护理干预在降低老年股骨粗隆骨折患者疼痛和改善术后髋关节活动度中的作用

Role of nursing intervention in reducing pain and improving postoperative hip joint mobility in elderly patients with femoral trochanteric fracture

目的探讨护理干预在降低老年股骨粗隆骨折患肢疼痛和改善术后髋关节活动度中的作用。方法选取2015年2月~2016年12月在我院骨科进行股骨粗隆骨折治疗的患者132例作为研究对象,利用摸球法将所有患者分为实验及对照组,各66例,分别给予护理干预和常规护理。比较两组患者干预后的疼痛评分和术后髋关节活动度等。结果两组患者在术后第1天的疼痛评分差异无统计学意义(P>0.05),术后第7、14、28天,实验组患者的疼痛评分均低于对照组,差异有统计学意义(P<0.05)。术后第7天,两组患者的髋关节活动度情况差异无统计学意义(P>0.05),术后第30天时,实验组患者的髋关节活动度均高于对照组,差异有统计学意义(P<0.05)。干预后,实验组术后总不良反应发生率低于对照组,差异有统计学意义(P<0.05)。实验组患者干预后的总满意度高于对照组(P<0.05)。结论护理干预能降低老年股骨粗隆骨折患者的疼痛,并改善其术后髋关节活动度,值得临床推广应用。

Objective To explore the role of nursing intervention in reducing pain and improving the postoperative hip joint mobility in aged patients with femoral troehanteric fracture.Methods From February 2015 to December 2016,132 patients given the femoral trochanteric fracture treatment in our orthopedics department of our hospital were selected as object.All patients were divided into the experimental group （n=66） and control group （n=66） and it was given the nursing intervention and routine nursing.Pain score after intervention and postoperative hip joint mobility and so on be- tween the two groups were compared.Results There was no significant difference of pain score between the two groups after the first day operation （P〉0.05）,and after the 7th,14th and 28th operation,the pain score of the experimental group were lower than those of the control group,and there was a statistical difference （P〈0.05）.After the 7th operation,there was no statistical difference of hip joint mobility in patients between the two groups （P〉0.05）,and after the 30th opera- tion,hip joint mobility in the experimental group was higher than that of the control group,and there was a statistical dif- ference （P〈0.05）.After intervention,the total incidence of postoperative adverse reactions in the experimental group was lower than that in the control group,and there was a statistical difference （P〈0.05）.The total satisfaction degree of the experimental group after intervention was higher than that of the control group （P〈0.05）.Conclusion Nursing intervention can reduce the pain of elderly patients with femoral trochanteric fracture,and improve the postoperative hip joint activity,it is worthy of clinical promotion and application.