摘要
探讨延续性护理结合心理辅导对髋部骨折患者的干预效果和临床应用价值。选取2015年2月至2016年12月在我院接受治疗的髋部骨折患者为研究对象，并根据护理方法将其分为对照组和观察组，对照组给予延续护理干预，观察组在此基础上给予心理辅导。3个月后，观察两组患者治疗前后的Harris评分、FIM得分、并发症发生率、平衡能力和功能独立性的差异。研究显示，两组患者治疗前髋关节功能无显著差异，治疗后3个月，观察组患者Harris评分、FIM得分均高于对照组。两组患者治疗前平衡能力无显著差异，治疗后3个月，观察组BBS评分高于对照组，TUGT测试时间低于对照组。两组患者治疗前功能独立性无显著差异，治疗后3个月，观察组自理、括约肌控制、转移、行走、交流和社会认知维度均高于对照组。观察组患者肺炎、假体松动、髋关节脱位和静脉血栓发生率低于对照组。本研究证明延续性护理结合心理辅导对髋部骨折患者有较好的干预效果，可促进患者的髋关节功能恢复，具有良好的应用价值。
To explore the intervention effect and clinical value of continuous nursing combined with psychological guidance in the treatment of hip fracture, hip fracture patients treated in our hospital from February 2015 to December 2016 were selected as the research objects. They were divided into the control group and the observation group according to the nursing methods. The control group received continuous nursing intervention, while the observation group received psychological counseling on that basis. 3 months later, the differences of Harris score, FIM score, complication rate, balance ability and functional independence between the two groups before and after treatment were observed. The results showed that there was no significant difference in hip function between the two groups before treatment. The scores of Harris and FIM in the observation group were higher than those in the control group after 3 months of treatment. There was no significant difference in the balance ability between the two groups before treatment. After 3 months of treatment, the BBS score of the observation group was higher than that of the control group, and the TUGT test time was lower than the control group. There was no significant difference in the functional independence between the two groups before treatment. After 3 months, the abilities of self-care, the control over the sphincter, the metastasis, the walking, the communication and the social cognition dimension in the observation group were all higher than those in the control group; the incidence of pneumonia, prosthesis loosening, hip dislocation and venous thrombosis in the observation group were lower than that in the control group. The study proved that continuous nursing combined with psychological guidance might have better intervention effects on hip fracture patients, promote the recovery of hip function of those patients, and have good application value.
作者
孙继玲
李庆芝
Sun Jiling, Li Qingzhi(Linyi People＇s Hospital of S handong Province, Linyi, 27600)
出处
《基因组学与应用生物学》
CAS
CSCD
北大核心
2018年第3期989-995,共7页
Genomics and Applied Biology
基金
山东省临沂市人民医院资助
关键词
延续护理
心理辅导
髋部骨折
Continuous nursing care, Psychological counseling, Hip fracture
