摘要
目的 探讨快速康复护理联合预见性护理在老年髋部骨折患者中的应用效果。方法 按随机数字表法将常熟市第二人民医院的100例老年髋部骨折患者(2019年6月至2022年6月收治)分为对照组(接受常规护理)与观察组(接受快速康复护理联合预见性护理),各50例,并对比2组的护理效果。结果 观察组在护理3个月和6个月后的股骨颈和股骨粗隆骨密度,以及护理1个月、3个月和6个月的Harris评分与对照组相比,均是观察组更高(P均<0.05)。观察组的术中出血量和术后引流量均少于对照组,术后首次下床时间早于对照组,住院时间短于对照组,满意度评分高于对照组(P均<0.05)。术后6 h、24 h、48 h, 7 d和14 d,观察组的视觉模拟评分法评分均低于同期对照组(P均<0.05)。观察组的并发症总发生率低于对照组(P<0.05)。结论 快速康复护理联合预见性护理可改善老年髋部骨折患者的骨密度、围手术期相关指标、满意度和髋关节功能,有助于减轻疼痛程度,降低并发症发生率。
Objective To explore the application effect of fast-track nursing combined with predictive nursing in elderly patients with hip fractures.Methods One hundred elderly patients with hip fractures at Changshu No.2 People’s Hospital(admitted between June 2019 and June 2022)were allocated into a control group(receiving routine nursing)and an observation group(receiving fast-track nursing combined with predictive nursing)using a random number table.Both groups contained 50 cases.The nursing effect of two groups was compared.Results Compared with the control group,the observation group had higher bone mineral density of femoral neck and femoral trochanter after 3 and 6 months of nursing,as well as higher Harris Hip Scores after 1,3,and 6 months of nursing(all P<0.05).The intraoperative blood loss and postoperative drainage volume of the observation group were less than those of the control group.The first time of getting out of bed after surgery was earlier than that of the control group.The hospital stay was shorter than that of the control group,and the satisfaction score was higher than that of the control group(all P<0.05).At 6 h,24 h,48 h,7 days,and 14 days postoperatively,the Visual Analogue Scale scores of the observation group were lower than those of the control group(all P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion The fast-track nursing combined with predictive nursing can improve the bone mineral density,perioperative indicators,satisfaction,and hip function in elderly patients with hip fractures,and help reduce the pain and the incidence of complications.
作者
徐颖
邵敏慧
黄美丹
XU Ying;SHAO Minhui;HUANG Meidan(Changshu No.2 People’s Hospital,Suzhou,Jiangsu,215500,China)
出处
《中西医结合护理（中英文）》
2024年第2期5-8,共4页
Journal of Clinical Nursing in Practice
关键词
髋部骨折
快速康复护理
预见性护理
骨密度
髋关节功能
hip fracture
fast-track nursing
predictive nursing
bone mineral density
hip function
