康复护理对老年股骨颈骨折行髋关节置换术后患者功能恢复的影响探究

Study on the Effect of Rehabilitation Nursing on the Functional Recovery of Elderly Patients with Femoral Neck Fracture after Hip Arthroplasty

目的探究老年股骨颈骨折患者行髋关节置换术后采用康复护理对其功能恢复的影响.方法选取2018年9月—2020年2月于该院行髋关节置换术的老年股骨颈骨折患者94例,将其随机分为对照组和试验组,每组47例.对照组患者采用常规护理,试验组患者在对照组基础上采用康复护理.对两组患者手术前后的疼痛视觉模拟评分、髋关节Harris评分以及生活质量评分进行比较.结果术前,两组患者的疼痛视觉模拟评分、髋关节Harris评分以及生活质量评分比较,组间差异无统计学意义(P>0.05).试验组患者术后1、2个月的疼痛视觉模拟评分分别为(4.32±0.37)分、(2.42±0.32)分,均明显低于对照组的(7.57±0.45)分、(5.62±0.26)分,组间差异有统计学意义(P<0.05).试验组患者术后1、2、6个月、术后1年的髋关节Harris评分分别为(60.71±5.59)分、(72.81±6.35)分、(81.27±5.94)分、(85.29±5.91)分,均明显高于对照组的(51.36±4.25)分、(63.71±5.10)分、(71.73±5.24)分、(79.51±4.43)分,组间差异有统计学意义(P<0.05).试验组患者术后1、2个月的生活质量评分分别为(76.21±5.91)分、(87.15±6.74)分,均明显高于对照组患者的(63.57±4.28)分、(73.49±4.41)分,组间差异有统计学意义(P<0.05).结论老年股骨颈骨折行髋关节置换术后患者采用康复护理对其功能恢复具有积极影响,能减轻疼痛,促进髋关节功能恢复,提高患者生活质量,值得临床应用.

Objective To explore the effect of rehabilitation nursing on the functional recovery of elderly patients with femoral neck fracture after hip arthroplasty.Methods A total of 94 elderly patients with femoral neck fractures after hip arthroplasty in this hospital from September 2018 to February 2020 were selected and randomly divided into a control group and an experimental group,with 47 cases in each group.Patients in the control group received conventional nursing,and patients in the experimental group received rehabilitation nursing on the basis of the control group.The pain visual analogue scale scores,Harris score of the hip joint and quality of life scores of the two groups of patients before and after surgery were compared.Results Before surgery,the pain visual analogue scale scores,Harris score of the hip joint and quality of life score were compared between the two groups,and there was no significant difference between the groups(P>0.05).The pain visual analogue scale scores in the experimental group were(4.32±0.37)points and(2.42±0.32)points at 1,2 month after surgery,respectively,which were significantly lower than the(7.57±0.45)points and(5.62±0.26)points of the control group,and the differences between the groups were statistically significant(P<0.05).The Harris scores of the hip joint of the patients in the experimental group were(60.71±5.59)points,(72.81±6.35)points,(81.27±5.94)points,and(85.29±5.91)points at 1,2,6 months,and 1 year after surgery,respectively,which were significantly higher than the(51.36±4.25)points,(63.71±5.10)points,(71.73±5.24)points,(79.51±4.43)points of the control group,and the differences between the groups were statistically significant(P<0.05).The quality of life scores of the patients in the experimental group were(76.21±5.91)points and(87.15±6.74)points at 1,2 month after surgery,respectively,which were significantly higher than the(63.57±4.28)points and(73.49±4.41)points of the control group patients,and the differences between the groups were statistically significant(P<0.05).Conclusion Rehabilitation nursing for elderly patients with femoral neck fracture after hip arthroplasty has a positive impact on their functional recovery,which can relieve pain,promote hip joint function recovery,and improve the quality of life of patients,and is worthy of clinical application.