阶梯递进式目标康复训练对老年股骨颈骨折患者术后康复进程的影响  

Effect of Stepwise Progressive Target Rehabilitation Training on the Rehabilitation Process of Elderly Patients with Femoral Neck Fracture After Operation

作　　者：宋科[1] 王贺[1] 张思森[2] 朱俊[3] 张会聪 SONG Ke;WANG He;ZHANG Sisen;ZHU Jun;ZHANG Huicong(Department of Nursing,Zhengzhou People’s Hospital,Zhengzhou 450000,China;Office,Zhengzhou People’s Hospital,Zhengzhou 450000,China;the First Department of Orthopedics,Zhengzhou People’s Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州人民医院护理部,河南郑州450000 [2]郑州人民医院办公室,河南郑州450000 [3]郑州人民医院骨一科,河南郑州450000

出　　处：《河南医学研究》2022年第6期1020-1023,共4页Henan Medical Research

基　　金：河南省医学科技攻关联合计划项目(LHGJ20200684);河南省医学教育研究联合共建项目(Wjlx2020123)。

摘　　要：目的探讨阶梯递进式目标康复训练对老年股骨颈骨折患者术后康复进程的影响。方法选取2019年12月至2020年12月郑州人民医院收治的90例老年股骨颈骨折术后患者,采用随机数字表法将其分为对照组(n=45)和观察组(n=45)。住院护理期间,对照组患者接受常规的护理方式,观察组患者接受阶梯递进式目标康复训练。采用医院自制护理满意度量表评估两组患者护理满意度;采用自我效能量表评估混着自我效能;采用人工全髋关节疗效评分量表(Harris评分)评估患者髋关节功能;采用日常生活功能量表(Barthel指数)评估患者日常生活功能;记录两组患者在护理期间的并发症发生情况。结果观察组患者的各项护理满意度高于对照组(P<0.05)。两组患者护理后,结果期望评分和自我效能期望评分高于护理前(P<0.05);观察组护理后结果期望评分和自我效能期望评分高于对照组(P<0.05)。两组患者护理后,Harris评分和Barthel指数高于护理前(P<0.05);观察组护理后Harris评分和Barthel指数高于对照组(P<0.05)。观察组患者术后并发症总发生率(6.67%)较对照组术后并发症发生率(22.22%)低(P<0.05)。结论阶梯递进式目标康复训练可加快老年股骨颈骨折术后康复进程。Objective To explore the efect of stepwise progressive target rehabilitation training on the rehabilitation process of elderly patients with femoral neck fracture after operation.Methods Ninety patients with postoperative femoral neck fracture in Zhengzhou People’s Hospital from December 2019 to December 2020 were selected and divided into a control group(n=45)and an observation group(n=45)by a simple random number table method.During the hospitalization period,patients in the control group were treated with conventional nursing methods,and patients in the observation group were treated with stepwise progressive target rehabilitation training.The hospital's self-made nursing satisfaction scale was used to evaluate the nursing satisfaction of the two groups of patients.The self-efficacy energy scale was used to evaluate the mixed self-efficacy.The artificial total hip joint efficacy score scale(Harris score)was used to evaluate the patients’nursing hip function.The living function scale(Barthel index)was used to assess the daily function of the patients.The complications of the two groups of patients were recorded during the nursing period.Results The nursing satisfaction of patients in the observation group was higher than that of the control group(P<0.05).After nursing,the expected outcome score and self-efficacy expectation score of the two groups were higher than before nursing(P<0.05),and the outcome expectation scores and self-efficacy expectation scores in the observation group were higher than those in the control group(P<0.05).After nursing,the Harris scores and Barthel index were higher than before nursing(P<0.05),and the Harris scores and Barthel index were higher after nursing in the observation group compared with the control group(P<0.05).The total incidence of postoperative complications in the observation group(6.67%)was lower than that in the control group(22.22%)(P<0.05).Conclusion Stepwise progressive target rehabilitation training can accelerate the rehabilitation process of senile femoral

关 键 词：阶梯递进式目标康复训练 股骨颈骨折 康复 

分 类 号：R473.6[医药卫生—护理学]