首页|系统化护理用于老年股骨颈骨折患者股骨头置换术后的效果观察

系统化护理用于老年股骨颈骨折患者股骨头置换术后的效果观察

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目的:探究接受人工股骨头置换术的老年股骨颈骨折患者采用系统化护理的效果。方法:选取 2020年 1月—2023年 12月于新干县中医医院行人工股骨头置换术的 78例老年股骨颈骨折患者为研究对象,按照随机数字表法将其分为对照组及观察组,各 39例。对照组采用常规护理,观察组采用系统化护理。对比两组髋关节功能、肢体运动功能、疼痛程度、手术康复情况、并发症发生情况及满意度。结果:干预后,观察组的Harris髋关节功能评分量表中各项评分及总分均高于对照组,差异均有统计学意义(P<0。05)。干预后,观察组的改良运动评估量表评分高于对照组,疼痛视觉模拟评分法评分低于对照组,差异均有统计学意义(P<0。05)。观察组术后并发症发生率为 5。13%,低于对照组的 23。08%,差异有统计学意义(P<0。05)。观察组的疼痛消失、肿胀消失、制动及骨折愈合时间均短于对照组,差异均有统计学意义(P<0。05)。观察组的各项护理满意度评分均高于对照组,差异均有统计学意义(P<0。05)。结论:接受人工股骨头置换术的老年股骨颈骨折患者采用系统护理,不仅有助于髋关节功能的恢复,还可降低术后并发症发生率,帮助患者早日康复,促使各项症状尽快减退,具有一定的应用价值。
Observation on the Effect of Systematic Nursing for Elderly Patients with Femoral Neck Fracture Undergoing Artificial Femoral Head Replacement
Objective:To investigate the effect of systematic nursing for elderly patients with femoral neck fracture undergoing artificial femoral head replacement.Methods:A total of 78 elderly patients with femoral neck fracture who underwent artificial femoral head replacement in Xingan County Hospital of Traditional Chinese Medicine from January 2020 to December 2023 were selected as the study objects and were divided into a control group and an observation group according to random number table method,with 39 cases in each group.The control group received routine nursing,and the observation group received systematic nursing.The hip function,limb motor function,pain degree,surgical rehabilitation,complication occurrence and satisfaction of the two groups were compared.Results:After intervention,the scores of Harris hip scale and the total score in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,the modified motor assessment scale score in the observation group was higher than that in the control group,and the visual analogue scale score of pain was lower than that in the control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 5.13%,lower than 23.08%in the control group,the difference was statistically significant(P<0.05).The time of pain disappearance,swelling disappearance,braking and fracture healing in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).The nursing satisfaction scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Systematic nursing for elderly patients with femoral neck fracture undergoing artificial femoral head replacement can not only help to restore hip function,but also reduce the incidence of postoperative complications,help patients recover as soon as possible,and promote the reduction of symptoms as soon as possible,which has certain application value.

Femoral neck fracture in the elderlyArtificial femoral head replacementSystematic nursingComplicationsHip function

宋军英

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江西省新干县中医医院血透室,江西 吉安 343000

老年股骨颈骨折 人工股骨头置换术 系统化护理 并发症 髋关节功能

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(19)