基于动机行为转化的护理干预对老年髋部骨折术后功能恢复的影响

Effect of nursing intervention based on motivational behavior transformation on functional recovery in elderly patients with hip fracture

目的:探讨基于动机行为转化的护理干预对老年髋部骨折术后功能恢复的影响,为临床诊治提供理论依据。方法:采用随机数表法,将96例老年髋部骨折患者分为观察组和对照组,每组各48例。对照组患者实施常规康复护理干预;观察组患者实施基于动机行为转化的护理干预,干预时间1个月。观察两组患者的髋关节功能恢复情况,记录两组患者不同时段的视觉模拟评分法(VAS)疼痛评分、生活质量评分变化,并统计并发症发生率。结果:干预1个月后,观察组患者髋关节功能恢复优良率为95.83%,明显高于对照组的79.17%(P<0.05)。两组患者术后1 d的VAS疼痛评分相比,差异无统计学意义(P>0.05);观察组患者术后第3、5、7天的VAS疼痛评分[(1.83±0.51)、(1.45±0.38)、(1.51±0.44)]均明显低于对照组的[(2.92±0.52)、(2.67±0.39)、(2.30±0.45)]分,差异均有统计学意义(P<0.05)。干预后,观察组患者的情绪角色、健康程度、心理卫生、躯体功能评分[(76.27±7.57)、(73.48±6.27)、(80.97±5.11)、(78.31±6.38)]分均明显高于对照组的[(65.39±7.52)、(65.79±6.26)、(74.55±5.10)、(70.92±6.36)]分,差异均有统计学意义(P<0.05)。观察组患者并发症发生率为2.08%,低于对照组的14.58%(P<0.05)。结论:基于动机行为转化的护理干预能有效促进老年髋部骨折患者的髋关节功能快速恢复,改善患者的术后疼痛及生活质量,减少并发症的发生,值得临床推使用。

Objective:To investigate the effect of nursing intervention based on motivational behavior transformation on functional recovery of elderly hip fracture patients,and to provide the basis for clinical diagnosis and treatment.Methods:96 cases elderly patients with hip fracture were studied,random number table method was used to divide the observation group and control group,48 cases in each group.Patients in the control group performed routine rehabilitation nursing interventions,patients in observation group implemented nursing intervention based on motivational behavior transformation.Observed the hip joint function recovery of the two groups of patients,record the changes of Visual Analogue Scale(VAS)pain scores and quality of life scores of the two groups of patients at different periods,the complication rate was calculated.Results:After 1 month of intervention,the excellent recovery rate of hip joint function in the observation group patients was 95.83%,which was significantly higher than the control group s 79.17%,the difference was statistically significant(P<0.05).Compared the two groups of patients with VAS pain score at 1 day after surgery,the difference was not statistically significant(P>0.05).The VAS pain scores[(1.83±0.51)points,(1.45±0.38)points,(1.51±0.44)points]of the observation group patients on the 3,5,and 7 days after surgery were significantly lower than those of the control group[(2.92±0.52)points,(2.67±0.39)points,(2.30±0.45)points],the difference was statistically significant(P<0.05).Before the intervention,the quality of life scores of the two groups of patients were compared,the difference was not statistically significant(P>0.05).After intervention,the emotional role,health level,mental health and physical function scores of the observation group patients[(76.27±7.57)points,(73.48±6.27)points,(80.97±5.11)points,(78.31±6.38)points]were significantly higher than those of the control group[(65.39±7.52)points,(65.79±6.26)points,(74.55±5.10)points,(70.92±6.36)points],the difference was statistically significant(P<0.05).The incidence of complications in the observation group patients was 2.08%,which was significantly lower than the 14.58%in the control group,the difference was statistically significant(P<0.05).Conclusion:Nursing intervention based on motivational behavior transformation can effectively promote the rapid recovery of hip joint function in elderly patients with hip fractures,improve patients postoperative pain and quality of life,reduced the incidence of complications,which is worthy of clinical promotion.