快速康复外科护理在老年髋部骨折患者围术期的应用  

Application of rapid rehabilitation surgical nursing in the perioperative period of elderly patients with hip fractures

作　　者：王建红[1] 马凤华[1] 任丽琴[1] WANG Jianhong;MA Fenghua;REN Liqin(General Hospital of Ningxia Medical University,Yinchuan,750004,China)

机构地区：[1]宁夏医科大学总医院创伤骨科,宁夏回族自治区银川市750004

出　　处：《护理实践与研究》2023年第16期2465-2469,共5页Nursing Practice and Research

基　　金：2023年宁夏自然科学基金(编号:2023AAC03578)。

摘　　要：目的探讨快速康复外科护理在老年髋部骨折患者围术期的应用效果。方法选取2020年1月—2021年10月医院骨科因髋部骨折接受手术治疗的110例老年患者为研究对象,按照组间基本特征具有可比性的原则分成观察组和对照组,每组55例,对照组实施常规护理,观察组实施快速康复护理。按照疼痛视觉模拟评分法(VAS)评估患者疼痛;根据Harris髋关节评分量表评估髋关节功能状况,记录患者术后首次床上、床下活动时间,平均住院日、护理满意程度,日常生活活动能力(ADL)以及并发症发生情况。结果观察组患者术后床上活动时间、床下活动时间和平均住院日均短于对照组,差异具有统计学意义(P<0.05);术后7 d,观察组切口视觉模拟疼痛评分法(VAS)评分低于对照组,差异具有统计学意义(P<0.05);观察组术后护理满意程度高于对照组,差异具有统计学意义(P<0.05);观察组术后并发症发生率低于对照组,差异具有统计学意义(P<0.05);术后半年,Harris髋关节评分高于对照组(P<0.05);术后3个月,观察组ADL评分高于对照组,差异具有统计学意义(P<0.05)。结论快速康复外科护理可有效缩短老年髋部骨折患者床上、床下活动时间和住院时间,促进髋关节功能恢复,降低术后并发症的发生率。Objective To explore the application effect of rapid rehabilitation surgical nursing in the perioperative period of elderly patients with hip fractures.Methods To select 110 elderly patients who underwent surgical treatment for hip fractures in the orthopedic department of the hospital from January 2020 to October 2021 as the research subjects,and they were divided into an observation group and a control group based on the principle of comparability of basic characteristics between groups,with 55 patients in each group.The control group received routine care,while the observation group received rapid rehabilitation care.Assess patient pain according to visual analogue scale(VAS);evaluate hip joint function based on the Harris hip joint scoring scale,record the patient's fi rst time in and out of bed activity after surgery,average hospital stay days,nursing satisfaction,activities of daily living(ADL),and incidence of complications.Results The in the bed activity after surgery time,out of bed activity time after surgery and average hospital stay days in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).At 7 days after surgery,the visual analogue scale(VAS)score of the observation group incision was lower than that of the control group,and the difference was statistically significant(P<0.05).The postoperative nursing satisfaction in the observation group was higher than that in the control group,and the diff erence was statistically signifi cant(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,and the diff erence was statistically signifi cant(P<0.05).Half a year after surgery,the Harris hip joint score in the observation group was higher than that in the control group;3 months after surgery,the ADL score in the observation group was higher than that in the control group,and the diff erences were statistically signifi cant(P<0.05).Conclusion Rapid rehabilitation surgical

关 键 词：老年髋部骨折 围术期 快速康复护理 活动时间 效果比较 

分 类 号：R473.6[医药卫生—护理学]