首页|强化心理护理联合ERAS理念对老年股骨颈骨折患者术后恢复及心理状态的影响

强化心理护理联合ERAS理念对老年股骨颈骨折患者术后恢复及心理状态的影响

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目的:探究强化心理护理联合加速康复外科(ERAS)理念对老年股骨颈骨折患者术后恢复及心理状态的影响.方法:选取 2021 年 5 月—2022 年 5 月福建医科大学附属南平第一医院收治的 60 例老年股骨颈骨折患者为研究对象,按随机数字表法分为常规组和观察组,各 30 例.常规组采用常规护理,观察组在常规护理的基础上,增加强化心理护理联合ERAS理念.观察两组心理状态、髋关节功能及护理满意度.结果:出院时,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均明显低于干预前,且观察组均低于常规组(P<0.05);观察组术后 4 个月Harris评分高于常规组(P<0.05);观察组护理满意度(96.67%)显著高于常规组(70.00%)(P<0.05).结论:老年股骨颈骨折患者应用强化心理护理联合ERAS理念的护理效果显著,能够加速患者康复,减轻心理压力,提高护理满意度.
Effects of Intensive Mental Nursing Combined with ERAS Concept on Postoperative Recovery and Mental Status of Elderly Patients with Femoral Neck Fracture
Objective:To explore the effects of intensive mental nursing combined with enhanced recovery after surgery(ERAS)concept on postoperative recovery and mental status of elderly patients with femoral neck fracture.Method:A total of 60 elderly patients with femoral neck fracture admitted to Nanping First Hospital Affiliated to Fujian Medical University from May 2021 to May 2022 were selected as the study objects,and were divided into routine group and observation group according to random number table method,with 30 cases in each group.The routine group was treated with routine nursing,and the observation group was supplemented with intensive mental nursing combined with ERAS concept on the basis of routine nursing.The mental status,hip joint function and nursing satisfaction of the two groups were observed.Result:At discharge,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in both groups were significantly lower than those before intervention,and those in the observation group were lower than those in the conventional group(P<0.05).The Harris score of the observation group 4 months after surgery was higher than that of the conventional group(P<0.05).Nursing satisfaction of observation group(96.67%)was significantly higher than(70.00%)of conventional group(P<0.05).Conclusion:The nursing effect of intensive mental nursing combined with ERAS concept is significant in elderly patients with femoral neck fracture,which can accelerate the recovery of patients,reduce mental pressure and improve nursing satisfaction.

Femoral neck fractureIntensive mental nursingERAS concept

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福建医科大学附属南平第一医院骨关节科 福建 南平 353000

股骨颈骨折 强化心理护理 加速康复外科理念

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(7)
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