摘要
目的观察加速康复外科护理在双动全髋治疗老年脆性股骨颈骨折患者围术期的应用效果。方法选取2019年7月—2020年12月航天中心医院骨科接受双动全髋关节置换术治疗的老年脆性股骨颈骨折患者70例为研究对象,按照组间基本特征均衡可比的原则分为对照组和观察组,各35例,对照组采用常规护理,观察组采用加速康复外科护理。从疼痛视觉模拟评分(Visual Analogue Score,VAS)、髋关节Harris评分(Hip Harris Score,HHS)、Barthel指数(Barthel Index,BI)及并发症等方面比较两组患者的护理效果。结果两组患者VAS、HHS、BI得分组间比较差异均无统计学意义(P_(组间)>0.05)。实施加速康复外科护理后,两组患者VAS得分随干预时间的延长,逐渐降低;HHS、BI得分均随干预时间的延长,逐渐增高,时间差异均具有统计学意义(P_(时间)<0.05)。观察组围术期并发症发生率与对照组比较差异无统计学意义(P>0.05)。结论加速康复外科护理在双动全髋治疗老年脆性股骨颈骨折患者围术期中的应用,可促使患者更快、更好地恢复髋关节功能及日常生活。
Objective To observe the application eff ect of enhanced recovery after surgery nursing in the perioperative period of the elderly patients with fragile femoral neck fracture treated with double action total hip.Methods To select 70 elderly patients with fragile femoral neck fractures who received double action total hip arthroplasty in the department of orthopedics of the Aerospace Center Hospital from July 2019 to December 2020 as the study objects.According to the principle of balanced and comparable basic characteristics between groups,they were divided into a control group and an observation group,with 35 cases each group.The control group received routine nursing,while the observation group received accelerated rehabilitation surgery nursing.The nursing effects of the two groups were compared from visual analogue scale(VAS),hip Harris score(HHS),Barthel index(BI)and complication rate.Results There was no signifi cant diff erence in VAS,HHS and BI scores between the two groups(P>0.05).After the implementation of accelerated rehabilitation surgery nursing,VAS scores of patients in the two groups decreased gradually with the extension of intervention time;HHS and BI scores increased gradually with the extension of intervention time,and the time diff erence was statistically signifi cant(P<0.05).There was no signifi cant diff erence in the incidence of perioperative complications between the observation group and the control group(P>0.05).Conclusion The application of enhanced recovery after surgery nursing in the perioperative period of the treatment of elderly patients with fragile femoral neck fracture with double action total hip can promote the patients to recover the hip joint function and daily life faster and better.
作者
冯丽丽
李树明
韩明月
乔玲艳
尹海丽
尹江萍
陈晶
FENG Lili;LI Shuming;HAN Mingyue;QIAO Lingyan;YIN Haili;YIN Jiangping;CHEN Jing(Aerospace Center Hospital,Beijing,100049,China)
出处
《护理实践与研究》
2022年第24期3633-3637,共5页
Nursing Practice and Research
基金
吴阶平医学基金会临床科研专项资助基金(编号:20.6750.2021-20-6)。
关键词
加速康复外科护理
股骨颈骨折
全髋关节置换术
老年患者
骨质疏松
Enhanced recovery after surgery nursing
Femoral neck fracture
Total hip replacement
Elderly patients
Osteoporosis
