改良股骨近端防旋髓内钉治疗股骨粗隆间骨折 56例的护理干预

Nursing intervention of modified proximal femoral anti-rotation intramedullary nail in the treatment of 56 cases of femoral intertrochanteric fracture

目的改良股骨近端防旋髓内钉治疗股骨粗隆间骨折56例的护理干预。方法2018年11月~2019年11月将我院的56例股骨粗隆间骨折患者作为研究对象,将其按照入院顺序分为研究组与对照组,两组患者均采用改良股骨近端防旋髓内钉治疗,治疗后研究组给予综合护理干预,对照组给予常规护理干预,干预后评价两组临床治疗效果、疼痛程度、不良反应发生率及患者负性情绪变化情况。结果研究组手术切口愈合时间及住院时间显著低于对照组,差异有统计学意义。研究组疼痛程度低于对照组,差异有统计学意义。研究组不良反应发生率明显低于对照组,差异有统计学意义。研究组负性情绪低于对照组,差异有统计学意义。结论股骨粗隆间骨折患者采用改良股骨近端防旋髓内钉治疗期间,给予患者综合护理干预,既能提高护理效果,缓解患者疼痛,又能降低不良反应发生率,改善患者负性情绪,应被大力推广。

Objective To explore the nursing intervention of modified proximal femoral anti-rotation intramedullary nail in the treatment of 56 cases of femoral intertrochanteric fracture.Methods 56 patients with intertrochanteric femoral fractures in our hospital from November 2018 to November 2019 were selected as study object and divided into a study group and a control group according to the order of admission.Both groups of patients were treated with modified proximal femur anti-rotation intramedullary nail.The study group was given comprehensive nursing intervention after treatment,and the control group was given routine nursing intervention.After intervention,the clinical treatment effect,pain level,incidence of adverse reactions,and patients'negative emotional changes between the two groups were evaluated.Results The healing time of the surgical incision and hospitalization time in the study group were much lower than those in the control group,and the difference was significant.The pain degree in the study group was lower than that in the control group,and the difference was significant.The incidence of adverse reactions in the study group was significantly lower than that in the control group,and the difference was significant.The negative emotions in the study group were lower than those in the control group,and the difference was significant.Conclusion During the treatment of intertrochanteric fractures patients with modified proximal femoral anti-rotation intramedullary nails,comprehensive nursing intervention given to patients can not only improve the nursing effect,relieve patients'pain,but also reduce the incidence of adverse reactions and improve patients'negative emotions.It should be vigorously promoted.