keywords
hip replacement surgery, pain management, early mobilization
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