加速康复外科护理在老年股骨颈骨折手术患者中的应用效果  

Application effects of enhanced recovery after surgery nursing in elderly patients with femoral neck fracture undergoing surgery

作　　者：宋彩丽 SONG Caili(Department of Nursing of Huiji District People’s Hospital,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州市惠济区人民医院护理部,河南郑州450000

出　　处：《中国民康医学》2025年第8期184-186,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察加速康复外科护理在老年股骨颈骨折手术患者中的应用效果。方法:选取2020—2022年该院收治的60例老年股骨颈骨折手术患者进行前瞻性研究,按照随机数字表法分为观察组与对照组各30例。对照组采用常规护理,观察组采用加速康复外科护理,比较两组视觉模拟评分法(VAS)评分、髋关节功能[Harris评分量表(HHS)]评分、生命质量[综合评定问卷-74(GQOLI-74)]评分和并发症发生率。结果:护理后,两组VAS评分低于护理前,且观察组低于对照组,差异均有统计学意义(P<0.05);护理后,两组疼痛、功能、活动度、畸形等HHS评分和心理功能、社会功能、躯体功能、物质生活等GQOLI-74评分高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:加速康复外科护理应用于老年股骨颈骨折手术患者可提高髋关节功能评分和生命质量评分,以及降低VAS评分,效果优于常规护理。Objective:To observe application effects of enhanced recovery after surgery nursing in elderly patients with femoral neck fracture undergoing surgery.Methods:A prospective study was conducted on 60 elderly patients with femoral neck fractures treated in our hospital from 2020 to 2022.According to the random number table method,they were divided into observation group and control group,30 cases in each group.The control group was given routine nursing,while the observation group was given the enhanced recovery after surgery nursing.The visual analogue scale(VAS)scores,the hip joint function[Harris hip scale(HHS)]scores,the quality of life[general quality of life inventory-74(GQOLI-74)]scores,and the incidence of complications were compared between the two groups.Results:After the nursing,the VAS scores of the two groups were lower than those before the nursing,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).After the nursing,the HHS scores of pain,function,activity,deformity and the GQOLI-74 scores of psychological function,social function,physical function and material life in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:The enhanced recovery after surgery nursing in the elderly patients with femoral neck fracture surgeries can improve the hip function scores and the quality of life scores,and reduce the VAS scores.Moreover,it is superior to the routine nursing.

关 键 词：股骨颈骨折 老年 加速康复外科护理 疼痛 髋关节功能 生命质量 并发症 

分 类 号：R47[医药卫生—护理学]