老年股骨颈骨折人工髋关节置换术的综合护理干预效果

Application and effect evaluation of comprehensive nursing intervention in elderly patients with artificial hip arthroplasty of femoral neck fracture

目的探讨综合护理干预措施在老年股骨颈骨折人工髋关节置换术(THA)护理中的临床应用效果,为临床护理干预提供一定的参考价值。方法将46例行THA的股骨颈骨折患者随机分为对照组(n=23)和观察组(n=23),对照组采用常规护理模式,观察组采用综合护理干预措施。对比分析两组术后8 h、24 h、48 h VAS评分,术前、术后4个月、术后12个月Harris评分及术后并发症发生情况。结果两组患者术前VAS评分、Harris评分相比,差异无统计学意义(P>0.05);观察组术后8 h、24 h和48 h VAS评分均明显低于对照组,差异具有统计学意义(P<0.05);观察组术后4个月和12个月的Harris评分显著高于对照组,差异具有统计学意义(P<0.05)。观察组术后并发症率13.0%,明显优于对照组的39.1%,差异具有统计学意义(P<0.05)。结论综合护理干预措施能显著缓解老年股骨颈骨折患者THA术后疼痛,提高术后髋关节功能,并降低术后并发症发生率,具有重要临床研究意义,值得进一步推广研究。

Objective To study the clinical application effect of the comprehensive nursing intervention measures in the elderly femoral neck fracture patients with artificial hip arthroplasty （THA）, to provide a reference value for clinical nursing intervention. Methods All 46 patients with femoral neck fracture were randomly divided into control group（n=23）and observation group （n=23）, the control group was given conventional nursing model, observation group was given comprehensive nursing intervention measures. Comparison of postoperative 8 h, 24 h, 48 hVAS score, preoperative and after postoperative 4 months,12 months, Harris score and postoperative complications were observed. Results The difference of VAS score,Harris score was not statistically significant between the two groups at preoperative（P〉0.05）;VAS scores in observation group at 8 h, 24 h and 48 h after operation was significantly lower than those in control group,the difference between the two groups was statistically significant （P〈0.05）,and Harris score in the observation group at 4 months and 12 months postoperative was significantly higher than those of control group, the difference be tween the two groups was statistically significant（P〈0.05）; postoperative complication rate was 13.0% in the observa tion group,significantly better than the 39.1%in the control group,the difference was statistically significant （P〈0.05）. Conclusion Comprehensive nursing intervention can significantly decrease the incidence of postoperative complications and improve the postoperative hip joint function and quality of nursing, has important clinical significance, worthy of further dissemination of research.