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递进式康复护理模式联合依从性指导护理对老年股骨骨折内固定术后的影响 被引量:6

Effect of progressive rehabilitation nursing mode combined with compliance guidance nursing on elderly patients with femoral fracture after internal fixation
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摘要 目的探讨分析递进式康复护理模式联合依从性指导护理对老年股骨骨折内固定术后的影响。方法选取2019年1月~2019年12月本院收治的80例行股骨骨折内固定术的老年患者作为研究对象,根据数字奇偶法分为对照组(n=40)和观察组(n=40),对照组采用常规康复护理模式联合依从性指导护理,观察组采用递进式康复护理模式联合依从性指导护理,观察并比较两组患者护理前与护理后1个月的髋关节功能、心理状况以及住院期间对治疗的依从性。结果髋关节功能对比,两组患者护理前髋关节功能各评分均差异无统计学意义(P>0.05),干预后,两组患者髋关节活动度、疼痛程度、关节畸形以及关节功能各评分均优于治疗前,且观察组优于对照组(P<0.05);心理状况对比,两组患者护理前SAS、SDS评分均差异无统计学意义(P>0.05),护理后两组患者心理状况评分均优于护理前,且观察组优于对照组(P<0.001);治疗依从性对比,观察组患者对治疗的依从性明显高于对照组,差异有统计学意义(P<0.05)。结论对老年股骨骨折内固定术后采用递进式康复护理模式联合依从性指导护理,可有效改善患者心理状况,提高其对治疗的依从性,更有利于促进髋关节功能恢复。 Objective To explore the effect of progressive rehabilitation nursing mode combined with compliance guidance nursing on elderly patients with femoral fracture after internal fixation.Methods 80 cases of elderly patients with femoral fracture internal fixation in our hospital from January 2019 to December 2019 were selected as the research objects.According to the digital parity method,they were divided into control group(n=40)and observation group(n=40).The control group was given routine rehabilitation nursing mode combined with compliance guidance nursing mode,while the observation group was treated with progressive rehabilitation nursing mode combined with compliance guidance nursing mode.The hip joint function,psychological status and treatment compliance were observed before and one month after nursing.Results Hip joint function was compared,The difference was not statistically significant in hip function scores between the two groups before nursing(P>0.05).After the intervention,the hip joint activity,pain,joint deformity and joint function scores between the two groups were better than those before treatment,and the observation group was better than the control group(P<0.05).Psychological status was compared.The difference was not statistically significant in SAS and SDS scores between two groups before nursing(P>0.05).After nursing,the psychological status scores of two groups were better than those before nursing,and the observation group was better than the control group(P<0.001).Considering treatment compliance,the treatment compliance of the observation group was significantly higher than that of the control group(P<0.05),the difference was statistically significant.Conclusion The progressive rehabilitation nursing mode combined with compliance guidance nursing can effectively improve the psychological status of patients,improve the treatment compliance,and promote the recovery of hip joint function.
作者 徐怡帆 XU Yi-fan(The First People's Hospital of Pingdingshan,Pingdingshan,467000,Henan,China)
出处 《新疆医学》 2022年第1期105-108,共4页 Xinjiang Medical Journal
关键词 老年患者 股骨骨折内固定术 递进式康复护理模式 依从性指导护理 影响 Elderly patients Femoral fracture internal fixation Progressive rehabilitation nursing mode Compliance guidance nursing Influence
作者简介 徐怡帆,女,主管护师,研究方向:医院感染管理,外科护理。
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