老年髋部骨折术后延续家庭护理指导  

Extended home nursing guidance after surgical treatment for hip fractures in elderly

作　　者：盛维青 郭冰 封景 张蓓蓓 张伟 SHENG Wei-qing;GUO Bing;FENG Jing;ZHANG Bei-bei;ZHANG Wei(The971 Hospital of PLA Navy,Qingdao,Shandong 266071,China)

机构地区：[1]中国人民解放军海军第971医院,山东青岛266071

出　　处：《中国矫形外科杂志》2024年第20期1909-1912,共4页Orthopedic Journal of China

摘　　要：[目的]分析老年髋部骨折术后延续家庭护理指导的应用效果。[方法]选取本院2021年6月—2023年12月136例老年髋部骨折患者作为观察对象,依据随机抛硬币法,分为两组。常规组68例,出院时未予以延续家庭护理;指导组68例,出院12周内予以延续家庭护理,比较两组临床资料。[结果]两组患者均顺利手术,研究期间指导组不良事件(包括二次骨折、跌倒、肺部感染、泌尿系感染等)发生率显著低于常规组(1.5%vs 10.3%,P=0.029)。与出院时相比,出院后12周,两组患者的Harris评分、Barthel指数和NRS评分均显著改善(P<0.05)。出院时,两组间Harris评分、Barthel指数和NRS评分的差异均无统计学意义(P>0.05);但是,出院后12周指导组的Harris评分[(52.7±3.2)vs(45.4±3.2),P<0.001]、Barthel指数[(51.4±3.1)vs(44.8±3.1),P<0.001]和疼痛NRS评分[(0.7±0.1)vs(1.2±0.3),P<0.001]均显著优于常规组。[结论]老年髋部骨折术后延续家庭护理指导应用效果理想,可降低不良事件或并发症发生率,减轻疼痛,促进髋关节功能恢复。[Objective]To analyze the effect of extended home nursing guidance after surgical treatment for hip fractures in elderly.[Methods]A total of 136 elderly patients who had hip fractures treated surgically in our hospital from June 2021 to December 2023 wereenrolled into this study,and divided into two groups according to random coin toss method.Of them,68 patients in the routine group werenot given extended home care when discharged,while other 68 patients in the guidance group were given extended home care guidance for12 weeks after discharge.The clinical data of the two groups were compared.[Results]All patients in both groups had operation performedsuccessfully.The guidance group proved significantly lower incidence of adverse events than the routine group,including secondary fractures,falls,pulmonary infections,and urinary tract infections during the study period(1.5%vs 10.3%,P=0.029).At 12 weeks after discharge the Harris score,Barthel index and NRS score in both groups were significantly improved compared with those at discharge(P<0.05).Although there were no significant differences in Harris score,Barthel index and NRS score between the two groups at discharge(P>0.05),the guidance group was significantly superior to the routine group in terms of Harris scores[(52.7±3.2)vs(45.4±3.2),P<0.001],Barth-el index[(51.4±3.1)vs(44.8±3.1),P<0.001]and pain NRS score[(0.7±0.1)vs(1.2±0.3),P<0.001]12 weeks after discharge.[Conclusion]The extended home nursing guidance after surgical treatment for hip fractures in the elderly reduces the incidence of adverse events or complications,relieve pain,and promote the recovery of hip function.

关 键 词：老年髋部骨折 手术治疗 延续家庭护理 不良事件 

分 类 号：R683.42[医药卫生—骨科学]