健康意识理论指导的骨折愈合促进模式在老年髋部骨折患者中的应用效果  

Application effect of fracture healing promotion model guided by health consciousness theory in elderly patients with hip fractures

作　　者：曹憬 楚雪琼 谈晶[1] CAO Jing;CHU Xueqiong;TAN Jing(Department of Orthopaedics,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430035,China)

机构地区：[1]华中科技大学同济医学院附属同济医院骨科,湖北武汉430035

出　　处：《中西医结合护理（中英文）》2022年第7期1-4,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨健康意识理论指导的骨折愈合促进模式在老年髋部骨折患者康复护理中的应用效果。方法回顾性分析2020年1月至2021年10月于华中科技大学同济医学院附属同济医院就诊的106例老年髋部骨折患者的临床资料,按照护理方法的不同将患者划分为对照组(53例)和观察组(53例)。对照组给予常规康复护理,观察组在常规康复护理的基础上给予健康意识理论指导的骨折愈合促进模式护理。比较2组的手术指标、髋关节功能、下肢深静脉血栓(DVT)相关情况、骨折愈合程度及并发症发生情况。结果观察组的骨折愈合时间、术后下床时间均早于对照组,住院时间短于对照组(P均<0.05)。术后2周,2组的患侧肢体肿胀值均小于入院当天,血清D-二聚体水平均低于入院当天,DVT知识评分均高于入院当天(P均<0.05);观察组的上述指标均优于对照组(P均<0.05)。术后1周、3个月及6个月,2组的Harris髋关节功能评分(HHS)均较入院当天升高(P均<0.05);与同期对照组相比,观察组的HHS评分均更高(P均<0.05)。观察组的骨折愈合总有效率高于对照组,术后DVT发生率、并发症总发生率均低于对照组(P均<0.05)。结论健康意识指导的骨折愈合促进模式可有效加快老年髋部骨折患者的骨折愈合,改善髋关节功能,促进术后尽早康复,并减少并发症的发生。Objective To explore the application effect of fracture healing promotion model guided by health consciousness theory in the rehabilitation nursing of elderly patients with hip fractures.Methods The clinical data of 106 elderly patients with hip fractures at Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology from January 2020 to October 2021 were retrospectively analyzed.The patients were assigned into a control group and an observation group according to different nursing methods,each with 53 cases.The control group was given routine rehabilitation nursing,while the observation group was given nursing of fracture healing promotion model guided by health consciousness theory on the basis of the routine rehabilitation nursing.The surgical indicators,hip function,related indicators of lower extremity deep vein thrombosis(DVT),fracture healing degree,and complications were compared between the two groups.Results The time to fracture healing,time to postoperative ambulation,and hospitalization time of the observation group were shorter than those of the control group(all P<0.05).At 2 weeks after operation,the swelling value of the affected limb in the two groups was less than that on the day of admission.The level of serum D-dimer was lower than that on the day of admission.The DVT knowledge score was higher than that on the day of admission(all P<0.05).The above indicators in the observation group were better than those in the control group(all P<0.05).At 1 week,3 months,and 6 months after operation,the Harris Hip Score(HHS)of the two groups was higher than that on the day of admission(all P<0.05),and the HHS of the observation group was higher than that of the control group on the corresponding period(all P<0.05).The total effective rate of fracture healing in the observation group was higher than that in the control group,and the incidence of postoperative DVT and the total incidence of complications were lower than those in the control group(all P<0.05).Conclusion The fracture he

关 键 词：髋部骨折 老年 健康意识理论 骨折愈合 髋关节功能 

分 类 号：R473.6[医药卫生—护理学]