综合护理干预在老年股骨粗隆间骨折患者围术期的应用价值

Application value of comprehensive nursing intervention in perioperative period of elderly patients with intertrochanteric fracture of femur

目的研究综合护理干预在老年股骨粗隆间骨折患者围术期的应用价值。方法选取2018年3月~2019年3月我院收治的56例老年股骨粗隆间骨折患者作为研究对象,按照随机抽签法分为观察组(n=29)和对照组(n=27)。两组采用股骨粗隆间骨折切开内固定术治疗,在此基础上给予两组不同护理方式,对照组采用常规护理,观察组采用综合护理干预,比较两组手术前后视觉模拟评分法(VAS)、术后并发症发生情况及术后各阶段髋关节功能评分(Harries评分)。结果术前,两组的VAS评分比较,差异无统计学意义(P>0.05);术后,两组的VAS评分低于术前,观察组的VAS评分低于对照组,差异均有统计学意义(P<0.05)。观察组的术后并发症总发生率低于对照组(P<0.05);观察组术后各阶段的Harries评分高于对照组,差异有统计学意义(P<0.05)。结论综合护理干预在老年股骨粗隆间骨折患者围术期的应用价值显著,能降低患者疼痛程度,减少术后并发症发生,提升患者的髋关节功能。

Objective To study the application value of comprehensive nursing intervention in perioperative period of elderly patients with intertrochanteric fracture of femur.Methods From March 2018 to March 2019,56 elderly patients with intertrochanteric fracture of femur admitted to our hospital were selected as the subjects,who were divided into observation group(n=29)and control group(n=27)according to random sampling method.The two groups were treated by incision and internal fixation of intertrochanteric fracture.On this basis,two groups were given different nursing methods,the control group used routine nursing,and the observation group used comprehensive nursing intervention,the visual analogue score(VAS),postoperative complications and hip function score(Harries scores)at each stage after operation were compared.Results There was no significant difference in VAS score between the two groups before operation(P>0.05).After operation,the VAS scores of the two groups were lower than those before operation,the VAS score of the observation group was lower than that of the control group,the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).The Harries scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion The application of comprehensive nursing intervention in perioperative period of elderly patients with intertrochanteric fracture of femur is significant,which can reduce the degree of pain,reduce the occurrence of postoperative complications and improve the function of hip joint.