综合护理干预在锁定钢板内固定治疗老年股骨粗隆间骨折中的应用

Application of comprehensive nursing intervention on locking plate internalfixation to cure elderly with intertrochanter fracture of femur

目的：探讨综合护理干预应用于锁定钢板内固定治疗老年股骨粗隆间骨折的临床疗效。方法选择2011年10月—2012年10月股骨粗隆间骨折老年患者80例，均给予锁定钢板内固定治疗，采用随机数字表法随机分为对照组和观察组，每组各40例，对照组给予常规护理，观察组给予综合护理干预，比较两组临床疗效和护理满意度。结果观察组治疗的优良率90．0％，护理满意度95．0％，高于对照组；术后并发症发生率12．5％，低于对照组，差异均有统计学意义（χ2值分别为4．02，4．59，5．16；P＜0．05）。结论对老年股骨粗隆间骨折患者锁定钢板内固定治疗期间给予有效的围术期综合护理干预，能够提高临床疗效，降低并发症发生率，提高患者对护理服务的满意度。

Objective To explore the application of comprehensive nursing intervention on locking plate internal fixation to cure elderly intertrochanter fracture of femurand its clinical efficacy.Methods Eighty elderly participated during the period of October 2011 to October 2012 and had been divided into two groups randomly on average：experimental group and control group.The control group was given routine care while the experimental group accepted comprehensive nursing intervention, and then we compared two group ’ s clinical efficacy and nursing satisfaction.Results The percent of goodrate were 90.0%for clinical efficacy and 95.0%for nursing satisfaction in the experimental group, which were higher than the control group; and the postoperative complications were 12.5%, less than the control group, the differences were statistically significant （χ2 =4.02,4.59,5.16, respectively;P〈0.05）.Conclusions Perioperative period comprehensive nursing intervention can contribute clinical efficacy and nursing satisfaction and decrease complications during period of elderly utilized locking plate internalfixation.