基于心理状态、NRS评分及生活质量评价的多维度强化护理在老年股骨颈骨折患者术后的干预效果  

Evaluation of the Effect of Multidimensional Intensive Nursing Intervention in Elderly Patients with Femoral Neck Fracture Based on Psychological State,NRS Score and Quality of Life

作　　者：蔡英风 张琳 Cai Yingfeng;Zhang Lin(Department of Orthopaedics,The First Affiliated Hospital of Xiamen University,Xiamen,Fujian,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：《黑龙江医学》2025年第8期1004-1006,共3页Heilongjiang Medical Journal

摘　　要：目的:探究基于心理状态、疼痛数字量表(NRS)评分及生活质量评价的多维度强化护理在老年股骨颈骨折患者术后的干预效果。方法:选取2021年12月—2023年12月厦门大学附属第一医院骨科收治的86例股骨颈骨折老年患者作为研究对象,按照护理方案不同分为观察组(n=43)和对照组(n=43)。对照组采用常规护理,观察组在常规护理的基础上采用多维度强化护理;对比两组患者不同时间心理状态、疼痛程度、生活质量及护理满意度情况。结果:出院当天,观察组患者心理状态及疼痛程度均优于对照组,差异均有统计学意义(t=3.166、3.303、2.992,P<0.05);观察组患者SF-36评分均高于对照组,差异均有统计学意义(t=2.418、2.416、2.727、2.190,P<0.05);观察组患者护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:多维度强化护理应用于老年股骨颈骨折患者术后,可改善患者心理状态,减轻疼痛,提高生活质量以及护理满意度。Objective:To explore the intervention effect of multidimensional intensive nursing based on psychological status,numerical pain scale(NRS)score and quality of life evaluation in elderly patients with femoral neck fracture after surgery.Methods:A total of 86 elderly patients with femoral neck fracture in the Department of Orthopedics of the First Affiliated Hospital of Xiamen University from December 2021 to December 2023 were selected and divided into observation group(n=43)and control group(n=43)according to different nursing plans.The control group received routine nursing after operation,and the observation group received multidimensional intensive nursing on the basis of the control group.The psychological state,pain degree,quality of life and nursing satisfaction of the two groups were compared at different times.Results:On the day of discharge,the psychological state and pain degree of patients in the observation group were better than those in the control group,with statistically significant difference(t=3.166,3.303,2.992;P<0.05).SF-36 scores in observation group were higher than those in control group,with statistically significant difference(t=2.418,2.416,2.727,2.190;P<0.05).The nursing satisfaction of patients in observation group was higher than that in control group,the difference was statistically significant(P<0.05).Conclusion:The application of multi-dimensional intensive nursing in elderly patients with femoral neck fracture after surgery can improve the psychological state of patients,reduce pain,and improve quality of life and nursing satisfaction.

关 键 词：老年股骨颈骨折患者 多维度强化护理 心理状态 生活质量 

分 类 号：R473.6[医药卫生—护理学]