The Effect of Improved Painless Tumbling Plan Combined with Bundled Rehabilitation Nursing on Elderly Patients with Femoral Neck Fractures
Objective:To explore the application of improved painless turning scheme combined with cluster rehabilitation nursing in elderly patients with femoral neck fracture.Method:A prospective study was conducted on 100 elderly patients with femoral neck fractures admitted to Huizhou Munieipal Central Hospital from January 2021 to January 2023.All patients were randomly divided into the control group and the observation group according to a random number table.Among them,50 patients of the control group,who received clustered rehabilitation care,and 50 patients of the observation group,who received modified painless turning program and clustered rehabilitation care.The pain levels[visual analog scale(VAS)],activity ability[functional independence measure(FIM),Harris hip score,activity of daily living scale(Barthel index)],self-esteem[self-esteem score(SES)],and pressure injury(Braden pressure injury scale)were observed in both groups.Result:The VAS scores of patients in the observation group before,during,and immediately after turning were lower than those in the control group,and the difference was statistically significant(P<0.05).After intervention,the FIM,Harris score,and Barthel index of patients in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).After 3 days and 7 days of intervention,the SES scores of patients in the observation group were lower than those in the control group,and the Braden pressure injury score was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The use of an improved painless roll over plan combined with a bundled rehabilitation nursing plan for elderly patients with femoral neck fractures,which can effectively alleviate their pain level,improve hip joint function,self-esteem,and daily living ability.
Improved painless roll over planCluster rehabilitation nursingFemoral neck fractureHip joint function
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