专科护士主导的护理干预对高龄髋部骨折患者的影响  

Effect of specialist nurse-led intervention in advanced-age patients with hip fracture

作　　者：黄天雯[1] 李娜[1] 肖万莲 陈晓玲[1] 桂自珍[1] 邬培慧[1] Huang Tianwen;Li Na;Xiao Wanlian;Chen Xiaoling;Gui Zizhen;Wu Peihui(Department of Bone Microscopy,The First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China)

机构地区：[1]中山大学附属第一医院骨科-显微外科医学部,广东广州510080

出　　处：《护理学杂志》2023年第9期45-48,共4页Journal of Nursing Science

基　　金：广东省科技计划项目(2019A141401002)。

摘　　要：目的 提高高龄髋部骨折患者围手术期护理效果。方法 按照入院时间,将2018年1月至2019年12月收治的50例高龄髋部骨折患者作为对照组,2020年1月至2021年12月收治的47例高龄患者作为观察组。对照组按责任制整体护理模式实施围手术期护理常规;观察组实施专科护士主导的多学科合作模式的全程护理干预,包括综合评估患者、集束化预防护理、结合康复日志的康复锻炼、出院准备及随访。比较两组疼痛干预效果、功能锻炼依从性及并发症发生率。结果 观察组疼痛干预有效率显著高于对照组,围手术期并发症发生率显著低于对照组,功能锻炼依从性显著高于对照组(均P<0.05)。结论 高龄髋部骨折患者实施专科护士主导的多学科合作模式的护理干预,有利于提高护理质量,改善患者临床结局。Objective To improve the effect of perioperative care in advanced-age patients with hip fracture.Methods Fifty patients with hip fracture admitted from January 2018 to December 2019 were treated as the control group and given usual perioperative care following the duty-oriented holistic care model,while 47 patients admitted from January 2020 to December 2021 were served as the intervention group and received specialist nurse-led,multidisciplinary whole-process nursing care,including comprehensive patient assessment,bundled care,rehabilitation exercises using rehabilitation diaries,discharge preparation and follow-up.The pain control level,compliance with functional exercise and rate of complications were compared between the two groups.Results The intervention group had significantly higher rate of pain control,lower incidence of complications,and better compliance with functional exercise compared with the control group(all P<0.05).Conclusion The implementation of specialist nurse-led,multidisciplinary whole-process intervention in advanced-age patients with hip fracture is beneficial to improve quality of patient care and clinical outcomes.

关 键 词：髋部骨折 高龄老年人 围手术期 专科护士 疼痛 康复护理 功能锻炼 护理干预 

分 类 号：R473.6[医药卫生—护理学]