Analysis of nursing measures for elderly patients with proximal femoral fracture
高龄患者股骨近端骨折的护理措施分析

摘要

目的 股骨近端骨折高龄患者护理措施价值分析。方法 本次高龄患者股骨近端骨折护理研究时间选择2021年1月到2022年12月，以系统中需要进行护理的股骨近端骨折高龄患者60例为主要研究对象，随机表法分为各30例常规组与研究组，对比观察两组高龄患者股骨近端骨折的术后骨折恢复情况、措施效率及生活质量。结果 常规组Sanders评分良好以上24人，Sanders评分良好率71.79%，路径组Sanders评分良好以上29人，Sanders评分良好率96.67%，P<0.05，表明两组股骨近端骨折患者恢复情况对比差异性较大。明显可发现护理7天、14天、28天时，研究组功能受限严重人数分别为25人，22人和5人，占比83.33%、73.33%、16.67%，远小于常规组，股骨骨折高龄患者不同疗法治疗效率差异明显，P<0.05。研究组与常规组护理三个月后症状消失、指标评分及生活质量方面，研究组得分较高，两组股骨骨折高龄患者生活质量改善差异性明显，P<0.05。研究组与常规组护理三个月后症状消失、指标评分及生活质量方面，研究组得分较高，两组股骨骨折高龄患者生活质量改善差异性明显，P<0.05。结论 高龄患者的骨质量过差是导致股骨骨折的重要原因，常规护理在高龄因素方面并没有特殊护理，而近年来的护理措施则更加注重人口老龄化和高龄患者的护理需求，明显可发现相比常规护理在恢复效果，治疗效率及患者生活质量等方面具有明显优势。

Abstract

Objective To analyze the value of nursing measures for elderly patients with proximal femoral fracture.
Methods The nursing study of elderly patients with proximal femoral fracture was conducted from January 2021 to December 2022. 60 elderly patients with proximal femoral fracture who needed nursing care in the system were selected as the main research objects, and were randomly divided into the routine group and the study group with 30 cases in each group. The postoperative fracture recovery, measures efficiency and quality of life of the two groups of elderly patients with proximal femoral fracture were compared.
Results There were 24 patients with good Sanders score in the conventional group (71.79%), and 29 patients with good Sanders score in the pathway group (96.67%) (P<0.05), indicating that the recovery of patients with proximal femoral fracture was significantly different between the two groups. It was obviously found that at 7 days, 14 days and 28 days of nursing, 25 patients, 22 patients and 5 patients with severe functional limitations in the study group were respectively, accounting for 83.33%, 73.33% and 16.67%, which was much smaller than that in the conventional group. The treatment efficiency of elderly patients with femoral fracture was significantly different (P<0.05). After three months of nursing, symptoms disappeared, index scores and quality of life in the study group were higher than those in the conventional group. There was a significant difference in quality of life between the two groups (P<0.05). After three months of nursing, symptoms disappeared, index scores and quality of life in the study group were higher than those in the conventional group. There was a significant difference in quality of life between the two groups (P<0.05).
Conclusion   Poor bone quality in elderly patients is an important cause of femoral fracture. Conventional nursing has no special care in terms of elderly factors, while nursing measures in recent years have paid more attention to the aging population and nursing needs of elderly patients. It is obvious that compared with conventional nursing, it has obvious advantages in recovery effect, treatment efficiency and quality of life of patients.