健康赋权理论在老年股骨骨折患者术后康复管理中的应用

Application of health empowerment theory in postoperative rehabilitation management of elderly patients with femoral fracture

目的 探析健康赋权理论应用于老年股骨骨折患者术后康复管理的临床价值.方法 采用便利抽样法,选取吉林大学白求恩第二医院2015年3月—2017年2月所收治的94例老年股骨骨折患者为研究对象.采用随机数字表法,将患者随机分为观察组与对照组,各47例.对照组采取常规护理,观察组接受应用健康赋权理论的护理.评估比较两组感知赋权水平、术后并发症总发生率、切口甲级愈合率、髋关节功能情况.结果 两组感知赋权评分时间和组间存在交互作用,差异有统计学意义（P〈0.01）.两组术后并发症总发生率比较差异无统计学意义（P〉0.05）,切口甲级愈合率观察组高于对照组,差异有统计学意义（P〈0.05）.两组术后6个月Harris评分均升高,与术前相比差异有统计学意义（P〈0.05）,且观察组术后6个月的Harris评分高于对照组（P〈0.05）;观察组术后6个月的髋关节功能优良率高于对照组,差异有统计学意义（P〈0.05）.结论 健康赋权理论在老年股骨骨折患者中的应用有利于患者术后康复,减轻了患者术后疼痛,提高了髋关节功能.

 Objective To investigate the clinical value of health empowerment theory applied to postoperative rehabilitation management of elderly patients with femoral fracture. Methods A total of 94 cases of elderly patients with femoral fractures hospitalized in the Second Hospital of Jilin University from March 2015 to February 2017 were selected as the research objects. Using random number table method,the patients were randomly divided into the observation group and the control group, with 47 cases in each group. Patients in the control group received routine nursing, and patients in the observation group received nursing with health empowerment theory. Perceived empowerment level, the total incidence of postoperative complications, grade A healing rate of incisions and the situation of hip joint function of patients were evaluated and compared between the two groups. Results There were interaction among different times and groups of the perceived empowerment between two groups, and the differences were statistically significant （P〈 0.01）. There was no significant difference in the total incidence of postoperative complications between the two groups （P〉 0.05）. The grade A healing rate of patients in the observation group was significantly higher than that in the control group （P〈0.05）. The Harris score of patients that six months after surgery in two groups all elevated, and there was significant difference compared with the score before surgery （P〈0.05）, and the Harris score of patients in the observation group was higher than that of the control group （P〈0.05）. The good rate of hip joint function of patients in observation group that 6 months after surgery was significantly higher than that of control group （P〈 0.05）. Conclusions The application of health empowerment theory in elderly patients with femoral fractures is favorable for postoperative rehabilitation, and it can reduce the patients＇ postoperative pain and improve their hip joint function.