首页|基于BCW理论的围手术期护理在老年髋部骨折患者中的应用效果观察

基于BCW理论的围手术期护理在老年髋部骨折患者中的应用效果观察

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目的 探讨行为改变轮(BCW)理论在老年髋部骨折患者围手术期的应用效果。方法 选取2021年11月—2023年11月就诊于安徽中医药大学第一附属医院骨伤科的老年髋部骨折患者100例作为研究对象。所有患者采用随机数字表法分为对照组和观察组,各50例。对照组接受传统护理模式,观察组在此基础上应用以BCW理论为核心的围手术期护理干预,包括综合护理干预和信息化健康教育。比较两组患者在住院时间、住院期间中度以上疼痛发生率、住院期间并发症(静脉血栓栓塞症、压力性损伤、谵妄)发生率、出院时护理满意度以及患者出院后生活质量方面的差异。结果 与对照组相比,观察组的住院时间短,中度以上疼痛发生情况少,并发症(静脉血栓栓塞症、压力性损伤、谵妄)发生率低(P均<0。05)。观察组患者的护理满意度,出院后、出院后2周、出院后3个月的生活质量评分均高于对照组(P<0。05)。结论 以BCW理论为基础的围手术期护理干预措施可以缩短患者的住院时间,降低疼痛感,减少并发症的发生率,提高患者的护理满意度和出院后生活质量。
Observation on the effect of perioperative nursing in elderly patients with hip fracture based on BCW theory
Objective To investigate the effect of behavior change wheel(BCW)theory in the perioperative period of elderly patients with hip fracture.Methods A total of 100 elderly patients with hip fracture who were admitted to the Orthopedics and Traumatology Department of the First Affiliated Hospital of Anhui University of Chinese Medicine from No-vember 2021 to November 2023 were selected as the study objects.All patients were divided into control group and obser-vation group by random number table method,with 50 cases in each group.The control group received traditional nursing mode,and the observation group received perioperative nursing intervention based on BCW theory,including comprehen-sive nursing intervention and information health education.The differences in length of hospital stay,incidence of more than moderate pain during hospitalization,incidence of complications during hospitalization(venous thromboembolism,stress injury,delirium),nursing satisfaction at discharge,and quality of life after discharge were compared between the two groups.Results Compared with the control group,the duration of hospitalization in the observation group was short-er,the occurrence of more than moderate pain was less,and the incidence of complications(venous thromboembolism,stress injury,delirium)was lower(all P<0.05).The nursing satisfaction and quality of life after discharge,2 weeks after discharge and 3 months after discharge in the observation group were higher than those in the control group(all P<0.05).Conclusion Perioperative nursing interventions based on BCW theory can shorten the length of hospital stay of patients,reduce the sense of pain,reduce the incidence of complications,and improve patients'nursing satisfaction and quality of life after discharge.

behavior change wheel theoryhip fractureperioperative periodearly rehabilitationelderly

程溢芬、汪苗苗、任怡雯、周正新

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安徽中医药大学第一附属医院骨伤科,安徽合肥 230031

安徽中医药大学护理学院,安徽合肥 230011

行为改变轮理论 髋部骨折 围手术期 早期康复 老年人

2024

老年医学研究

老年医学研究

ISSN:
年,卷(期):2024.5(1)
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