渐进式功能锻炼在促进老年髋部骨折患者术后康复中的应用效果

Application effect of progressive functional exercise in promoting postoperative rehabilitation of elderly patients with hip fractures

目的探究渐进式功能锻炼在促进老年髋部骨折患者术后康复中的应用效果。方法选择我院2016年2月至2017年2月收治的134例老年髋部骨折患者作为研究对象,将其随机分为观察组和对照组,各67例。对照组采用常规术后护理,观察组施以渐进式功能锻炼。比较两组患者术后不同时间点的髋关节功能、生活质量、髋关节疼痛情况及护理满意度。结果术后1 d,两组患者的Harris评分比较,差异无统计学意义(P>0.05);出院时、出院1、3个月后,观察组的Harris评分均高于对照组(P<0.05)。出院3个月后,两组的社会功能、物质功能、生理功能、躯体功能评分均显著升高,且观察组明显高于对照组(P<0.05)。术后1 d及出院3个月后,两组的髋关节VAS评分比较,差异无统计学意义(P>0.05);出院时及出院1个月后,观察组的髋关节VAS评分均明显低于对照组(P<0.05)。观察组的护理满意度高于对照组(P<0.05)。结论采用渐进式功能锻炼能够使老年髋部骨折患者的髋关节功能得到更优质的恢复效果,有助于缓解患者恢复过程中的疼痛感,提升患者的生活质量及其对护理工作的认同感。

Objective To explore the application effect of progressive functional exercise in promoting postoperative rehabilitation of elderly patients with hip fractures. Methods A total of 134 elderly patients with hip fractures admitted in our hospital from February 2016 to February 2017 were selected as the research objects and randomly split into observation group and control group, with 67 cases in each group. The control group received routine postoperative nursing, while the observation group received progressive functional exercise. The hip joint function, quality of life, hip joint pain at different time points after operation and nursing satisfaction were compared between the two groups. Results There was no significant difference in Harris score between the two groups at 1 day after operation(P>0.05). The Harris scores of the observation group were higher than those of the control group at discharge and 1 or 3 months after discharge(P <0.05).Three months after discharge, the scores of social function, psychological function, material function and physical function of the two groups significantly increased, and those of the observation group were significantly higher than the control group(P<0.05). There were no significant differences in hip joint VAS scores between the two groups at 1 day after operation and3 months after discharge(P>0.05);at discharge and one month after discharge, the hip joint VAS scores of the observation group were significantly lower than those of the control group(P<0.05). The nursing satisfaction of the observation group was higher than that of the control group(P<0.05). Conclusion Progressive functional exercise can improve the recovery effect of hip joint function in elderly patients with hip fractures, help to relieve the pain in the recovery process, elevate patients’ quality of life and recognition of nursing work.