目的 探讨对老年髋关节置换术患者实施基于多学科协作模式的整体优化康复方案的效果。方法 选取我院2023年1月—2024年8月收治的86例接受髋关节置换术的老年患者作为研究对象,采用随机数字表法将其分为观察组与对照组,各43例。对照组患者接受常规髋关节围手术期护理,观察组患者在对照组基础上接受基于多学科协作模式的整体优化康复方案。比较两组患者手术前后髋关节功能及功能独立性,术后疼痛程度及住院时间。结果 术后7 d,观察组患者Harris髋关节功能评分（HHS）得分及功能独立性评定量表（FIM）得分均高于对照组（P<0.05）;术后12 h、48 h,观察组患者数字疼痛评分法（NRS）得分均低于对照组（P<0.05）;观察组患者住院天数短于对照组（P<0.05）。结论 对老年髋关节置换术患者实施基于多学科协作模式的整体优化康复方案,可有效改善患者髋关节功能和功能独立性,缓解术后疼痛,减少住院天数,促进术后恢复。

Objective To explore the effect of implementing an overall optimized rehabilitation program based on a multidisciplinary collaboration model for elderly patients undergoing hip replacement surgery. Methods A total of 86 elderly patients who underwent hip replacement surgery in our hospital from January 2023 to August 2024 were selected as the research subjects. They were divided into an observation group and a control group by the random number table method. with 43 cases in each group. The patients in the control group received routine perioperative care for hip replacement, while the patients in the observation group received an overall optimized rehabilitation plan based on the multidisciplinary collaboration model in addition to the care provided by the control group. The hip joint function and functional independence, degree of postoperative pain, and hospital stay of the two groups of patients were compared. Results At 7 days after surgery, the scores of Harris hip score before and after the surgery (HHS) and the functional independence measure (FIM) of the observation group were higher than those of the control group (P < 0.05); at 12 hours and 48 hours after surgery, the numerical rating scale (NRS) score of pain in the observation group was lower than that of the control group (P < 0.05). The hospitalization time of patients in the observation group was shorter than that of the control group (P < 0.05). Conclusion Implementing an overall optimized rehabilitation program based on a multidisciplinary collaboration model for elderly patients undergoing hip replacement surgery can effectively improve the hip joint function and functional independence of patients, relieve postoperative pain, shorten the hospital stay, and promote postoperative recovery.