摘要
目的探讨快速康复干预在老年股骨转子间骨折患者围手术期护理中的应用效果。方法选择于2018年7月至2020年7月我院接收的200例老年股骨转子间骨折患者作为研究对象,将这200例患者分为100例试验组和100例对照组。对照组患者进行的护理方法为常规性护理,对试验组患者进行的护理方法是快速康复外科(ERAS)护理。比较两组患者的住院时间、术中出血量、不同时间段的体温及患者发生并发症的概率,并评估两组患者的心理状态。结果试验组患者的住院时间(9.15±1.99)d、出血量(419.18±80.09)mL,术前、术中、术后体温分别为(36.81±0.29)℃、(36.35±0.39)℃、(36.45±0.29)℃;对照组患者的住院时间(12.18±2.28)d、出血量(589.15±85.19)mL,术前、术中、术后体温分别为(36.78±0.28)℃、(35.18±0.35)℃、(34.88±0.38)℃,与对照组患者相比,试验组患者的住院时间更短,术中出血量更少,体温波动更小(P<0.05)。护理干预前,两组患者的心理状态无显著性差异(P>0.05)。护理结束后,试验组患者的SDS、SAS评分明显比对照组低(P<0.05)。试验组共2例患者出现并发症现象,发生率为2%,对照组共18例患者出现并发症现象,发生率为18%,试验组患者并发症发生率明显比对照组低(P<0.05,χ^(2)=13.1741)。结论将快速康复外科护理应用到老年股骨转子间骨折术中可以减少患者的住院时间、术中出血量、体温波动和并发症发生率,改善患者的心理状态,具有一定的临床价值。
Objective To explore the effect of rapid rehabilitation intervention in the perioperative nursing of elderly patients with femoral intertrochanteric fracture.Methods Two hundred elderly patients with intertrochanteric fractures received in our hospital from July 2018 to July 2020 were selected as the research objects,and these 200 patients were divided into 100 experimental groups and 100 control groups.The nursing method for patients in the control group was routine nursing,and the nursing method for patients in the experimental group was rapid rehabilitation surgery(ERAS)nursing.The hospitalization time,intraoperative blood loss and body temperature of the two groups of patients were compared,and the psychological status of the two groups of patients was compared and evaluated,and the probability of complications of the two groups of patients was compared.Results The hospitalization time of the experimental group was(9.15±1.99)d,the blood loss was(419.18±80.09)mL,and the preoperative,intraoperative and postoperative body temperature were(36.81±0.29)℃,(36.35±0.39)℃,(36.45±0.29)℃.The hospitalization time of the control group was(12.18±2.28)d,the blood loss was(589.15±85.19)mL,the preoperative,intraoperative,and postoperative body temperature were(36.78±0.28)℃,(35.18±0.35)℃,(34.88±0.38)℃.Compared with the control group,the experimental group had shorter hospitalization time,less intraoperative blood loss,and smaller body temperature fluctuations(P<0.05).Before nursing intervention,there was no significant difference in the mental state of the two groups of patients(P>0.05).After the nursing,the SDS and SAS scores of the patients in the experimental group were significantly lower than those in the control group(P<0.05).Complications occurred in 2 patients in the experimental group,with an incidence of 2%,and 18 patients in the control group had complications,with an incidence of 18%.The incidence of complications in the experimental group was significantly lower than that in the control group(
作者
庄见绘
汉京彦
明雅芬
ZHUANG Jianhui;HAN Jingyan;MING Yafen(Operating Room,Rizhao People's Hospital,Rizhao 276800,China)
出处
《中国医药指南》
2021年第11期1-3,共3页
Guide of China Medicine
关键词
股骨转子间骨折
快速康复
老年
围手术期护理
Intertrochanteric fracture
Rapid rehabilitation
Elderly
Perioperative nursing
