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作 者:李坤兰 罗美凤[1] 吴莉莉[1] 吴梅兰[1] LI Kunlan;LUO Meifeng;WU Lili;WU Meilan(Department of Orthopedics,Quanzhou First Hospital,Fujian,Quanzhou 362000,China)
机构地区:[1]福建省泉州市第一医院骨科,福建泉州362000
出 处:《中国医药科学》2025年第4期72-75,共4页China Medicine And Pharmacy
基 金:福建省自然科学基金资助项目(2021J011406)。
摘 要:目的分析加速康复外科(ERAS)护理模式对老年股骨颈骨折手术患者的影响。方法选取2022年1—12月泉州市第一医院骨科收治的100例老年股骨颈骨折手术患者纳入研究,根据随机数表法分为两组,每组各50例。对照组应用常规护理,观察组应用ERAS护理模式。比较两组围手术期指标、术后髋关节功能、疼痛改善情况、睡眠质量、生活质量以及术后并发症总发生率,并记录患者对护理方案满意度。结果护理后,观察组术后恢复耗时、疼痛程度、睡眠质量、术后并发症总发生率均低于对照组,差异有统计学意义(P<0.05);观察组髋关节功能评分、生活质量评分、对护理满意度均高于对照组,差异有统计学意义(P<0.05)。结论接受手术治疗的老年股骨颈骨折患者在其围手术期接受ERAS护理干预获得较佳的临床效果,患者的术后髋关节功能明显改善、疼痛缓解,睡眠质量与生活质量明显改善,同时还提高了手术的安全性,患者对该护理方案具有较高满意度,临床应用价值显著。Objective To analyze the impact of the enhanced recovery after surgery(ERAS)nursing model on elderly patients undergoing femoral neck fracture surgery.Methods A total of 100 elderly patients with femoral neck fractures who underwent surgery at the Department of Orthopedics of Quanzhou First Hospital from January to December 2022 were selected for the study.They were divided into two groups using a random number table method,with 50 patients in each group.The control group received routine nursing care,while the observation group received ERAS nursing mode.Compare the perioperative indicators,postoperative hip joint function,pain improvement,sleep quality,quality of life,and total incidence of postoperative complications between two groups,and record patient satisfaction with the nursing plan.Results After nursing,the comparison of postoperative recovery time,pain level,sleep quality,and total incidence of postoperative complications showed that the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The hip joint function score,quality of life score,and nursing satisfaction of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Elderly patients with femoral neck fractures who undergo surgical treatment receive ERAS nursing intervention during the perioperative period,which achieves better clinical results.The postoperative hip joint function of patients is significantly improved,pain is relieved,sleep quality and quality of life are significantly improved,and the safety of surgery is also improved.Patients have high satisfaction with this nursing program,and its clinical application value is significant.
关 键 词:加速康复外科护理模式 老年股骨颈骨折 手术 临床效果
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