摘要
目的探讨Peplau人际关系理论护理模式在股骨转子间骨折患者护理中的应用效果。方法将我院收治的130例股骨转子间骨折患者根据随机数字表法分为观察组与对照组,各65例。对照组给予常规护理,观察组在此基础上给予Peplau人际关系理论护理模式。比较两组的护理效果。结果观察组的护理干预总有效率显著高于对照组(P<0.05)。护理后,两组患者的患侧髋关节内收和外展的活动度比较,差异无统计学意义(P>0.05);观察组的患侧髋关节前屈和伸展活动度大于对照组(P<0.05)。观察组的并发症总发生率显著低于对照组(P<0.05)。护理前,两组患者的VAS、PSQI评分比较,差异均无统计学意义(P>0.05);护理后,两组患者的VAS、PSQI评分均明显降低,且观察组低于对照组(P<0.05)。结论 Peplau人际关系理论护理模式在股骨转子间骨折患者术后的应用,可促进患者的髋关节功能恢复,减少术后并发症的发生,缓解术后疼痛,提高患者的睡眠质量。
Objective To explore the application effect of Peplau interpersonal relationship theory nursing model in nursing care of patients with femoral intertrochanteric fracture. Methods A total of 130 patients with femoral intertrochanteric fracture admitted in our hospital were divided into observation group and control group according to the random number table method, with 65 cases in each group. The control group was given routine nursing, while the observation group was given Peplau interpersonal relationship theory nursing model. The effects of nursing were compared between the two groups. Results The total effective rate of nursing intervention in the observation group was significantly higher than that in the control group (P<0.05). After nursing, there was no significant difference in activity of adduction and abduction of affected hip joint between the two groups (P>0.05);the activity of flexion and extension of affected hip joint in the observation group were greater than those in the control group (P<0.05). The total incidence of complications in the observation group was significantly lower than that in the control group (P<0.05). Before nursing, there were no significant differences in the scores of VAS and PSQI between the two groups (P>0.05);after nursing, the VAS and PSQI scores in the two groups significantly reduced, and those in the observation group were lower than the control group (P<0.05). Conclusion The application of Peplau interpersonal relationship theory nursing model in patients with femoral intertrochanteric fracture after operation can promote the recovery of hip joint function, reduce the occurrence of postoperative complications, alleviate postoperative pain and improve the sleep quality of patients.
作者
吴章友
张程
周庭香
WU Zhang-you;ZHANG Cheng;ZHOU Ting-xiang(No.1 Orthopedics Department,Ankang Hospital of Traditional Chinese Medicine,Ankang 725000,China;Anorectal Department,Ankang Hospital of Traditional Chinese Medicine,Ankang 725000,China;Intervention Center,Ankang Hospital of Traditional Chinese Medicine,Ankang 725000,China)
出处
《临床医学研究与实践》
2019年第31期172-174,共3页
Clinical Research and Practice
关键词
Peplau人际关系理论护理模式
股骨转子间骨折
髋关节功能
Peplau interpersonal relationship theory nursing model
femoral intertrochanteric fracture
hip joint function
