综合护理干预对股骨颈骨折患者生活质量的影响研究

Effect of comprehensive nursing intervention on quality of life of patients with femoral neck fracture

目的探讨综合护理干预对股骨颈骨折患者对生活质量的影响。方法选取2016年5月~2017年5月本院收治的股骨颈骨折患者60例,随机分为两组,各30例。对照组采用常规护理方式进行护理,研究组采用综合护理方式进行干预,对比两组患者的Harris评分、SDS和SAS评分以及生活质量改善情况的差异。结果两组患者Harris评分显示,研究组优良率为86.7%,对照组优良率为76.6%,研究组髋关节恢复情况明显优于对照组(P<0.05);护理前两组患者的SDS和SAS评分比较差异无统计学意义,经护理干预后,两组患者的SDS和SAS评分都有了一定程度的下降,研究组心理焦虑和抑郁改善情况明显优于对照组(P<0.05),经护理干预后,两组患者PF、RP、GH、VT得分都出现了上升,研究组患者改善程度明显优于对照组(P<0.05)。结论在对股骨颈骨折患者进行护理的过程中,采用综合护理干预方式效果显著,能有效减轻患者心理焦虑和抑郁的状况,促进髋关节功能的恢复,切实提升患者生活质量,临床上应当进一步推广应用。

Objective To explore the effect of comprehensive nursing intervention on the quality of life of patients with femoral neck fracture. Methods 60 patients with femoral neck fracture admitted in our hospital from May 2016 to May 2017 were randomly divided into two groups. The patients in the control group were treated with routine nursing care, and the patients in the study group were treated with comprehensive nursing. The differences of Harris scores, SDS, SAS scores and quality of life between the two groups were compared. Results The Harris score of the two groups showed the difference between the two groups. The excellent and good rate of the study group was 86.7% and the excellent and good rate of the control group was 76.6%. The recovery of the hip joint in the study group was better than that in the control group. There was no significant dif- ference in SDS and SAS scores between the two groups before nursing. After nursing intervention, the SDS and SAS scores of the two groups de- creased to a certain extent. The improvement of psychological anxiety and depression in the study group was significantly better than that in the con- trol group （P〈0.05）. Conclusion In the nursing process of the patients with femoral neck fracture, the comprehensive nursing intervention method is effective and can effectively reduce the psychological coke of the patients with femoral neck fracture, and the improvement degree of the patients in the study group is obviously better than that in the control group （/）〈0.05）. The condition of anxiety and depression can promote the recovery of hip function and improve the quality of life of the patients, which should be further popularized and applied in clinic.