Contemporary Nursing
Contemporary Nursing. 2024; 5: (10) ; 10.12208/j.cn.20240503 .
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重庆市中医院 重庆
*通讯作者： 邹瑜,单位：重庆市中医院 重庆；
目的 观察在老年股骨颈骨折患者行全髋关节置换术期间开展早期康复护理干预的应用效果。方法本次研究对象筛选2022年3月至2024年3月期间在我医院接受全髋关节置换术治疗的老年股骨颈骨折患者60例，分组方式采取随机数字表法，组别类型为观察组和对照组，买一组各有患者30例，对照组患者治疗期间行常规护理，观察组患者则采取早期康复护理干预，分析并对比两组最终获得的护理效果。结果 两组最终结果比较显示，观察组患者的焦虑情绪和依从性与对照组相比得到显著改善，患者的术后下床活动时间明显短于对照组，术后疼痛程度轻于对照组，并发症发生率低于对照组，最终患者髋关节功能以及生活活动能力恢复效果优于对照组，（ P＜0.05）。结论 将早期康复护理干预应用于老年股骨颈骨折全髋关节置换术患者管理中，可进一步提高临床护理服务质量，增强患者的身心舒适度与配合度，提高患者术后身体恢复效率。
Objective To observe the effect of early rehabilitation nursing intervention during total hip replacement in elderly patients with femoral neck fracture. Methods 60 elderly patients with femoral neck fracture who received total hip arthroplasty in our hospital from March 2022 to March 2024 were screened by random number table method. The groups were divided into observation group and control group, with 30 patients in each group. Patients in the control group received routine nursing during treatment. Observation group took early rehabilitation nursing intervention, and analyzed and compared the final nursing effect of the two groups. Results The comparison of the final results between the two groups showed that the anxiety and compliance of patients in the observation group were significantly improved compared with the control group. The postoperative activity time of patients was significantly shorter than that of the control group, the postoperative pain degree was less than that of the control group, and the incidence of complications was lower than that of the control group. Finally, the recovery effect of hip function and living activity of patients was better than that of the control group. (P < 0.05). Conclusion The application of early rehabilitation nursing intervention in the management of elderly patients with femoral neck fracture and total hip replacement can further improve the quality of clinical nursing service, enhance the physical and mental comfort and cooperation of patients, and improve the efficiency of postoperative physical recovery of patients.
[1] 吴伟伟,李阿芳.老年股骨颈骨折全髋关节置换术后早期康复护理研究[J].国际护理学研究,2023,5(5)22.
[2] 王秀娜.股骨颈骨折老年患者全髋关节置换术中综合保温护理效果观察[J].河南外科学杂志,2023,29(1):177-179.
[3] 冯丽丽,李树明,韩明月,等.加速康复外科护理在双动全髋置换术治疗老年脆性股骨颈骨折患者中的应用[J].护理实践与研究,2022,19(24):3633-3637.
[4] 万姗姗.老年股骨颈骨折全髋关节置换术患者围术期阶段性健康教育联合早期康复训练效果分析[J].河南外科学杂志,2022,28(6):157-159.
[5] 赵晓黎,徐玉琴,苏江波.早期康复护理在老年股骨颈骨折全髋关节置换术后护理中对心理状况的影响[J].心理月刊,2021,47(14):195-196.
[6] 陈妹新.老年股骨颈骨折患者在行全髋关节置换术后实施早期康复护理的作用分析[J]. 临床护理研究,2022, 31(17): 70-72.
[7] 沈慕贤.老年股骨颈骨折全髋关节置换术后护理中应用早期康复护理的效果及对心理状况的影响[J].临床护理研究,2023,32(2):153-155.
[8] 孙飞飞.老年股骨颈骨折全髋关节置换术后早期康复护理对策探讨[J].中国伤残医学,2021,29(23):9-12.