摘要
目的:观察引导式护理干预对老年股骨颈骨折患者的影响。方法:以笔者所在医院2017年10月-2018年10月实施引导式护理干预的40例患者作为观察组,以2016年10月-2017年10月实施常规护理的40例患者作为对照组,两组患者均行人工股骨头置换术治疗,对照组实施常规护理,观察组实施引导式护理,对比两组护理后SAS、SDS、健康知识、ADL评分,下床、住院、骨折愈合时间,以及依从性、并发症发生率与满意度。结果:护理前两组SAS评分、SDS评分、健康知识评分、ADL评分比较差异无统计学意义(P>0.05),护理后两组各项评分均优于护理前,且观察组均优于对照组,差异均有统计学意义(P<0.05);观察组下床时间、住院时间、骨折愈合时间均短于对照组,差异均有统计学意义(P<0.05);观察组护理依从性、护理满意度均高于对照组,差异均有统计学意义(P<0.05),两组并发症发生率比较差异无统计学意义(P>0.05)。结论:实施引导式护理干预,可有效提高老年股骨颈骨折患者的自我干预能力,以及自我干预的依从性,改善患者心态,缩短下床时间,促进骨折愈合,改善肢体功能。
Objective:To observe the effect of guided nursing intervention on elderly patients with femoral neck fracture.Method:A total of 40 patients with guided nursing intervention in our hospital from October 2017 to October 2018 were set as observation group,and 40 patients who underwent routine nursing from October 2016 to October 2017 were set as control group.All the patients in the two groups were treated with artificial thigh head replacement,the control group was treated with routine nursing,and the observation group was treated with guided nursing.The scores of SAS,SDS,health Knowledge,and ADL after nursing,the time of get out of bed,stay in hospital,fracture healing,and the Compliance,incidence of complications and satisfaction of two groups were compared.Result:There were no significant differences in SAS score,SDS score,health knowledge score and ADL score between the two groups before nursing.The scores of the two groups after nursing were better than those before nursing,and the observation group were superior to the control group,the differences were statistically significant(P<0.05).The time of get out of bed,stay in hospital,fracture healing in the observation group were shorter than the control group,the differences were statistically significant(P<0.05).The nursing compliance and nursing satisfaction in the observation group were significantly higher than those in the control group(P<0.05),but there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:Guided nursing intervention can effectively improve the self-intervention ability and compliance of elderly patients with femoral neck fracture,improve their mentality,shorten the time of getting out of bed,promote fracture healing and improve limb function.
作者
曾慧萍
ZENG Huiping(Fujian Provincial Hospital,Fuzhou 350001,China)
出处
《中外医学研究》
2019年第32期98-100,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
引导式护理干预
老年股骨颈骨折
健康知识
Guided nursing intervention
Elderly femoral neck fracture
Health knowledge
