临床护理路径应用于股骨颈骨折双极人工股骨头置换手术治疗的效果及对QOL评分的影响  

The Effect of Clinical Nursing Pathway in the Treatment of Femoral Neck Fracture with Bipolar Artificial Femoral Head Replacement and Its Effect on QOL Score

作　　者：范碧红 FAN Bihong(Operating Room,Pucheng County Hospital,Nanping,Fujian Province,353400 China)

机构地区：[1]浦城县医院手术室,福建南平353400

出　　处：《中外医疗》2022年第28期170-173,178,共5页China & Foreign Medical Treatment

摘　　要：目的研究股骨颈骨折患者行双极人工股骨头置换术治疗应用临床护理路径的效果及对QOL评分的影响。方法方便选取2017年10月—2019年9月于浦城县医院接受手术治疗的82例股骨颈骨折患者为研究对象,按随机数表法分为两组,各41例。对照组行常规护理,观察组行临床护理路径,对比两组下床活动和住院时间、护理满意度、并发症及干预前后生活质量评分。结果观察组护理总满意率(95.12%)高于对照组(73.17%),差异有统计学意义(χ^(2)=7.404,P<0.05);观察组下床活动时间、住院时间较对照组均更短,差异有统计学意义(t=6.811、9.571,P<0.05);干预后,观察组各项QOL评分均高于对照组,差异有统计学意义(t=4.028、9.303、5.346、30.995,P<0.05);观察组并发症发生率(2.44%)低于对照组(19.51%),差异有统计学意义(χ^(2)=4.493,P<0.05)。结论股骨颈骨折行双极人工股骨头置换术治疗应用临床护理路径,可减少患者并发症,缩短患者术后恢复时间,提高患者生活质量。Objective To study the effect of bipolar artificial femoral head replacement in the treatment of femoral neck fracture with clinical nursing pathway and its effect on QOL score.Methods A total of 82 patients with femoral neck fractures who received surgical treatment in Pucheng County Hospital from October 2017 to September 2019 were conveniently selected as the research objects,and were divided into two groups according to the random number table method,with 41 cases in each group.The control group received routine nursing,and the observation group received clinical nursing path.The time of getting out of bed and hospital stay,nursing satisfaction,complications,and quality of life scores before and after intervention were compared between the two groups.Results The total nursing satisfaction rate in the observation group(95.12%)was higher than that in the control group(73.17%),and the difference was statistically significant(χ^(2)=7.404,P<0.05).The time of getting out of bed and hospital stay in the observation group were shorter than those in the control group,and the difference was statistically significant(t=6.811,9.571,P<0.05);after the intervention,the QOL scores of the observation group were all higher than the control group,and the difference was statistically significant(t=4.028,9.303,5.346,30.995,P<0.05);the incidence of complications in the observation group(2.44%)was lower than that in the control group(19.51%),and the difference was statistically significant(χ^(2)=4.493,P<0.05).Conclusion Bipolar artificial femoral head replacement in the treatment of femoral neck fractures can reduce the complications,shorten the postoperative recovery time and improve the quality of life of patients.

关 键 词：临床护理路径 股骨颈骨折 双极人工股骨头置换术 护理满意度 生活质量 

分 类 号：R5[医药卫生—内科学]