Efficacy of post-surgery family-based participatory cluster pain care in children with developmental dislocation of hip

Technol Health Care. 2024 May 12. doi: 10.3233/THC-230879. Online ahead of print.

Abstract

Background: Developmental dislocation of the hip (DDH) is a common congenital deformity of the skeletal system in children.

Objective: To investigate the efficacy of post-surgery cluster nursing in children with DDH.

Methods: A total of 60 children with DDH who underwent hip joint orthopedic surgery in our hospital from September 2021 to September 2022 were enrolled as the research participants in this prospective study, and divided into the control group and the observation group according to the numerical table method, with 30 patients in each group. The control group was given routine pain care, and the observation group was given cluster pain care. The hip joint function scores, pain scores, self-rating anxiety score (SAS) were compared between the two groups and between before intervention and after intervention in the two groups.

Results: The pain score of the children and the SAS of the primary caregivers after the intervention in the observation group were lower than those in the control group (P< 0.05), and the hip joint function score and family satisfaction degree were higher than those in the control group (P< 0.05).

Conclusion: Family-based cluster pain care can reduce pain in children with DDH after surgery, promote hip joint functional recovery, reduce the negative emotions of caregivers, and improve family satisfaction, and has clinical popularization value.

Keywords: Cluster nursing; family-based; hip dislocation; hip joint function; pain measurement; self-rating anxiety score.