摘要
目的探究动机行为转化的护理模式对年龄>60岁股骨粗隆间骨折(IFF)患者术后疼痛程度及生活质量的影响。方法前瞻性选取南阳市第一人民医院收治的96例IFF患者(2018年1月至2020年10月),按随机数字表法分成观察组(n=48)、对照组(n=48)。对照组接受常规护理干预,观察组于对照组基础上予以动机行为转化的护理模式干预。比较两组治疗依从性情况、干预前、干预7 d视觉模拟评分法(VAS)评分、干预前、出院时日常生活活动能力量表(Barthel)、生活质量综合评定问卷(GQOLI-74)、髋关节功能量表(Harris)评分、术后并发症发生率。结果观察组完全依从率79.17%(38/48)较对照组35.42%(17/48)高(P<0.05);观察组整体治疗依从性较对照组优(P<0.05);观察组干预7d VAS评分较对照组低(P<0.05);出院时观察组Barthel、GQOLI-74、Harris评分较对照组高(P<0.05);观察组术后并发症发生率2.08%(1/48)较对照组16.67%(8/48)低(P<0.05)。结论动机行为转化的护理模式应用于年龄>60岁IFF患者可有效提高治疗依从性,缓解术后疼痛感,提升生活质量,降低并发症发生风险,对髋关节恢复有积极作用。
Objective To explore the effect of the nursing model of motivational behavior transformation on postoperative pain and quality of life in patients with intertrochanteric fracture(IFF)aged more than 60 years.Methods A total of 96 patients with IFF in our hospital(from January 2018 to October 2020)were prospectively selected and divided into an observation group(n=48)and a control group(n=48)according to the random number table method.The control group received routine nursing intervention,and the observation group received the nursing mode intervention of motivational behavior transformation on the basis of the control group.Comparing treatment compliance,visual analogue scale(VAS)score before intervention,7-day intervention,activity of daily living scale(Barthel)before intervention and discharge,comprehensive assessment of quality of life questionnaire(GQOLI-74),hip joint Functional scale(Harris)score,postoperative complication rate.Results The complete compliance rate of the observation group was 79.17%(38/48)higher than that of the control group(35.42%(17/48)(P<0.05);the overall treatment compliance of the observation group was better than that of the control group(P<0.05);the observation group was intervened for 7 days The VAS score was lower than that of the control group(P<0.05);At discharge,the Barthel,GQOLI-74 and Harris scores of the observation group were higher than those of the control group(P<0.05);the postoperative complication rate of the observation group was 2.08%(1/48)lower than that of the control group(16.67%(8/48))(P<0.05).Conclusion The nursing model of motivational behavior transformation applied to IFF patients aged more than 60 years can effectively improve treatment compliance,relieve postoperative pain,improve quality of life,reduce the risk of complications,and have a positive effect on hip joint recovery.
作者
郑欣欣
ZHENG Xinxin(Department of Orthopaedic Medicine,Nanyang First People's Hospital,Nanyang Henan 473000,China)
出处
《临床研究》
2022年第2期26-29,共4页
Clinical Research
关键词
动机行为转化的护理模式
股骨粗隆间骨折
生活质量
nursing mode of motivational behavior transformation
intertrochanteric fracture of femur
quality of life
