THỰC TRẠNG CHĂM SÓC NGƯỜI BỆNH SAU PHẪU THUẬT THAY KHỚP HÁNG NHÂN TẠO ĐIỀU TRỊ GÃY CỔ XƯƠNG ĐÙI TẠI BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN NĂM 2026

Abstract

Objectives: To describe the current status of nursing care for elderly patients after total hip arthroplasty (THA) for femoral neck fracture at Thai Nguyen National Hospital in 2025.

Subjects and methods: A prospective descriptive study with longitudinal follow-up was conducted among 66 patients aged ≥60 years who underwent THA from February to October 2025 at the Department of Trauma and Orthopedics; the same patients were repeatedly assessed on day 1, day 3, and before discharge. Data were analyzed using descriptive statistics in SPSS 25.0.

Results: Mean age was 65.7 years [standard deviation requires verification against source data]; 75.8% were male. The main causes for surgery were falls (50.0%) and femoral head necrosis (47.0%). During the first 24 hours, 97.0% of patients reported severe pain; by discharge, 84.8% were pain-free, 12.1% had mild pain, and 3.0% had moderate pain. Surgical wounds were dry in 100% of patients before discharge, with no infection or bleeding noted on routine clinical observation; drains functioned normally and were safely removed. All patients (100%) were monitored for bleeding and wound status ≥2 times/day during the first 24 hours; 97.0% received early mobilization guidance and 100% received nutritional counseling and health education. Self-reported satisfaction was 92.4% “very satisfied” and 7.6% “satisfied”.

Conclusion: Within the limits of a descriptive design without a comparison group, the data show that postoperative nursing care after THA at Thai Nguyen National Hospital followed the intended protocol, alongside favorable clinical course and high self-reported satisfaction; the study does not provide sufficient basis to attribute these outcomes directly to the effectiveness of nursing care.