摘要
目的探讨分析早期康复护理对老年髋部骨折术后恢复的影响。方法按照随机数字表法将2014年1月—2017年12月52例髋部骨折术后老年患者分为两组,各26例对照组实施常规专科护理,观察组在此基础上开展早期康复护理,评估两组术后关节功能恢复情况。结果观察组患者住院时间平均为(10.9±1.5)d,术后3月、6月、12月时的Harris关节功能评分分别为(74.0±6.2)分、(82.2±4.0)分、(88.6±5.9)分,与同期对照组相比差异有统计学意义(t=7.255,-7.092,-6.391,-6.024, P=0.012, 0.012, 0.016, 0.015)。手术后两组关节活动度和疼痛VAS评分较术前均有显著改善,差异有统计学意义(P<0.05);术后两组关节活动度和疼痛VAS评分相近(P>0.05)。结论在老年髋部骨折患者术后开展早期康复护理,可加快术后恢复速度,改善患者关节功能,提高关节活动度,缓解术后疼痛,值得临床推广应用。
Objective To explore the effect of early rehabilitation nursing on the recovery of hip fracture in the elderly. Methods According to the random number table method, 52 elderly patients with hip fracture from January 2014 to December 2017 were divided into two groups. The control group was given routine nursing care. The observation group carried out early rehabilitation nursing on this basis. Recovery of joint function after surgery in both groups. Results The average duration of hospital stay in the observation group was （10.9±1.5）d. Harris joint function scores at the 3 th, 6 th, and 12 th month after surgery were （74.0±6.2） points, （82.2±4.0） points, and （88.6± 5.9） points, compared with the control group at the same time, the difference was statistically significant （t=7.255, -7.092, -6.391, -6.024, P=0.012, 0.012, 0.016, 0.015）. The VAS scores of joint motion and pain in the two groups after operation were significantly improved （P〈0.05）. The joint motion and pain VAS scores were similar between the two groups （P〉0.05）. Conclusion Early rehabilitation nursing after operation for elderly patients with hip fractures can speed up postoperative recovery, improve joint function, increase joint mobility, relieve postoperative pain, and is worthy of clinical application.
作者
刘云
LIU Yuu(Department of Surgery,Sheyang County Hospital,Yaneheng,Jiangsu Province,224300 China)
出处
《系统医学》
2018年第15期186-188,共3页
Systems Medicine
