协同护理联合核心肌群强化训练在老年股骨颈骨折患者髋关节置换术后的应用  

Effect of collaborative care combined with core muscle strengthening training in nursing elderly patients with femoral neck fracture following hip arthroplasty

作　　者：甘红[1] 冯淑芬[1] 曾娟 采薇 林翠雯 陈丽[1] 黄瑞芳 GAN Hong;FENG Shufen;ZENG Juan(Department of Orthopedics,the First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangdong,Guangzhou 510405,China)

机构地区：[1]广州中医药大学第一附属医院一骨科,广州市510405

出　　处：《河北医药》2022年第11期1754-1757,共4页Hebei Medical Journal

摘　　要：目的观察协同护理联合核心肌群强化训练在老年股骨颈骨折(FNF)患者髋关节置换术(HR)术后护理中的应用效果。方法选择2019年1月至2020年12月广州中医药大学第一附属医院收治的120例接受HR治疗的老年FNF患者,经随机数字表法分为2组,均连续干预3个月;对照组实行常规护理及康复训练,观察组在对照组基础上实行协同护理联合核心肌群强化训练;比较2组患者干预前、干预2周自我护理能力[根据自我护理能力量表(ESCA)评估],比较术后7 d及术后1个月、术后3个月患者髋关节疼痛程度[依据视觉模拟评分(VAS)评估],比较干预3个月2组患者髋关节功能[根据Harris髋关节功能量表(HHS)评估]。结果干预2周,2组患者ESCA中自护技能、健康知识、责任感、自护概念评分及总分较干预前升高,且观察组高于对照组(P<0.05);2组患者术后1个月、3个月VAS评分较术后7 d逐渐降低,观察组患者各时点VAS评分低于对照组(P<0.05);干预3个月,观察组患者HHS中疼痛评分、功能评分、关节活动度评分及总分高于对照组(P<0.05)。结论老年FNF患者HR术后采用协同护理联合核心肌群强化训练,可显著提高患者自我护理能力,减轻术后髋关节疼痛,改善髋关节功能。Objective To observe the application effect of collaborative care combined with core muscle strengthening training in nursing elderly patients with femoral neck fracture(FNF)following hip replacement(HR).Methods From January 2019 to December 2020,a total of 120 elderly FNF patients undergoing HR who visited the First Affiliated Hospital of Guangzhou University of Chinese Medicine were enrolled and randomly divided into the control group and the observation group.All patients were managed by routine nursing and rehabilitation training,and those in the observation group were additionally treated with collaborative care combined with core muscle strengthening training.A 3-month intervention was performed.After intervention,the self-care ability was assessed by the exercise of self-care ability(ESCA)scale on week 0 and week 2;the visual analogue scale(VAS)was used to evaluate hip pain on day 7,months 1 and 3;Harris Hip Scale(HHS)was conducted to evaluate hip function on month 3.Results Intervening for 2 weeks,ESCA(self-care skills,health knowledge,self-responsibility,self-care concept)scores in groups were increased than before intervening(P<0.05),the observation group was more common(P<0.05);VAS scores in groups were decreased on postoperative months 1 and 3 vs on day 7(P<0.05),VAS scores on different time points in the observation group were lower than those in the concurrent control group(P<0.05);intervening for 3 months,HHS(hip pain,hip function,joint mobility)scores were increased in the observation group relevant to the control group(P<0.05).Conclusion Collaborative care combined with core muscle strengthening training in nursing elderly FNF patients following HR can not only improve self-care ability and reduce hip pain,but also improve hip function.

关 键 词：股骨颈骨折 髋关节置换术 协同护理 核心肌群强化训练 自我护理能力 髋关节功能 

分 类 号：R473.6[医药卫生—护理学]