摘要
目的:探讨加速康复外科护理干预在老年股骨颈骨折患者中的应用效果。方法:选取2019年3月—2020年12月萍乡市赣西医院收治的78例老年股骨颈骨折患者作为研究对象,按随机数表法分为对照组和观察组,每组各39例。对照组实施常规护理,观察组实施加速康复外科护理。比较两组患者术后疼痛评分、髋关节功能、生活自理能力、并发症情况及护理满意度。结果:观察组患者术后第3 d疼痛程度轻于对照组,差异有统计学意义(Z=3.734,P<0.05);观察组患者术后3个月髋关节Harris量表中关节疼痛、关节功能、关节活动度、畸形4个维度评分为(34.42±6.35)分、(36.98±5.18)分、(4.12±0.36)分、(3.48±0.25)分,高于对照组的(29.29±5.73)分、(30.02±5.45)分、(3.10±0.53)分、(2.93±0.60)分,差异有统计学意义(t=3.746、5.781、9.942、5.284,P<0.05);观察组患者改良Barthel指数(BI)评分为(74.33±10.54)分,高于对照组的(66.28±8.56)分,差异有统计学意义(t=3.702,P<0.05);观察组患者并发症发生率低于对照组,护理满意度高于对照组,差异有统计学意义(χ^(2)=5.571、4.522,P<0.05)。结论:加速康复外科护理干预能够减轻老年股骨颈骨折患者术后疼痛,加快髋关节功能恢复,减少并发症发生率。
Objective: To explore the application effect of enhanced recovery after surgery nursing intervention in elderly patients with femoral neck fracture. Methods: A total of 78 elderly patients with femoral neck fractures admitted to the hospital from March 2019 to December 2020 were selected as the research objects, and divided into the control group and the observation group according to the random number table method, with 39 cases in each group. The control group received routine nursing, and the observation group received enhanced recovery surgery nursing. The postoperative pain score, hip function, self-care ability,complications and nursing satisfaction were compared between the two groups. Results: The pain degree of the observation group on the 3rd d after operation was lighter than that of the control group, and the difference was statistically significant(Z=3.734, P<0.05). The scores of joint pain, joint function, joint range of motion and deformity in the Harris Scale of Hip Joint of the observation group 3 months after operation were(34.42±6.35) points,(36.98±5.18) points,(4.12±0.36) points,(3.48±0.25) points,higher than(29.29±5.73) points,(30.02±5.45) points,(3.10±0.53) points,(2.93±0.60) points of the control group, the differences were statistically significant(t=3.746, 5.781, 9.942, 5.284, P<0.05). The modified Barthel index(BI) score of the observation group was(74.33±10.54) points, which was higher than(66.28±8.56) points of the control group, and the difference was statistically significant(t=3.702, P<0.05). The incidence of complications in the observation group was lower than that in the control group,and the nursing satisfaction was higher than that in the control group, and the differences were statistically significant(χ^(2)=5.571,4.522, P<0.05). Conclusion: Enhanced recovery after surgery nursing intervention can relieve postoperative pain in elderly patients with femoral neck fracture, accelerate the recovery of hip joint function, and reduce the incidence of complications.
作者
向云
王玲
金剑
XIANG Yun;WANG Ling;JIN Jian(Ganxi Hospital of Pingxiang,Pingxiang,Jiangxi,337016,China)
出处
《黑龙江医学》
2022年第18期2253-2255,2259,共4页
Heilongjiang Medical Journal
关键词
股骨颈骨折
老年患者
加速康复外科护理
术后疼痛
髋关节功能
并发症
Femoral neck fracture
Elderly patients
Enhanced recovery after surgery
Postoperative pain
Hip function
Complications
