Role of medical care and pension combination mode in improving panic disorder and rehabilitation quality of elderly patients after hip replacement

Objective To observe the role of the mode of combination of medical care and pension in improving panic disorder and rehabilitation quality of elderly patients after hip replacement. Methods Eighty elderly patients undergoing hip replacement in our hospital between December 2016 to December 2017 were selected and randomly divided into control group and observation group with 40 cases in each group. The control group was given routine rehabilitation training after the operation, and the observation group was given rehabilitation training with the mode of the combination of medical care and pension. The short-term efficacy, occurrence of postoperative panic disorder, and improvement of postoperative hip function and daily living activity of patients were compared between the two groups. Results There was no significant difference in preoperative pain intensity at 12 h from the end of the operation, sleep length in 72 h, time to ambulation and length of hospital stay between the two groups (all P>0.05). The incidence rate of postoperative panic disorder in the observation group was significantly lower than that in the control group (2.50% vs. 20.00%), P<0.05. The Harris score in both groups at 6 months after the treatment was significantly higher than those in the same group before the treatment, and the Harris score in the observation group was significantly higher than that in the control group (91.58±8.12 vs.81.24±8.04), P<0.05. The ADL score in both groups at 6 months after treatment was significantly lower than those in the same group before the treatment, and the ADL score in the observation group was significantly lower than that in the control group (15.12±1.53 vs.16.86±1.67), P<0.05. Conclusion The rehabilitation training with combination of medical care and pension can significantly improve the short-term efficacy of patients undergoing hip replacement, reduce the incidence rate of postoperative panic disorder, improve hip function and daily living activity, and it is worthy of clinical promotion and application.