综合护理干预在早期保守治疗股骨头坏死患者中的应用效果观察  

Effect of Comprehensive Nursing Intervention on Early Conservative Treatment of Patients with Femoral Head Necrosis

作　　者：翟爱欢 ZHAI Aihuan(Zhengzhou Traditional Chinese Hospital of Orthopedic,Zhengzhou 450016,China)

机构地区：[1]郑州中医骨伤病医院,河南郑州450016

出　　处：《中国医学创新》2019年第1期106-109,共4页Medical Innovation of China

摘　　要：目的:探究综合护理干预在早期保守治疗股骨头坏死患者中的应用效果。方法:选取本院2015年8月-2017年10月收治的股骨头坏死患者167例作为研究对象,均采取保守治疗,依照入院顺序将其分为对照组(n=83)和研究组(n=84)。对照组采取常规干预,研究组在对照组的基础上采取综合护理干预,观察比较两组干预前后的疼痛评分、生活质量评分、治疗依从及护理工作满意情况。结果:研究组的治疗依从率为80.95%明显高于对照组的61.45%,差异有统计学意义(χ~2=5.700,P=0.017)。干预后,两组VAS评分与干预前比较均明显降低,且研究组明显低于对照组,差异均有统计学意义(P<0.05)。研究组护理工作满意度为86.90%明显高于对照组的66.27%,差异有统计学意义(χ~2=9.935,P=0.002)。干预后,研究组的生活质量评分为(83.57±9.62)分,明显高于对照组(74.09±8.31)分,差异有统计学意义(t=6.811,P=0.000)。结论:股骨头坏死患者于早期保守治疗中采取综合护理干预,能有效提高其治疗依从性及护理工作满意度,减轻其疼痛,提升其生活质量。Objective:To explore the application effect of comprehensive nursing intervention on early conservative treatment of patients with femoral head necrosis.Method:A total of 167 patients with femoral head necrosis were selected admitted in our hospital from August 2015 to October 2017 were selected as the research objects.All patients were treated conservatively.According to the order of admission,they were divided into control group(n=83)and study group(n=84).The control group was received routine intervention,the study group was received comprehensive nursing intervention on the basis of the control group.The pain and quality of life scores before and after intervention,compliance of treatment and satisfaction degree of nursing job between the two groups were observed and compared.Result:The compliance rate of treatment of the study group was 80.95%,which was significantly higher than 61.45%of the control group,the difference was statistically significant(χ^2=5.700,P=0.017).After intervention,the VAS scores of the two groups were significantly lower than those before intervention,and the study group was significantly lower than that of the control group,the differences were statistically significant(P<0.05).The satisfaction degree of nursing job in the study group was 86.90%,which was significantly higher than 66.27%in the control group,the difference was statistically significant(χ^2=9.935,P=0.002).After intervention,the quality of life score of the study group was(83.57±9.62)score significantly higher than(74.09±8.31)score of the control group,the difference was statistically significant(t=6.811,P=0.000).Conclusion:Patients with femoral head necrosis take comprehensive nursing intervention in early conservative treatment,which can effectively improve their treatment compliance and satisfaction degree of nursing job,reduce their pain and improve their quality of life.

关 键 词：综合护理干预 早期保守治疗 股骨头坏死 治疗依从性 护理工作满意度 

分 类 号：R473.6[医药卫生—护理学]