系统化康复护理在老年股骨颈骨折人工股骨头置换术中的应用效果  

Application Effect of Systematic Rehabilitation Nursing in Artificial Femoral Head Replacement for Elderly Femoral Neck Fractures

作　　者：胡小春 HU Xiaochun(Department of surgery,Taihe County Hospital of Traditional Chinese Medicine,Ji'an 343000,China)

机构地区：[1]江西省泰和县中医院外科,江西吉安343000

出　　处：《中国伤残医学》2024年第24期131-135,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探究系统化康复护理应用于老年股骨颈骨折人工股骨头置换术患者中的效果。方法:选取2021年2月—2023年2月于泰和县中医院接受治疗的60例老年股骨颈骨折患者为研究对象,采用随机信封法将其分为对照组及观察组,各30例。所有患者均行人工股骨头置换术,治疗期间,对照组采用常规护理,观察组在对照组基础上采用系统化康复护理。两组均护理1个月比较两组患者的髋关节功能、生活质量、并发症发生情况、自我护理能力及护理满意度。结果:干预后,观察组的Harris髋关节功能量表中各项评分均高于对照组,差异均有统计学意义(P<0.05)。干预后,观察组的健康调查简表中各项评分均高于对照组,差异均有统计学意义(P<0.05)。观察组的术后并发症发生率为0.00%,低于对照组的20.00%,差异有统计学意义(P<0.05)。干预后,观察组的自我护理能力量表中各项评分均高于对照组,差异均有统计学意义(P<0.05)。观察组的护理满意度为96.67%,高于对照组的73.33%,差异有统计学意义(P<0.05)。结论:老年股骨颈骨折患者行人工股骨头置换术治疗期间接受系统化康复护理,能提升护理服务质量及患者的自我护理能力,促进其髋关节功能恢复,减少术后并发症发生,提高患者的生活质量及护理满意度。Objective:To explore the effect of systematic rehabilitation nursing in elderly patients with femoral neck fracture undergoing artificial femoral head replacement.Methods:A total of 60 elderly patients with femoral neck fracture who received treatment in Taihe County Hospital of Traditional Chinese Medicine from February 2021 to February 2023 were selected as the study objects and were divided into a control group and an observation group by random envelope method,with 30 cases in each group.All patients underwent artificial femoral head replacement.During treatment,the control group received routine nursing,and the observation group received systematic rehabilitation nursing on the basis of the control group.The hip function,quality of life,complications,self-care ability and nursing satisfaction were compared between the two groups.Results:After intervention,the scores of the Harris Hip Scale in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of the MOS Iem Short From Health Survey in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 0.00%,which was lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).After intervention,the scores of self-care ability scale in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction of the observation group was 96.67%,which was higher than 73.33%of the control group,and the difference was statistically significant(P<0.05).Conclusion:Systematic rehabilitation nursing for elderly patients with femoral neck fracture during artificial femoral head replacement can improve the quality of nursing service and patients’self-care ability,promote the recovery of hip function,reduce the occurrence of pos

关 键 词：股骨颈骨折 老年 人工股骨头置换术 系统化康复护理 

分 类 号：R473[医药卫生—护理学]