Effect of FLS mode nursing on patients with femoral neck fracture
FLS模式护理对股骨颈骨折手术患者的影响

摘要

目的 研究并讨论FLS模式护理对股骨颈骨折手术患者的影响。方法 回顾性分析2023年1月至2023年12月我院骨科进行手术治疗的96例股骨颈骨折患者，等分为常规护理参照组和FLS模式护理观察组，比较两组患者护理后髋关节功能评分、一般自我效能感评分、自我感受负担评分和护理后康复进程及1年内的骨折再发率。结果 两组患者在护理前，各项评分无显著差异，护理后均优于护理前，同时观察组患者护理后的各项髋关节功能评分均高于参照组，一般自我效能感评分也高于参照组，自我感受负担评分则低于参照组，康复用时也短于参照组，且P<0.05，有统计学意义；观察患者1年内的骨折发生情况，观察组的骨折再发仅有1例，而参照组确有7例，再发率观察组2.17%低于参照组15.22%，P<0.05统计学成立。结论 对股骨颈骨折手术患者护理期间采用FLS模式护理能够有效促进患者髋关节的功能恢复，改善自我效能感，减轻自我感受负担，缩短康复进程，有效预防再次发生骨折事件。

Abstract

Objective To study and discuss the effect of FLS mode nursing on patients with femoral neck fracture.
Methods A retrospective analysis was performed on 96 patients with femoral neck fracture who underwent surgical treatment in our department of Orthopedics from January 2023 to December 2023, and they were equally divided into routine nursing reference group and FLS nursing observation group. Hip function score, general self-efficacy score, self-perceived burden score, rehabilitation process after nursing and recurrence rate of fracture within 1 year were compared between the two groups.
Results There was no significant difference in scores between the two groups before nursing, and the scores after nursing were better than those before nursing. Meanwhile, the scores of hip function after nursing in the observation group were higher than those in the reference group, the scores of general self-efficacy were higher than those in the reference group, the scores of self-perceived burden were lower than those in the reference group, and the recovery time was shorter than that in the reference group, and P<0.05 was statistically significant. The occurrence of fractures within 1 year was observed, and the recurrence of fractures was only 1 case in the observation group and 7 cases in the reference group, the recurrence rate of 2.17% in the observation group was lower than 15.22% in the reference group, P<0.05 statistically established.
Conclusion   FLS can effectively promote the functional recovery of hip joint, improve self-efficacy, reduce the burden of self-perception, shorten the rehabilitation process, and effectively prevent the recurrence of fracture in patients with femoral neck fracture.