老年股骨近端骨折术前及术后早期康复干预对骨折愈合时间和心理状态的影响  

Effects of preoperative education and early postoperative rehabilitation intervention on the bone fracture healing time and psychological status of elderly patients with proximal femoral fracture

作　　者：陶慧 王婷婷 王丽平 肖文婷 曾敏 TAO Hui;WANG Tingting;WANG Liping(Department of Orthopedics,Qinhuai Medical District of Eastern Theater Command General Hospital,Jiangsu,Nanjing 210002,China)

机构地区：[1]中国人民解放军东部战区总医院秦淮医疗区骨科,南京市210002

出　　处：《河北医药》2022年第17期2679-2681,共3页Hebei Medical Journal

摘　　要：目的探讨老年股骨近端骨折手术患者术前宣教、术后早期康复干预对骨折愈合时间和心理状态的影响。方法选择2019年1月至2020年1月收治的股骨近端骨折手术患者72例,随机分为观察组(37例,采用早期康复干预)和对照组(35例,采用常规干预),比较2组患者FIM评分、SCL-90评分、Harris评分和并发症情况。结果干预前,2组患者FIM和SCL-9评分差异无统计学意义(P>0.05);干预后,2组患者FIM评分均有改善(P<0.05),且观察组更优(P<0.05)。出院时,2组患者Harris评分差异无统计学意义(P>0.05),出院4周和12周2组患者Harris评分均得到显著改善(P<0.05),且观察组更优(P<0.05)。观察组总并发症为8.11%低于对照组的25.71%(P<0.05)。结论给予老年股骨近端骨折手术患者术前宣教+术后早期康复干预,可显著恢复患者的肢体功能,提升其自主生活能力,改善术后不良心理状态,减轻术后髋关节疼痛情况,值得参考。Objective To investigate the effects of preoperative education and early postoperative rehabilitation intervention on the bone fracture healing time and psychological status of elderly patients with proximal femoral fracture.Methods A total of 72 elderly patients with proximal femur fracture who were treated by surgery in our hospital from January 2019 to January 2020 were enrolled in the study,who were randomly divided into observation group(n=37)and control group(n=35).The patients in observation group were treated by early rehabilitation intervention,however,those in control group were treated by routine intervention.The FIM score,SCL-9 score,Harris score and adverse reactions were observed and compared between the two groups.Results Before intervention,there were no significant differences in FIM scores between the two groups(P>0.05).After intervention,the FIM ancl SCL-9 scores in both groups were improved(P<0.05),moreover,which in observation group were superior to those in control group(P<0.05).At discharging from hospital,there were no significant differences in Harris scores between the two groups(P>0.05).At 4 weeks and 12 weeks after discharging from hospital,the Harris scores in both groups were significantly improved in both groups,moreover,which in observation group were superior to those in control group(P<0.05).In addition the incidence rate of adverse reactions in observation group was lower than that in control group.Conclusion The application of preoperative education and early postoperative rehabilitation intervention for elderly patients with proximal femur fracture undergoing surgery can significantly improve the recovery of limb function,improve the independent viability of patients,improve the postoperative adverse psychological state,and relieve postoperative hip pain,thus,which is worth clinical application.

关 键 词：老年股骨近端骨折 术前宣教 术后早期康复 骨折痊愈时间 

分 类 号：R683.42[医药卫生—骨科学]