快速康复外科联合预见性护理对老年股骨粗隆间骨折患者术后康复的影响

Effect of fast-track surgery combined predictive nursing on postoperative rehabilitation of elderly patients with femoral intertrochanteric fracture

目的探讨老年股骨粗隆间骨折股骨近端抗旋髓内钉(PFNA)内固定术中应用快速康复外科(FTS)联合预见性护理的效果。方法行PFNA内固定术的老年单侧下肢股骨粗隆间骨折患者66例,根据干预方式不同分为对照组36例和干预组30例,分别实施常规护理模式和FTS联合预见性护理模式。比较2组患者康复效果和并发症发生情况,术后随访,调查2组护理满意度。结果干预组护理干预时间短于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05)。出院后1个月,2组骨折愈合率差异无统计学意义(P>0.05),干预组护理满意度高于对照组(P<0.05)。结论 FTS联合预见性护理模式应用于老年股骨粗隆间骨折PFNA内固定术,能降低术后并发症发生风险,加快术后康复,提升服务满意度。

Objective To investigate the effect of fast-track surgery( FTS) combined predictive nursing on postoperative rehabilitation of elderly patients with femoral intertrochanteric fracture undergoing internal fixation with proximal femoral nail antirotation( PFNA). Methods A total of 66 elderly patients with femoral intertrochanteric fracture undergoing internal fixation with PFNA were assigned to the control group( n = 36) and the intervention group( n = 30),with routing nursing and FTS combined predictive nursing respectively. the postoperative rehabilitation and complications,as well as nursing satisfaction of patients,were compared between two groups. Results The intervention group had a shorter nursing intervention time and lower incidence of complications compared with the control group( P < 0. 05). There was no significant difference in bone healing rate between two groups1 month after discharge. The nursing satisfaction rate was higher in the intervention group than that of controls( P < 0. 05). Conclusion FTS combined predictive nursing intervention is potentially effective to reduce the risk of complication and improve the nursing satisfaction for elderly patients with femoral intertrochanteric fracture undergoing internal fixation with PFNA.