摘要
目的:探讨循证护理对老年股骨粗隆间骨折患者的效果。方法:选取2021年1月—2023年1月我院收治的80例老年股骨粗隆间骨折患者为研究对象,按随机数字表法将其分为基础护理组(n=40)、循证护理组(n=40)。比较2组术后并发症发生情况、护理满意度、术后负重行走时间、骨折愈合情况、住院时间、住院费用、疼痛程度、肿胀程度、髋关节功能、生活质量、骨密度。结果:循证护理组术后并发症发生率低于基础护理组,差异有统计学意义(P<0.05)。循证护理组护理满意度高于基础护理组,差异有统计学意义(P<0.05)。循证护理组术后负重行走时间、骨折愈合时间、住院时间均短于基础护理组,住院费用低于基础护理组,组间差异有统计学意义(P<0.05)。循证护理组疼痛视觉模拟评分、肿胀程度评分均低于基础护理组,Harris评分、生活质量评分均高于基础护理组,组间差异有统计学意义(P<0.05)。循证护理组Wards三角、大粗隆、腰椎正位、健侧股骨颈骨密度均高于基础护理组,组间差异有统计学意义(P<0.05)。结论:循证护理对老年股骨粗隆间骨折患者的临床疗效优于基础护理,能够加速患者髋关节功能恢复,提高骨密度,减轻疼痛及肿胀,提升生活质量。
Objective:To investigate the effect of evidence-based nursing on elderly patients with intertrochanteric fracture of femur.Methods:80 elderly patients with intertrochanteric fracture of femur admitted to our hospital from January 2021 to January 2023 were selected as the study objects,and were divided into a basic nursing group(n=40)and a evidence-based nursing group(n=40)according to random number table method.The incidence of postoperative complications,nursing satisfaction,postoperative weight-bearing walking time,fracture healing,hospital stay,hospital cost,pain degree,swelling degree,hip function,quality of life and bone density were compared between the two groups.Results:The incidence of postoperative complications in evidence-based nursing group was lower than that in basic nursing group,and the difference was statistically significant(P<0.05).The nursing satisfaction of evidence-based nursing group was higher than that of basic nursing group,and the difference was statistically significant(P<0.05).The walking time with postoperative weight,fracture healing time and hospital stay in the evidence-based nursing group were all shorter than those in the basic nursing group,and the hospitalization cost was lower than that in the basic nursing group,with statistical significance(P<0.05).The pain visual simulation score and swelling degree score in the evidence-based nursing group were lower than those in the basic nursing group,and the Harris score and quality of life score were higher than those in the basic nursing group.The difference between groups was statistically significant(P<0.05).The BMD of Wards triangle,greater trochanter,lumbar spine anteroposterior and healthy femoral neck in evidence-based care group was higher than that in basic care group,and the difference was statistically significant(P<0.05).Conclusion:The clinical effect of evidence-based nursing on elderly patients with intertrochanteric fracture is better than that of basic nursing,which can accelerate the recovery of hip function,improve bone density,reduce pain and swelling,and improve the quality of life.
作者
钟霞
ZHONG Xia(Shangrao municipal hospital of Jiangxi province,Shangrao,Jiangxi 334000)
出处
《中国伤残医学》
2024年第1期120-123,共4页
Chinese Journal of Trauma and Disability Medicine
关键词
老年股骨粗隆间骨折
循证护理
术后髋关节功能恢复
预后效果
Intertrochanteric fracture in the elderly
Evidence-Based nursing
Functional recovery of hip joint after operation
Prognosis effect
