摘要
目的探讨循证护理在老年髋部骨折合并糖尿病行内固定术患者中的应用价值。方法选择2015年10月~2017年3月本院收治的老年髋部80例,其中股骨颈骨折45例,股骨粗隆间骨折35例,按照随机数字法分为两组,各40例,观察组实施本研究循证护理,对照组实施常规护理,包括心理护理、一般护理、手术围术期护理等,股骨颈骨折术式为空心钉内固定术,股骨粗隆间骨折术式为股骨近端防旋髓内钉(PFNA)。结果观察组10米步行耗时短于对照组(P<0.05),齐膝凳子5次坐立耗时短于对照组(P<0.05),观察组术前住院时间短于对照组(P<0.05),术后住院时间短于对照组(P<0.05),观察组术后拄拐下地行走时间及弃拐行走时间均早于对照组(P<0.05)。结论通过循证护理干预,可有效提高老年髋部骨折合并糖尿病患者的术后恢复情况,改善其髋关节功能,促进患者早日康复出院。
Objective To explore the application value of evidence-based nursing in elderly patients with hip fracture and diabetes mellitus. Methods From October 2015 to March 2017,80 cases of senile hip were selected,including 45 cases of femoral neck fracture and 35 cases of femoral intertrochanteric fracture,which were divided into two groups according to random number method,40 eases each.Evidence-based nursing was carried out in the observation group.The control group was received routine nursing,including psychological nursing, general nursing,perioperative nursing,etc.Femoral neck fracture was treated by hollow nail internal fixation,and femoral intertrochanteric fracture was treated by proximal femoral intramedullary nail. Results The walking time of 10 meters in the observation group was shorter than that in the control group （P 〈 0.05）,and the time for sitting on the knee stool 5 times was shorter than that in the control group （P 〈 0.05）.The preoperative hospitalization time in the observation group was shorter than that in the control group （P 〈 0.05）,and the postoperative hospitalization tirqe in the observation group was shorter than＇ that in the control group （P 〈0.05）.The walking time after operation in the observation group was earlier than that in the control group （P 〈 0.05）. Conclusion Evidence-based nursing intervention can effectively improve the postoperative recovery of elderly patients with hip fracture and diabetes,improve their hip function and promote their early recovery and discharge from hospital.
出处
《中国医药科学》
2018年第2期101-103,共3页
China Medicine And Pharmacy
关键词
循证护理
老年
髋部骨折
糖尿病
Evidence-based nursing
Elderly
Hip fracture
Diabetes
