| 万江.延续性护理对老年股骨颈骨折行髋关节置换术患者术后疼痛及髋关节功能的影响[J].上海护理,2019,19(8): |
| 延续性护理对老年股骨颈骨折行髋关节置换术患者术后疼痛及髋关节功能的影响 |
| Effect of continuity nursing on postoperative pain and hip function in elderly patients with femoral neck fracture undergoing hip replacementWanjiang#$NLNo. 95, Shaoshan Middle Road, Changsha, Hunan,China 410007 |
| DOI： |
| 中文关键词: 老年人 股骨颈骨折 髋关节置换术 延续性护理 |
| 英文关键词:elderly femoral neck fracture hip replacement continuation nursing |
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| 中文摘要: |
| 目的 探讨和分析延续性护理在老年股骨颈骨折行髋关节置换术患者中的临床应用价值。方法 选取2016年1月至2017年12月期间在我院行髋关节置换术的老年股骨颈骨折患者98例,采用随机数字表法将其随机分为观察组50例和对照组48例,对照组老年股骨颈骨折患者采用一般常规护理,而观察组老年股骨颈骨折患者则在对照组的基础之上加用延续性护理,并分别对两组患者术后疼痛情况,功能锻炼依从情况,髋关节功能恢复情况,生活质量变化情况及并发症发生情况进行比较和分析。结果 与对照组相比,观察组患者术后疼痛为0级的比率18.00%(9/50)和Ⅰ级的比率30.00%(15/50)均明显提高,差异均具有显著性意义(P＜0.05)；观察组患者术后功能锻炼完全依从的比率42.00%(21/50)明显提高,而不依从的比率6.00%(3/50)则明显降低,差异均具有显著性意义(P＜0.05)；观察组患者术后髋关节功能恢复为优的比率74.00%(37/50)和总的优良率88.00%(44/50)均明显提高,差异均具有显著性意义(P＜0.05)；观察组患者术后生活质量评估项目中的生理机能、生理职能、躯体疾病、一般健康状况、精力、社会功能、情感职能、精神健康等评分值均明显提高,差异均具有显著性意义(P＜0.05)；观察组患者术后关节僵硬,下肢静脉血栓,尿路感染,呼吸系统感染等并发症总发生率6.00%(4/50)明显降低,差异具有显著性意义(P＜0.05)。结论 延续性护理对于老年股骨颈骨折行髋关节置换术患者中术后疼痛症状的缓解,髋关节功能的恢复及生活质量的改善均具有十分重要的辅助治疗价值。 |
| 英文摘要: |
| Objective: To probe into the application value of continuity nursing on postoperative pain and hip function in elderly patients with femoral neck fracture undergoing hip replacement. Methods: From January 2016 to December 2017, 98 elderly patients with femoral neck fractures undergoing hip replacement were selected. Used random number table method, the patients were divided into observation group (50 cases) and control group (48 cases). The elderly patients with femoral neck fractures in control group were treated with general routine nursing. The elderly patients with femoral neck fractures in observation group were treated with continuity nursing on the basis of the control group. The postoperative pain, functional compliance, hip function recovery, quality of life and complications of the patients in the two groups were compared and analyzed. Results: Compared with control group, the patients in observation group after treatment, the rate of postoperative pain in grade 0 was 18.00% (9/50) and the rate of postoperative pain in grade I was 30.00% (15/50), there were increased significantly, the differences were significant statistically (P＜0.05); the patients in observation group after treatment, the rate of complete compliance after functional exercise was 42.00% (21/50), there was increased significantly, while the rate of non-compliance was 6.00% (3/50), there was decreased significantly, the differences were significant statistically (P＜0.05); the patients in observation group after treatment, the rate of recovery of hip joint function was 74.00% (37/50) and the overall excellent rate was 88.00% (44/50), there was increased significantly, the differences were significant statistically (P＜0.05); the patients in observation group after treatment, the scores of physiological functions, physiological functions, physical diseases, general health conditions, energy, social functions, emotional functions, and mental health in the postoperative life quality assessment items were increased significantly, the differences were significant statistically (P＜0.05); the patients in observation group after treatment, the incidence of complications was 6.00% (4/50), such as postoperative joint stiffness, venous thrombosis of the lower extremities, urinary tract infection, and respiratory system infection, there was decreased significantly the differences were significant statistically (P＜0.05). Conclusions: Continuation nursing has very important adjuvant treatment value for the relief of postoperative pain symptoms, hip function recovery and improvement of quality of life in elderly patients with femoral neck fractures. |
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