摘要
目的探讨快速康复护理措施在高龄髋部骨折患者中的应用及对患者术后疼痛及生活质量的影响。方法选择本院收治的高龄髋部骨折患者82例作为研究对象,应用随机数表法分为对照组和观察组各41例。对照组患者实施常规护理干预;观察组患者在常规骨折护理基础上实施快速康复护理干预措施。比较2组患者术后不同时间段的疼痛程度、髋关节功能以及预后生活质量。结果观察组术后1周、1个月的VAS评分均低于对照组(P<0.05);2组术后1、5个月后Harris评分均高于术前,且观察组高于对照组(P<0.05);术后5个月,观察组心理状态、躯体功能、日常社交等预后生活质量评分均高于对照组(P<0.05)。结论高龄髋部骨折患者围术期给予快速康复护理措施可减轻患者术后疼痛,加速患者髋关节功能恢复进程,改善患者预后生活质量,值得临床积极应用推广。
Objective To study the effect of rapid rehabilitation nursing measures in elderly patients with hip fracture and its effect on postoperative pain and quality of life. Methods A total of82 elderly patients with hip fractures were divided into control group and observation group by random number table method,with 41 cases in each group. The patients in the control group were treated with routine nursing intervention,and the patients in the observation group underwent rapid rehabilitation nursing intervention based on conventional fracture care. The pain degree,hip function and prognostic quality of life of the two groups were compared. Results The VAS score of the observation group was lower than that of the control group at 1 week and 1 month after surgery( P < 0. 05). The Harris scores of the two groups were higher than that of the control group at 1,5 month after operation,and observation group was higher than the control group( P < 0. 05). At 5 months after operation,the scores of psychological status,physical function and daily social life of the observation group were higher than that of the control group( P < 0. 05). Conclusion Rapid rehabilitation nursing measures can reduce postoperative pain,accelerate the recovery of the hip function and improve the quality of life of elderly patients with hip fracture. So it is worthy of clinical application.
出处
《实用临床医药杂志》
CAS
2018年第4期96-99,共4页
Journal of Clinical Medicine in Practice
基金
上海市科学技术委员会科研项目(11DZ1931500)
关键词
髋部骨折
快速康复护理
疼痛
髋部功能
生活质量
hip fracture
rapid rehabilitation care
pain
hip function
quality of life
