协作护理模式联合阶段性功能康复训练在老年股骨颈骨折患者术后康复中的应用效果  

Application effect of collaborative nursing mode combined with phased functional rehabilitation training in postoperative rehabilitation of elderly patients with femoral neck fractures

作　　者：于雅婷 曹静静 孙令芝 苏中雷 YU Yating;CAO Jingjing;SUN Lingzhi;SU Zhonglei(Traumatic Joint Surgery Ward,the Eighth People's Hospital of Jinan,Shandong Province,Jinan 271100,China;Department of Medical Record Management the Eighth People's Hospital of Jinan,Shandong Province,Jinan 271100,China)

机构地区：[1]济南市第八人民医院创伤关节外科病区,山东济南271100 [2]济南市第八人民医院病案管理科,山东济南271100

出　　处：《中国当代医药》2024年第13期152-155,共4页China Modern Medicine

基　　金：山东省济南市卫生健康委员会科技计划项目(2023-2-96)。

摘　　要：目的探讨协作护理模式联合阶段性功能康复训练在老年股骨颈骨折患者术后康复中的应用效果。方法回顾性分析2021年9月至2022年10月济南市第八人民医院收治的107例老年股骨颈骨折患者的一般资料,根据不同护理方法将其分为对照组(53例)和观察组(54例)。对照组施以协作护理,观察组施以协作护理和阶段性功能康复训练。比较两组护理前后关节功能、疼痛程度、生活质量、自理能力、应激指标、术后并发症。结果出院3个月后,观察组数字评定量表(NRS)评分低于对照组,Harris髋关节评分量表(HHS)、改良Barthel指数(MBI)、健康调查简表(SF-36)评分高于对照组,差异有统计学意义(P<0.05);出院时,观察组皮质醇(COR)、促肾上腺皮质激素(ACTH)及去甲肾上腺素(NE)水平低于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论协作护理模式联合阶段性功能康复训练可改善老年股骨颈骨折患者的关节功能,促进患者术后康复。Objective To explore the application effect of collaborative nursing mode combined with phased functional rehabilitation training in postoperative rehabilitation of elderly patients with femoral neck fractures.Methods Retrospective analyzed the general data of 107 elderly patients with femoral neck fractures admitted to the Eighth People's Hospital of Jinan from September 2021 to October 2022.According to different nursing methods,they were divided into a control group(53 cases)and an observation group(54 cases).The control group received collaborative care,while the observation group received collaborative care and phased functional rehabilitation training.The joint function,pain level,quality of life,self-care ability,and stress indicators between two groups before and after nursing care,and postoperative complications between two groups were compared.Results After 3 months of discharge,the scores of the Numeric Rating Scale(NRS)of the observation group were lower than those of the control group,while the scores of Harris hip score(HHS),modified Barthel index(MBI),and the MOS 36-item short form health survey(SF-36)were higher than those of the control group,with statistically significant differences(P<0.05).At discharge,the levels of cortisol(COR),adrenocorticotropic hormone(ACTH),and norepinephrine(NE)in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The collaborative nursing mode combined with phased functional rehabilitation training can improve joint function in elderly patients with femoral neck fractures and promote postoperative recovery.

关 键 词：协作护理模式 阶段性功能康复训练 股骨颈骨折 关节功能 自理能力 

分 类 号：R683.42[医药卫生—骨科学]