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老年股骨颈骨折围手术期精准护理干预效果观察

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目的 探讨手术治疗老年股骨颈骨折患者过程中采取精准护理方案的效果及应用意义。方法 选择2022 年5 月—2023 年5 月因老年股骨颈骨折入院治疗的颈中型骨折、头下型骨折、基底型骨折患者共70 例为对象,根据患者入院顺序随机分为对照组与观察组各35 例,均行手术方案,围手术期,对照组实施常规护理干预,观察组实施精准护理干预,比较两组患者的心理状态、并发症情况、髋关节功能恢复情况及预后。结果 护理干预后,两组心理状况评分均较干预前低(P<0。05),且观察组心理状态评估得分较对照组低,心理状态更好(P<0。05);观察组术后发生并发症例数明显较对照组例数少(P<0。05);观察组髋关节功能恢复程度评分较对照组评分高(P<0。05);两组出院 3 个月时的生活自理能力评分均高于出院时,股骨头坏死评分低于出院时,且观察组生活自理能力评分较对照组评分高,股骨头坏死评分低于对照组,即观察组预后优于对照组(均P<0。05)。结论 实施精准护理干预对改善老年股骨颈骨折患者预后、提高老年患者生活自理能力有积极影响。
Effect of perioperative precision nursing intervention on elderly patients with femoral neck fractures
Objective To investigate the impact and significance of a precision nursing plan during the surgical manage-ment of femoral neck fractures in elderly patients.Methods From May 2022 to May 2023,70 patients with femoral neck frac-tures,including medium-sized neck and head-type,were randomly divided into a control group and an observation group equally.The two groups were managed with routine nursing interventions and specific nursing interventions,respectively.The two groups were compared in terms of the psychological status,complications,hip joint functions,and prognostic effects.Results After the intervention,the psychological status scores of both two groups significantly decreased.The observation group showed lower psy-chological status scores,indicating better psychological status compared to the control group(P<0.05).The rate of postopera-tive complications in the observation group was significantly lower than that of the control group(P<0.05).Additionally,the scores of hip joint function in the observation group were higher than those of the control group(P<0.05).At the time of dis-charge,the scores of self-care ability in both two groups had increased,and the scores of femoral head necrosis were significantly decreased after 3 months of interventions(P<0.05).Furthermore,the self-care ability scores in the observation group were higher,and the scores of femoral head necrosis were lower compared to those of the control group,indicating that the prognosis of the observation group was better than that of the control group(P<0.05).Conclusion The precise nursing interventions could effectively enhance the prognosis of elderly patients with femoral neck fractures and improve their self-care ability.

Hip joint functionPrognostic effectsFemoral neck fracturesSurgeryPrecision nursing intervention

何莹莹、陈进芬、张小丽、景作磊、李桂焕、蔡琼珠、张斌

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湛江中心人民医院 广东湛江 524000

髋关节功能 预后效果 股骨颈骨折 手术 精准护理干预

广东省医学科学技术研究基金

A2023201

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(2)
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