手术室整体护理配合在老年股骨粗隆间骨折患者PFNA内固定治疗中的应用效果分析

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国家科技期刊平台
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中文摘要：目的:探讨老年股骨粗隆间骨折(ITF)患者在股骨近端防旋髓内钉(PFNA)内固定治疗中应用手术室整体护理配合的效果。方法:选择 2020年 1月—2023年 1 月抚州市临川区人民医院收治的 82例老年ITF患者为研究对象，按照随机数表法将患者分为对照组与观察组，各 41例。对照组采用手术室常规护理，观察组采用手术室整体护理配合。比较两组的临床指标、膝关节功能、疼痛程度和术后并发症发生情况。结果:观察组术中出血量少于对照组，手术、骨折愈合、独立行走、术后首次下床、住院时间均短于对照组，差异均有统计学意义(P<0。05)。护理后 1个月，两组膝关节功能评分量表、功能独立性评定量表评分均较护理前升高，且观察组高于对照组，差异均有统计学意义(P<0。05)。护理后 1个月，两组疼痛视觉模拟评分均较护理前降低，且观察组低于对照组，差异均有统计学意义(P<0。05)。观察组术后并发症发生率为4。88%，低于对照组的 19。52%，差异有统计学意义(P<0。05)。结论:在老年ITF患者PFNA内固定治疗中实施手术室整体护理配合，能够减少术中出血量，加快康复进程，改善膝关节功能，减轻疼痛感，减少术后并发症的发生。

外文标题：Effect Analysis of Holistic Nursing in Operating Room Combined with PFNA Internal Fixation in Elderly Patients with Intertrochanteric Fracture of Femur

外文摘要：Objective:To investigate the effect of integrated nursing in operating room in the treatment of intertrochanteric fracture(ITF)in elderly patients with PFNA.Methods:A total of 82 elderly patients with ITF treated in Linchuan District People's Hospital of Fuzhou City proximal femoral antiglare intramedullary nail January 2020 to January 2023 were selected as the study objects.According to random number table method,the patients were divided into a control group and an observation group,with 41 cases in each group.The control group received routine nursing in operating room,and the observation group was treated with holistic nursing in operating room.The clinical indicators,knee function,pain degree and postoperative complications were compared between the two groups.Results:The intraoperative blood loss in the observation group was less than that in the control group,and the type of operation,fracture healthly,independent walking,first postoperative getting out of bed and hospital stay were all shorter than those in the control group,with statistical significance(P<0.05).One month after nursing,the scores of knee functional rating scale and functional independence rating scale in both groups were higher than those before nursing,and the observation group was higher than the control group,with statistical significance(P<0.05).One month after nursing,the pain Visual Analogue Scores in both groups were lower than those before nursing,and the observation group was lower than the control group,with statistical significance(P<0.05).The incidence of postoperative complications in the observation group was 4.88%,which was lower than 19.52%in the control group,the difference was statistically significant(P<0.05).Conclusion:In elderly ITF patients with PFNA internal fixation,the implementation of holistic nursing cooperation in the operating room can reduce the amount of intraoperative blood loss,accelerate the rehabilitation process,improve the function of the knee joint,alleviate pain,and reduce the occurrence of postoperative complications.

外文关键词：

Intertrochanteric fracture in the elderlyPFNA internal fixation treatmentHolistic nursing in operation roomKnee functionDegree of pain

作者：

吴娜

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作者单位：

江西省抚州市临川区人民医院手术室,江西抚州 344000

关键词：

老年股骨粗隆间骨折 PFNA内固定治疗手术室整体护理膝关节功能疼痛程度

出版年：

2024

DOI：