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临床护理进展

Journal of Advances in Clinical Nursing

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Journal of Advances in Clinical Nursing. 2024; 3: (5) ; 10.12208/j.jacn.20240177 .

Effect of rapid rehabilitation nursing on patients with femoral neck fracture
快速康复护理对股骨颈骨折手术患者的影响

作者: 王晋贤, 田薇 *

华中科技大学同济医学院附属同济医院骨科 湖北武汉

*通讯作者: 田薇,单位:华中科技大学同济医学院附属同济医院骨科 湖北武汉;

引用本文: 王晋贤, 田薇 快速康复护理对股骨颈骨折手术患者的影响[J]. 临床护理进展, 2024; 3: (5) : 34-36.
Published: 2024/5/15 15:11:57

摘要

目的 深入细致地分析和探讨快速康复护理对股骨颈骨折手术患者的影响价值与推广意义,期待能够将所研究理论应用至实践中去,为临床研究提供理论与实践依据。方法 实验展开形式为对照模式,研究期限定于2022年8月至2023年8月之间,收集样本均为院内接受治疗的股骨颈骨折手术患者,人数共计80例;遵循奇偶分组原则,按照数字编号法进行小组划分,每组划入(n=40);分别命名为参照组与研究组,针对前者:实施常规护理服务,针对后者:实施快速康复护理服务,随之进行相关数据的收集整理,临床资料的统计分析、整合比对。比对内容包括:术后谵妄发生率、术后疼痛评分、术后各时段NRS评分、出院30dHarris评分。结果 统计学分析后可知,两种方案策略均作用积极,但接受快速康复护理服务的研究组在术后谵妄发生率、术后疼痛数字法评分、术后各时间段NRS评分、出院30dHarris量表评分方面体现,均显优参照组,P值达小于0.05标准,具备可比优势。结论 快速康复护理的应用实施,不仅能有效降低患者术后谵妄发生率、减轻术后疼痛感,还可极大促进患者关节功能的恢复,增进护患关系和谐,提高护理满意度,其应用价值卓越,影响意义深远。

关键词: 快速康复护理;股骨颈骨;手术患者

Abstract

Objective To analyze and discuss the influence value and promotion significance of rapid rehabilitation nursing on patients with femoral neck fracture surgery in depth and detail, hoping to apply the studied theory to practice and provide theoretical and practical basis for clinical research.
Methods The experiment was carried out in a control mode, and the study period was from August 2022 to August 2023. The samples were collected from 80 patients with femoral neck fracture who were treated in the hospital. Follow the parity grouping principle, divide the groups according to the numerical numbering method, and each group is divided into (n=40); They were respectively named as the reference group and the research group. For the former, routine nursing services were implemented, while for the latter, rapid rehabilitation nursing services were implemented, and relevant data were collected and sorted out, and clinical data were statistically analyzed and integrated. The comparison included the incidence of postoperative delirium, postoperative pain score, postoperative NRS score and 30dHarris score after discharge.
Results Statistical analysis showed that both schemes and strategies had positive effects, but the study group receiving rapid rehabilitation nursing service showed better performance in the incidence of postoperative delirium, postoperative pain numerical score, postoperative NRS score at each time period, and discharge 30dHarris scale score, with a P value less than 0.05, which had a comparable advantage.
Conclusion   The application and implementation of rapid rehabilitation nursing can not only effectively reduce the incidence of postoperative delirium and relieve postoperative pain, but also greatly promote the recovery of joint function of patients, enhance the harmonious relationship between nurses and patients, and improve nursing satisfaction. The application value is excellent and the influence is far-reaching.

Key words: Rapid rehabilitation nursing; Femoral neck bone; Surgical patient

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