高龄髋部骨折患者的专科护士主导的康复护理效果及对疼痛的影响

Effect of Specialized Nurse-Led Rehabilitation Nursing in Patients with Advanced Age Hip Fractures and Its Influence on Pain

目的探析专科护士主导的康复护理在高龄髋部骨折患者中的应用效果。方法选取重庆医科大学附属第二医院2021年1月—2022年12月收治的480例高龄髋部骨折患者为研究对象,按照入院先后顺序将其分为A组和B组。A组(n=240)采用常规护理,B组(n=240)采用专科护士主导的康复护理。对比两组患者的疼痛程度、髋关节功能、生活自理能力、并发症发生情况及护理满意度。结果干预前,两组的疼痛视觉模拟评分(VAS)比较,差异无统计学意义(P>0.05);干预后3 d、7 d、2周,B组的VAS评分均低于A组,组间差异有统计学意义(P<0.05)。干预前,两组的Harris髋关节功能评分(HHS)、日常生活自理能力(ADL)评分比较,组间差异无统计学意义(P>0.05);干预后,B组的HHS评分、ADL评分分别为(65.74±4.12)分、(66.29±4.11)分,均高于A组的(56.85±4.69)分、(57.68±4.03)分,组间差异有统计学意义(P<0.05)。B组的并发症发生率为2.92%,低于A组的7.50%,护理满意度为96.67%,高于A组的91.25%,组间差异有统计学意义(P<0.05)。结论将专科护士主导的康复护理应用于高龄髋部骨折患者中,可减轻其疼痛,显著提升患者的髋关节功能、日常生活自理能力,提高护理满意度。

Objective To explore the effect of specialized nurse-led rehabilitation nursing in patients with advanced age hip fracture.Methods 480 elderly patients with hip fracture admitted to the Second Affiliated Hospital of Chongqing Medical University from January 2021 to December 2022 were selected as the study objects and were divided into a group A and a group B according to the order of admission.The group A(n=240)received routine nursing,while the group B(n=240)received specialized nurse-led rehabilitation nursing.The degree of pain,hip joint function,self-care ability,complications and nursing satisfaction were compared between the two groups.Results Before intervention,there was no significant difference in pain Visual Analogue Scale(VAS)between the two groups(P>0.05);3 days,7 days and 2 weeks after intervention,the VAS scores of the group B were lower than those of the group A,and the differences between the groups were statistically significant(P<0.05).Before intervention,there were no significant differences in the Harris Hip Score(HHS)and the Activities of Daily Living(ADL)score between the two groups(P>0.05);after intervention,the HHS score and ADL score of the group B were(65.74±4.12)points and(66.29±4.11)points,respectively,which were higher than(56.85±4.69)points and(57.68±4.03)points of the group A,and the differences between the groups were statistically significant(P<0.05).The complication rate of the group B was 2.92%,lower than 7.50%of the group A,and the nursing satisfaction was 96.67%,higher than 91.25%of the group A,and the differences between the groups were statistically significant(P<0.05).Conclusion The application of specialized nurse-led rehabilitation nursing in patients with advanced age hip fracture can reduce their pain,significantly improve their hip function and daily self-care ability,and enhance their satisfaction with nursing.