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Objective:To evaluate postoperative pain control and functional recovery of standardized pain management after total hip arthroplasty.Methods:A retrospective analysis between December 2018 and August 2019 included 100 patients who underwent unilateral total hip arthroplasty in department of arthroplasty at the First Affiliated Hospital of Xinjiang Medical University. After informed consent were obtained, the 100 subjects were randomly divided into the control group and the study group according to the inclusion and exclusion criteria, which totaled 50 patients in each group. Traditional postoperative pain management was used in control group and a self-made standardized pain management strategy was chosen in the study group. The prognosis of postoperative pain and the Harris Hip Score (HHS) were compared between the two groups.Results:Before intervention, there was no statistically significant difference in pain outcomes and HHS ( P>0.05). After standardized management of pain, the pain outcome scores of the intervention group were all higher than those of the control group, and the total pain outcome score of the intervention group (12.23±2.39) points was lower than that of the control group (14.50±2.18) points, with statistically significant difference ( t value was 4.962, P<0.001). All the Harris scale scores of the intervention group were higher than those of the control group, and the total score of the intervention group (73.61±5.06) was higher than that of the control group (64.98±7.35), with statistically significant differences ( t value was -6.652, P<0.001). Conclusion:Standardized pain management protocol can be fairly effective in the prognosis of postoperative pain and functional recovery and therefore improve patients′ satisfaction after total hip arthroplasty.
RESUMO
Objective To analyze the current situation of the professional spirit of nursing students in a medical college in Xinjiang,and to explore its influencing factors.Methods In March 2017,a questionnaire was self-designed to analyze the influencing factors of professional nursing students' professional spirit,including 31 items in three parts,including basic information,professional interns' occupational mental influence factors and the status quo of professional spirit and attitude of nursing interns.328 nursing students in a medical college in Xinjiang were investigated.325 valid questionnaires were withdrawn and verified,and 3 questionnaires were lost,with an effective rate of 99.09％.EpiData 3 was used to build the database and SPSS 17.0 line multiple regression analysis was applied.Results Occupation status statistics showed that the mental attitude,"I hope to excellent nursing teacher learning" "I have been through my nursing can help patients relieve pain" and "good occupation spirit is excellent nurses necessary conditions I think the nursing staff is the medical profession indispensable professional personnel",in line with the percentage was 95.08％,94.15％,94.15％,93.85％ respectively.Multiple regression analysis showed that there were three statistical significance (P＜0.05) for "whether to be a class cadre in school","the reason for choosing nursing specialty" and "post graduate employment plan".Conclusion "Whether to be a class cadre in a school" "to choose the cause of nursing specialty" "post graduate employment plan" may be the main factor affecting the professional spirit of the nursing professional students.This shows that in the future education of nursing students,we should focus on training students' devotion to work and dedication.We should take into account to training their organizational capabilities and encourage them to become student leaders.