全面性-合作性-协调性-延续性的干预策略在老年髋部骨折患者术后的应用效果  

Application effect of comprehensive,cooperative,coordinated and continuous intervention strategy in elderly patients with hip fracture after operation

作　　者：张琳 蔡英风 ZHANG Lin;CAI Yingfeng(Department of Orthopedics,First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院骨科,福建厦门361000

出　　处：《黑龙江医药科学》2025年第1期103-105,109,共4页Heilongjiang Medicine and Pharmacy

摘　　要：目的:探讨在老年髋部骨折患者术后实施全面性-合作性-协调性-延续性的干预策略的效果。方法:选取2023年1月至2023年12月于厦门大学附属第一医院骨科就诊的老年髋部骨折术后患者102例,随机数字表法分为A组与B组,各51例。A组术后实施常规护理干预,B组在A组基础上实施全面性-合作性-协调性-延续性的干预策略,比较两组护理第90天髋关节功能(采用髋关节功能Harris量表评估)、自我管理能力[采用成年人健康自我管理能力测评量表(the rating scale of health self-management skill for adults, AHSMSRS)评价]及护理期间并发症发生率。结果:护理第90天,B组Harris评分高于A组(t=4.122,P<0.05);B组AHSMSRS评分高于A组(t_(1)=3.987,t_(2)=4.548,t_(3)=4.425,P均<0.05);护理期间,B组并发症发生率低于A组(χ^(2)值校正=4.388,P<0.05)。结论:对老年髋部骨折患者实施全面性-合作性-协调性-延续性的干预策略能够有效改善其术后髋关节功能,提升其自我管理能力,降低并发症发生率。Objective:To investigate the effect of comprehensive,cooperative,coordinated and continuous intervention strategy in elderly patients with postoperative hip fracture after operation.Methods:A total of 102 elderly patients who underwent hip fracture surgery in the Department of Orthopedics at the First Affiliated Hospital of Xiamen University from January 2023 to December 2023 were selected and randomly divided into group A and group B,with 51 cases in each group.Group A received routine nursing intervention,group B received comprehensive,cooperative,coordinated and continuous intervention strategy based on group A,and the hip function on the 90th day(assessed using hip joint function Harris scale.),self-management ability(assessed using the rating scale of health self-management skill for adults,AHSMSRS)and complication rates during the nursing period were compared between the two groups.Results:At 90 days post-intervention,the Harris Hip Score was significantly higher in Group B compared to Group A(t=4.122,P<0.05).The AHSMSRS scores were also significantly higher in Group B than in Group A(t_(1)=3.987,t_(2)=4.548,t_(3)=4.425,all P<0.05).The complication rate during the nursing period was lower in Group B than in Group A(χ^(2) corrected=4.388,P<0.05).Conclusion:The comprehensive,cooperative,coordinated and continuous intervention strategy for elderly patients with hip fracture can effectively improve their hip function after surgery,enhance their self-management ability,and reduce the incidence of complications.

关 键 词：老年髋部骨折 干预策略 髋关节功能 自我管理能力 并发症发生率 

分 类 号：R473.6[医药卫生—护理学]