强化护理对股骨颈骨折全髋关节置换术后功能恢复的影响  

Effect of Intensive Nursing on Functional Recovery after Total Hip Replacement for Femoral Neck Fracture

作　　者：段文华 DUAN Wenhua(Department of General Surgery,Dandong Hospital of Traditional Chinese Medicine,Dandong 118001,China)

机构地区：[1]丹东市中医院综合外科,辽宁丹东118001

出　　处：《中国医药指南》2022年第20期161-164,共4页Guide of China Medicine

摘　　要：目的观察强化护理对因股骨颈骨折行全髋关节置换患者术后功能恢复的影响。方法将笔者医院2016年2月至2019年2月因股骨颈骨折行全髋关节置换术的73例患者作为观察对象,按照入科顺序分为对照组和观察组,对照组患者(n=36)接受常规护理干预,观察组患者(n=37)接受强化护理干预。比较两组患者手术前后的疼痛程度[视觉模拟量表(VAS)]、髋关节功能[Harris髋关节评分量表(HHS)]及健康状况[简明健康状况量表(SF-36)]。结果观察组患者在术后1个月时的VAS评分为(1.90±0.20)分,明显低于对照组的(2.90±0.30)分(P<0.05);观察组患者在术后1个月及术后6个月髋关节Harris评分分别为(73.20±5.40)分及(85.90±5.10)分,明显高于对照组的(64.30±4.80)分及(77.30±4.70)分,组间差异均有统计学意义(P<0.05);观察组患者在术后1个月及术后6个月的SF-36评分分别为(66.40±4.10)分及(82.40±6.70)分,明显高于对照组的(56.20±4.30)分及(73.60±4.90)分,组间差异均有统计学意义(P<0.05)。结论对于股骨颈骨折全髋关节置换术患者给予强化护理干预,可有效减轻患者的疼痛程度,促进患者髋关节功能的恢复,改善患者的健康状况,对术后功能的恢复有积极的意义。Objective To observe the effect of intensive nursing on postoperative functional recovery of patients with total hip replacement due to femoral neck fracture.Methods From February 2016 to February 2019,73 patients who underwent total hip replacement due to femoral neck fracture in our hospital were divided into control group and observation group according to the order of admission.Patients in the control group(n=36)received routine nursing intervention and patients in the observation group(n=37)received intensive nursing intervention.The visual analogue score(VAS),Harris hip score(HHS)of hip joint and 36-item short-form health survey(SF-36)score before and after operation were compared between the two groups.Results The VAS score of the observation group was(1.90±0.20)in the first month after operation,which was significantly lower than that of the control group(2.90±0.30),and the difference between the two groups was statistically significant(P<0.05).The HHS score of the hip joint of the observation group was(73.20±5.40)and(85.90±5.10)in the first month after operation and half a year after operation,respectively,which was significantly higher than that of the control group(64.30±4.80)and(77.30±4.70),and the difference between the two groups was statistically significant(P<0.05).The SF-36 scores of the observation group were(66.40±4.10)and(82.40±6.70)in the first month and half a year after operation,respectively,which were significantly higher than those of the control group(56.20±4.30)and(73.60±4.90),and the differences between the two groups were statistically significant(P<0.05).Conclusion Intensive nursing intervention for patients with total hip replacement of femoral neck fracture can effectively reduce the pain,promote the recovery of hip function,improve the health status of patients,and have positive significance for functional recovery.

关 键 词：股骨颈骨折 全髋关节置换术 强化护理 髋关节功能 

分 类 号：R473.6[医药卫生—护理学] R274.1[医药卫生—临床医学]