摘要
目的制订高龄髋部骨折患者早期活动的管理方案并评价其效果。方法基于英国南安普敦大学附属医院术后活动模型,结合北京市某三级甲等医院临床护理程序的思路和实践,形成高龄髋部骨折患者早期活动管理方案。选取2017年1月1日-2018年12月31日收治的高龄髋部骨折患者248例为试验组,接受早期活动管理方案干预;2014年1月1日-2016年12月31日收治的214例患者为对照组,使用常规护理。比较两组首次下地时间、术后第3天行走的最远距离、住院时间、日常生活活动能力、生活质量的差异。结果试验组首次下地活动时间为术后(1.84±0.73)d,对照组为(5.23±2.17)d;试验组术后第3天行走的最远距离为(82.55±23.12)m,对照组为(29.41±10.97)m;试验组住院时间为(9.27±1.71)d,对照组为(11.39±2.53)d;两组比较,差异均有统计学意义(P<0.05)。试验组实施出院时日常生活活动能力评分、出院3个月后生活质量评分均高于对照组(P<0.05)。结论实施高龄髋部骨折患者早期活动管理方案有助于患者早期下地,缩短住院时间,提高患者生活质量。
Objective To explore and evaluate the effects of the management scheme of early activity for elderly patients with hip fracture.Methods Based on the postoperative activity model of the Affiliated Hospital of Southampton University of England,combined with the thoughts and practice of our hospital’s clinical nursing procedure,the early activity management scheme for elderly patients with hip fracture was formed.Totally 248 elderly patients with hip fracture treated in our hospital from January 1 st,2017,to December 31st,2018,were selected as the experimental group,receiving early activity management scheme.214 patients from January 1 st,2014,to December 31st,2016,were selected as the control group,receiving routine nursing scheme.The differences in the first ambulation time,the longest walking distance 3 days after surgery,length of hospitalization,activity of daily living ability,and quality of life between two groups were compared.Results The first time of ambulation was(1.84±0.73)days in the experimental group and(5.23±2.17)days in the control group;the longest distance of walking in the experimental group was(82.55±23.12)m on the 3 rd day after surgery,and that in the control group was(29.41±10.97)m;the length of hospitalization in the experimental group was(9.27±1.71)days,and that in the control group was(11.39±2.53)days,and there was significant difference between the two groups(P<0.05).The scores of activity of daily living at discharge in the experimental group and quality of life 3 months after discharge were higher than those in the control group(P<0.05).Conclusion The early activity management scheme for elderly patients with hip fracture is helpful for early ambulation,to shorten length of hospitalization and improve quality of life.
作者
张燕
王婷婷
车路
马远
王爽
郭一峰
杨秋玲
邢颖
张慧
刘婧
高娜
ZHANG Yan;WANG Tingting;CHE Lu;MA Yuan;WANG Shuang;GUO Yifeng;YANG Qiuling;XING Ying;ZHANG Hui;LIU Jing;GAO Na(Department of Orthopedic,Peking Union Medical Hospital,Chinese Academy of Medical Sciences,Beijing,100730,China)
出处
《中华护理杂志》
CSCD
北大核心
2019年第11期1615-1620,共6页
Chinese Journal of Nursing
关键词
老年人
80以上
髋骨折
早期活动
康复护理
干预性研究
Aged,80 and over
Hip Fractures
Early Mobilization
Rehabilitation Nursing
Intervention Studies
