护理干预对老年股骨骨折术后恢复的意义

Clinical efficacy study of nursing intervention on improving postoperative recovery after femoral fractures in elderly patients

目的探讨护理干预改善老年股骨骨折患者术后恢复的临床效果。方法将接受手术治疗的老年股骨骨折患者100例随机分为干预组和对照组各50例,对照组给予围手术期常规护理,研究组在常规护理的基础上给予干预护理,比较两组患者的膝关节功能恢复情况、FIM评分、首次下床时间、出院时间以及护理满意度。结果干预组患者膝关节功能恢复情况显著优于对照组(P<0.01)。干预组和对照组患者术前FIM评分分别为(57.8±6.3)分和(56.9±6.8)分,组间差异无统计学(P>0.05);术后3周分别为(84.3±8.2)分和(77.6±7.1)分,组间差异有统计学意义(P<0.01)。干预组患者首次下床时间和出院时间显著短于对照组(P<0.05,P<0.01),护理满意度显著高于对照组(P<0.05)。结论应用护理干预可以有效改善老年股骨骨折患者的术后康复情况,具有重要的临床推广价值。

Objective To study the clinical efficacy of nursing intervention on improving postoperative recovery af- ter femoral fractures in elderly patients. Methods 100 elderly patients with femoral fractures were divided into interven- tion group and control group, 50 patients in e^ch group. All the patients were treated by operation. Patients in control group were provided with routine nursing. Patients in intervention group were provided with intervention nursing. The knee function, FIM score, leaving bed time, discharge time and nursing satisfaction rate were compared between two groups. Results The knee function in intervention group was significantly better than that in control group after treat- ment（P〈0.01）. The FIM score in intervention group was （57.8±6.3） which has no significant difference than （56.9± 6.8） in control group, before treatment（P〈0, 05）. The FIM score in intervention group was （84.3±8.2） which has no significant difference than （77.6±7.1） in control group, at three weeks after surgery（P〈0.01）. The leaving bed time and discharge time in intervention group were significantly less than those in control group（P〈0.05, P〈0.01）. The nursing satisfaction rate in intervention group was significantly higher than that in control group（P〈0.05）. Conclusion Nursing intervention has a great clinical efficacY on femoral fractures in elderly patients, which makes it worth for clinical application.