摘要
目的:针对团体认知行为护理干预对老年骨质疏松性股骨粗隆间骨折患者关节功能的影响进行分析。方法:选取我院2018年1月-2020年1月本科室收治的68例老年骨质疏松性股骨粗隆间骨折患者作为此次研究的对象,将其随机分为2组进行研究。观察组患者采用团体认知行为护理进行干预,对照组患者采用常规护理进行干预,以综合护理效果、关节功能恢复情况、术后心理状况改善情况、自主生活能力恢复情况、术后并发症发生情况、生活质量改善情况为观察指标,对不同护理模式的临床效果差异进行对比。结果:2组患者经过不同的护理后,观察组的总有效率为94.12%,对照组的总有效率为76.47%,观察组的护理效果明显高于对照组患者(P<0.05);观察组患者关节恢复情况明显优于对照组(P<0.05);经护理干预,患者心理负面情绪(焦虑SAS、抑郁SDS)评分值,观察组患者均低于对照组患者(P<0.05);术后2个月开始,观察组患者自主生活能力(Barthel指数)指标值高于对照组患者(P<0.05);经护理干预,观察组患者生活质量各维度(躯体、角色、认知、情绪和社会功能)评分值均高于对照组患者(P<0.05)。结论:针对老年骨质疏松性股骨粗隆间骨折患者采用团体认知行为护理干预,能够有效提升护理的效果,同时改善关节功能情况,值得在临床上推广并应用。
Objective:To analyze the effect of group cognitive behavior nursing intervention on joint function of elderly patients with osteoporotic intertrochanteric fracture.Methods:68 elderly patients with osteoporotic intertrochanteric fracture treated in the undergraduate department from January 2018 to January 2020 were selected as the subjects of this experimental study,and they were randomly divided into two groups for research.The patients in the experimental group were intervened by group cognitive behavior nursing,and the patients in the control group were intervened by routine nursing,so as to improve the comprehensive nursing effect,joint function recovery,postoperative psychological status The recovery of independent living ability,the occurrence of postoperative complications and the improvement of quality of life were observed as indicators to compare the clinical effects of different nursing modes.Results:After different nursing care,the total effective rate was 94.12%in the experimental group and 76.47%in the control group.The nursing effect of the experimental group was significantly higher than that of the control group(P<0.05);The recovery of joints in the experimental group was significantly better than that in the control group P;After nursing intervention,the scores of psychological negative emotions(SAS and SDS)in the experimental group were lower than those in the control group(P<0.05);Two months after operation,the Barthel Index in the experimental group was higher than that in the control group(P<0.05);After nursing intervention,the scores of all dimensions of quality of life(body,role,cognition,emotion and social function)in the experimental group were higher than those in the control group(P<0.05).Conclusion:Group cognitive behavior nursing intervention for elderly patients with osteoporotic intertrochanteric fracture can effectively improve the effect of nursing and improve joint function,which is worthy of clinical promotion and application.
作者
杜戈
DU Ge(Department of general surgery,Jinzhou hospital of traditional Chinese medicine,Jinzhou,Liaoning 121013)
出处
《中国伤残医学》
2022年第18期8-11,49,共5页
Chinese Journal of Trauma and Disability Medicine
