The impact of intraoperative position nursing on the prognosis of hypertensive patients undergoing hip arthroplasty

DAI Jinjin; CAO Zhengrong

doi:10.3969/j.issn.2096-501X.2026.01.013

Abstract：Objective To explore the impact of intraoperative position nursing on the short-term and long-term postoperative recovery of hypertensive patients undergoing hip arthroplasty.Methods A total of 116 hypertensive patients who underwent hip arthroplasty at Suzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine from February 2021 to August 2024 were collected.They were randomly divided into a control group(receiving routine nursing)and an observation group(receiving intraoperative position nursing intervention)using the random number table method,with 58 cases in each group.The surgical and postoperative indicators,incidence of complications,blood pressure fluctuations,and postoperative recovery status of the two groups were compared.Results The operation time,postoperative wound healing time,and postoperative visual analogue scale(VAS)score of patients in the observation group were(96.24±12.13)min,(5.19±1.29)d,and(3.82±1.21)points,respectively,which were superior to those of the control group((112.36±15.47)min,(7.69±2.02)d,and(5.75±1.75)points)(all P<0.05).The incidence of complications in the observation group was 6.90%,which was lower than that in the control group(27.59%).The blood pressure fluctuation amplitude of patients in the observation group 24 hours after surgery was(12.37±3.18)mmHg,which was lower than that of the control group((18.83±4.42)mmHg).The Barthel index scores of patients in the observation group 7 days,3 months,and 6 months after surgery were(84.23±8.22)points,(87.56±6.89)points,and(91.35±4.28)points,respectively,and the Harris hip function score 6 months after surgery was(89.62±5.37)points,all of those were higher than those of the control group((71.66±6.53)points,(76.32±7.15)points,(82.17±5.64)points,and(78.45±6.12)points)(all P<0.05).Conclusions Intraoperative position nursing can significantly improve the short-term postoperative recovery of hypertensive patients undergoing hip arthroplasty,reduce the incidence of complications,and have a positive effect on the long-term recovery of joint function and self-care ability.