摘要
目的探讨延续护理对股骨粗隆间骨折术后患者的干预效果,为临床护理工作者制定护理措施提供参考依据。方法计算机检索知网、万方、维普、CBM、WOS、PubMed、Cochrane Library、Embase数据库中关于延续护理对股骨粗隆间骨折术后患者干预的随机对照试验(RCT),检索时间为建库至2023年3月。采用RevMan 5.4进行Meta分析。结果共纳入10篇文献,涉及974例患者。Meta分析结果显示,与常规护理相比,延续护理能改善患者术后患者髋关节功能(MD=5.79,95%CI:2.65~8.93)、提高日常生活活动能力(MD=8.37,95%CI:5.94~10.80)、提高生活质量(MD=19.17,95%CI:16.89~21.45)以及改善心理状况(MD=-4.77,95%CI:-5.80~-3.75)。结论对股骨粗隆间骨折术后患者实施延续护理能改善髋关节功能,提高日常生活活动能力,提高生活质量以及改善心理状况,对患者的预后具有积极作用。
Objective To explore the intervention effect of continuing care on patients after femoral intertrochanteric fracture surgery and provide a reference basis for clinical nursing staff to formulate nursing measures.Methods Computer searches of CNKI,Wanfang,VIP,CBM,WOS,PubMed,Cochrane Library and Embase databases for randomized controlled trials(RCT)on the intervention of continuing care for patients after femoral intertrochanteric fracture surgery,from inception to March 2023.Meta-analysis was performed using RevMan 5.4.Results A total of 10 studies were included,involving total 974 patients.Meta-analysis showed that continuing care can improve hip joint function(MD=5.79,95%CI:2.65~8.93),activities of daily living(MD=8.37,95%CI:5.94~10.80),quality of life(MD=19.17,95%CI:16.89~21.45),and psychological well-being(MD=-4.77,95%CI:-5.80~-3.75)of postoperative patients compared with routine care.Conclusions The implementation of continuing care on patients after femoral intertrochanteric fracture surgery can improve hip joint function,activities of daily living,quality of life as well as psychological well-being,and has a positive effect on the prognosis of patients.
作者
李佳欣
姚婷
廖谦
周维
余雨枫
LI Jiaxin;YAO Ting;LIAO Qian;ZHOU Wei;YU Yufeng(Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China)
出处
《护理实践与研究》
2024年第5期732-738,共7页
Nursing Practice and Research
基金
四川省教育厅科研项目(编号:18ZA0182)。
关键词
延续护理
股骨粗隆间骨折
干预效果
生活质量
META分析
Continuing care
Femoral intertrochanteric fracture
Intervention eff ect
Quality of life
Meta analysis
