中医护理在老年骨折患者中的效果探讨

Discussion on effect of traditional Chinese medicine nursing in elderly patients with fracture

目的研究老年骨折患者在治疗期间接受中医护理的临床价值.方法 104例老年骨折患者,通过随机分组法分为对照组和观察组,每组52例.对照组实施常规骨科护理,观察组实施中医护理.比较两组患者护理满意度、骨折部位功能恢复时间、住院总时间、并发症发生情况以及护理前后生活质量、视觉模拟评分法(VAS)评分.结果观察组患者护理满意度94.2%明显高于对照组的80.8%,差异具有统计学意义(P<0.05).观察组患者骨折部位功能恢复时间(91.36±4.28)d、住院总时间(11.08±2.13)d均明显短于对照组的(116.38±5.47)、(18.72±2.04)d,差异具有统计学意义(P<0.05).观察组患者并发症发生率3.8%明显低于对照组的17.3%,差异具有统计学意义(P<0.05).护理前,两组患者生活质量、VAS评分比较差异无统计学意义(P>0.05);护理后,两组患者生活质量、VAS评分均明显优于本组护理前,且观察组患者生活质量评分(89.73±4.20)分、VAS评分(3.28±0.41)分均明显优于对照组的(78.46±6.31)、(5.10±0.52)分,差异具有统计学意义(P<0.05).结论老年骨折患者在治疗期间接受中医护理,可以减少并发症的发生,缩短住院时间和骨折部位功能恢复时间,在短时间内控制疼痛,改善生活质量,从而使护理满意度得到显著提高,值得推广.

Objective To study the clinical value of traditional Chinese medicine nursing in elderly patients with fracture during treatment. Methods A total of 104 elderly fracture patients were randomly divided into control group and observation group, with 52 cases in each group. The control group received conventional orthopaedic nursing, and the observation group received traditional Chinese medicine nursing. Comparison was made on degree of satisfaction with nursing, functional recovery time of fracture site, total hospitalization time, occurrence of complications, and quality of life before and after nursing, visual analogue scale (VAS) score between the two groups. Results The observation group had obviously higher degree of satisfaction with nursing as 94.2% than 80.8% in the control group, and the difference was statistically significant (P<0.05). The observation group had obviously shorter functional recovery time of fracture site as (91.36±4.28) d and total hospitalization time as (11.08±2.13) d than (116.38±5.47) and (18.72±2.04) d in the control group. Their difference was statistically significant (P<0.05). The observation group had obviously lower incidence of complications as 3.8% than 17.3% in the control group, and the difference was statistically significant (P<0.05). Before nursing, there was no statistically significant difference in quality of life and VAS score between the two groups (P>0.05). After nursing, the quality of life and VAS score in both groups were obviously better than those before nursing intervention. The observation group had obviously better quality of life score as (89.73±4.20) points and VAS score as (3.28±0.41) points than (78.46±6.31) and (5.10±0.52) points in the control group. Their difference was statistically significant (P<0.05). Conclusion Traditional Chinese medicine nursing can reduce the occurrence of complications of elderly patients with fracture, shorten hospitalization time and recovery time, control pain in a short time, improve the quality of life, and significantly improve nursing satisfaction. This method is worthy of promotion.