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聚焦模式及营养支持在老年髋部骨折中的应用

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目的 探讨老年髋部骨折患者应用聚焦解决干预模式联合早期营养支持的效果。方法 选择2020年1月至2021年12月老年髋部骨折患者100例,按随机数字表法分为2组,各50例。对照组在围术期实施常规护理干预,观察组在围术期常规护理基础上应用聚焦解决模式联合早期营养支持。比较两组治疗依从性、护理满意度、营养指标、心理评分、睡眠质量、生活质量评分。结果 与对照组比较,观察组围术期总依从率更高,观察组术后第3天对疼痛评分更低;且在护理后,观察组血红蛋白、白蛋白均更高;观察组在心理、睡眠质量评分均更低,观察组在生活质量四个维度评分更高,观察组在总满意率更高,差异均有统计学意义(P<0。05)。结论 在老年髋部骨折患者围术期护理中,聚焦解决模式联合早期营养支持干预可增强患者的依从性,改善其营养状况,并对于患者心理不良情绪予以消除,对夜间睡眠和生活质量起到改善作用,患者对护理治疗更满意。
Objective To explore the effect of solution-focused intervention model combined with early nutritional support in elderly patients with hip fracture.Methods 100 elderly patients with hip fracture(without mental disorders)from January 2020 to December 2021 were randomly divided into two groups with 50 cases in each group.The control group was given routine nursing intervention in perioperative period,while the observation group was given focused solution mode combined with early nutrition support on the basis of routine nursing in perioperative period.The treatment compliance,nursing satisfaction,nutritional index,psychological score,sleep quality and quality of life score were compared between the two groups.Results Compared with the control group,the total compliance rate was higher in the observation group and the pain score was lower in the observation group on the 3rd day after operation.And after nursing,the observation group hemoglobin,albumin are higher.The scores of psychological and sleep qualities in the observation group were lower,the scores of four dimensions of life quality in the observation group were higher,and the total satisfaction rate in the observation group was higher,the differences were statistically significant(P<0.05).Conclusion In perioperative nursing care of elderly patients with hip fracture,solution-focused model combined with early nutritional support intervention can enhance patient compliance and improve their nutritional status,and eliminate patients with psychological bad mood.It can improve the night sleep and quality of life.

ElderlyHip fracturePerioperative nursingFocused solution modelEarly nutritional support

单礼旦、郑莉丹、黄逸爽、徐潇潇、朱月英

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325000 温州医科大学附属第一医院

老年人 髋部骨折 围术期护理 聚焦解决模式 早期营养支持

温州市科研项目

Y20201009

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(6)
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