摘要
探讨股骨防旋髓内钉(FNA)联合抗骨质疏松药物治疗高龄患者股骨转子间骨折中给予系统化疼痛护理管理的作用。方法:选取本院2020年4月-2021年4月收治的90例高龄股骨转子间骨折患者,均行FNA联合抗骨质疏松药物治疗,将患者依据随机数字表法分为2组,每组45例。对照组开展传统健康教育,观察组在此基础上,则实施系统化疼痛护理管理。对比2组手术前、后关节功能恢复情况,比较2组康复积极性评分、术后康复情况,用疼痛视觉模拟评分(VAS)评定2组疼痛情况,用生活质量量表(SF-36)评定2组生活质量。结果:观察组术后早期康复情况相比对照组,明显偏优(P<0.05);观察组康复积极性评分显著高于对照组(P<0.05);观察组术后关节功能恢复情况优于对照组(P<0.05);观察组治疗优良率为95.56%,相比对照组的77.78%,明显偏高(P<0.05);观察组术后7天时的VAS评分较对照组低,出院前的SF-36评分较对照组高(P<0.05)。结论:针对高龄股骨转子间骨折患者,在FNA联合抗骨质疏松药物治疗基础上,为其实施系统化、优质化的疼痛护理管理,能减轻其术后疼痛,改善术后早期康复情况,提高康复积极性,加速关节功能恢复,提高生活质量,临床应用价值高。
To explore the role of systematic pain nursing management in the treatment of intertrochan-teric fractures in elderly patients with femoral anti rotation intramedullary nail(FNA)combined with anti-osteoporo-sis drugs.Methods:90 elderly patients with femoral neck fracture admitted in our hospital from April 2020 to April 2021 were all treated with FNA combined with anti-osteoporosis drugs.The patients were divided into two groups according to the random number table,with 45 cases in each group.The control group carried out traditional health education.On this basis,the observation group implemented systematic pain care management,compared the recov-ery of joint function before and after the operation,and compared the rehabilitation enthusiasm scores of the two groups Postoperative rehabilitation;In addition,visual analogue scale(VAS)was used to assess the pain situation of the two groups,and the quality of life(QOL)of the two groups was assessed with the quality of life scale(SF-36).Results:The early postoperative rehabilitation in the observation group was better than that in the control group(P<0.05).The rehabilitation initiative score of the observation group was significantly higher than that of the control group(P<0.05).The recovery of joint function in the observation group was better than that in the control group(P<0.05).The excellent and good rate of treatment in the observation group(95.56%)was significantly higher than that in the control group(77.78%)(P<0.05).The VAS score of the observation group at 7 days after opera-tion was lower than that of the control group,and the SF-36 score before discharge was higher than that of the con-trol group(P<0.05).Conclusion:For elderly patients with femoral neck fracture,on the basis of FNA combined with anti-osteoporosis drugs,systematic and high-quality pain nursing management can reduce their postoperative pain,improve their early postoperative rehabilitation,improve their enthusiasm for rehabilitation,accelerate joint function recovery,and improve their quality
作者
潘爱珍
孙林水
PAN Ai-zhen;SUN Lin-shui(People's hospital of Dean county Jiangxi,Jiujiang 330400)
出处
《中国伤残医学》
2022年第23期27-30,44,共5页
Chinese Journal of Trauma and Disability Medicine
关键词
系统化疼痛护理管理
股骨转子间骨折
股骨防旋髓内钉
早期康复训练
Systematic pain management
Femur neck fracture
Femoral anti-rotation intramedullary nail
Early rehabilitation training
