老年髋部骨折患者出院准备服务的应用效果研究  

Study on the effect of discharge preparation service in elderly patients with hip fractures

作　　者：何丹[1] 胡三莲[2] 钱会娟[2] 韦小梅 周玲[1] 于树婷 李敏[1] 冯勇[1] He Dan;Hu Sanlian;Qian Huijuan;Wei Xiaomei;Zhou Ling;Yu Shuting;Li Min;Feng Yong(Department of Orthopedics,Shanghai Sixth People′s Hospital,Shanghai 200233,China;Nursing Department,Shanghai Sixth People′s Hospital,Shanghai 200233,China)

机构地区：[1]上海市第六人民医院骨科,上海200233 [2]上海市第六人民医院护理部,上海200233

出　　处：《中国实用护理杂志》2022年第22期1714-1721,共8页Chinese Journal of Practical Nursing

基　　金：国家自然科学基金委员会资助项目(82073632)。

摘　　要：目的:探讨出院准备服务在老年髋部骨折患者中的应用效果。方法:采用便利抽样法,选取2019年4—10月入住上海市第六人民医院的80例老年髋部骨折患者作为研究对象,采用非同期对照研究将研究对象分为干预组和对照组,每组40例,对照组进行常规护理,干预组实施出院准备服务,比较2组患者出院准备度和出院指导质量、Barthel指数评分、Harris评分、并发症发生率等指标。结果:干预组患者出院准备度总分为(83.43±8.10)分,出院指导质量总分为(151.30±16.61)分,对照组分别为(77.13±9.30)、(141.58±18.34)分,2组比较差异有统计学意义(t=3.23、2.49,均P<0.05);干预组术后3个月髋关节功能Harris评分为(82.53±7.83)分、Barthel指数评分为(88.13±3.34)分,对照组分别为(76.03±12.15)、(86.13±2.65)分,2组比较差异有统计学意义(t=2.84、2.97,均P<0.05)。结论:出院准备服务能有效提高患者出院准备度和出院指导质量,改善髋关节功能,提高患者的生命质量,有效改善患者的临床结局。[Objective]To explore the effect evaluation of discharge preparation service on elderly patients with hip fractures.Methods Totally 80 elderly patients with hip fractures admitted to Shanghai Sixth People′s Hospital from April 2019 to October 2019 were selected as the research objects,and they were divided into intervention group and control group according to admission time,40 patients in each group.The control group was given routine nursing care,and the intervention group was given readiness service for hospital discharge.The application effect of the scheme was evaluated by the degree of readiness for discharge and the quality of discharge guidance,Barthel index score,Harris score and incidence of complications.Results In the intervention group,the total score of readiness for hospital discharge of patients was 83.43±8.10,the total score of the quality of discharge guidance was 151.30±16.61,while those in the control group were 77.13±9.30,141.58±18.34,the differences between the two groups were statistically significant(t=3.23,2.49,both P<0.05).In terms of the follow-up after patients were discharged for 3 months,the Harris hip score and Barthel index scores for patients with hip fracture were 82.53±7.83 and 88.13±3.34,while those were 76.03±12.15,86.13±2.65 in the control group,the differences between the two groups were statistically significant(t=2.84,2.97,both P<0.05).Conclusions The discharge preparation service can effectively improve the readiness for hospital discharge and the quality of discharge guidance.It improves the hip joint function,the quality of life of patients,and the clinical outcome of patients effectively.

关 键 词：老年人 髋骨折 出院准备服务 

分 类 号：R473.6[医药卫生—护理学]