循证医学模式下围术期综合护理对股骨粗隆间骨折患者的影响  

Impact of Perioperative Comprehensive Nursing Based on Evidence-Based Medicine on Patients with Intertrochanteric Femur Fracture

作　　者：庞苗 杨改丽 PANG Miao;YANG Gaili(Operating Room,Xi'an Beiliwang Traditional Chinese Orthopedic Hospital,Xi'an Shaanxi 710100,China;Orthopedics Department,Xi'an Beiliwang Traditional Chinese Orthopedic Hospital,Xi'an Shaanxi 710100,China)

机构地区：[1]西安北里王中医正骨医院手术室,陕西西安710100 [2]西安北里王中医正骨医院正骨科,陕西西安710100

出　　处：《临床研究》2025年第5期150-154,共5页Clinical Research

摘　　要：目的探讨循证医学模式下围术期综合护理在股骨粗隆间骨折(IFF)患者中的应用效果。方法选取2021年8月至2024年5月西安北里王中医正骨医院收治的62例IFF患者,按随机数表法分2组,各31例。对照组行常规护理,观察组行循证医学模式下围术期综合护理。对比两组心理状态、疼痛程度、并发症发生率、康复进程、髋关节功能及生活质量。结果护理后,观察组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、视觉模拟评分法(VAS)评分、并发症发生率,低于对照组,差异有统计学意义(P<0.05);胃肠功能恢复时间、下床活动时间、住院时间,短于对照组,差异均有统计学意义(P<0.05);术后3个月的髋关节功能量表(HHS)、健康调查简表(SF-36)评分高于对照组,差异有统计学意义(P<0.05)。结论循证医学模式下围术期综合护理可以减轻IFF患者的不良情绪与疼痛程度,减少并发症的发生,提升髋关节功能与生活质量。Objective To explore the application effect of perioperative comprehensive nursing based on evidence-based medicine in patients with intertrochanteric femur fracture(IFF).Methods A total of 62 IFF patients treated at Xi'an Beiliwang Traditional Chinese Medicine Orthopedic Hospital from August 2021 to May 2024 were selected and randomly divided into two groups,with 31 patients in each group.The control group received conventional nursing,while the observation group received perioperative comprehensive nursing based on evidence-based medicine.The psychological state,pain level,incidence of complications,rehabilitation process,hip joint function,and quality of life were compared between the two groups.Results After nursing,the observation group had lower scores on the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Visual Analogue Scale(VAS),and a lower incidence of complications than the control group,with statistically significant differences(P<0.05).The recovery time of gastrointestinal function,time to ambulation,and hospital stay were shorter in the observation group,with all differences being statistically significant(P<0.05).At three months post-operation,the Hip Harris Score(HHS)and Short Form-36 Health Survey(SF-36)scores were higher in the observation group,with statistically significant differences(P<0.05).Conclusion Perioperative comprehensive nursing based on evidence-based medicine can alleviate negative emotions and pain levels in IFF patients,reduce the occurrence of complications,and improve hip joint function and quality of life.

关 键 词：股骨粗隆间骨折 循证医学模式 围术期综合护理 心理状态 疼痛程度 

分 类 号：R473[医药卫生—护理学]