舒适护理在老年股骨颈骨折患者中的应用价值

Application Value of Comfort Nursing in Elderly Patients with Femoral Neck Fracture

目的探讨舒适护理在老年股骨颈骨折患者中的应用价值。方法以该院为单位,在2017年8月—2019年8月间,方便选取该院收治的80例老年股骨颈骨折患者,将其依据随机数字表法分成两组,对照组40例开展传统护理,观察组40例实施舒适护理干预,采用汉密尔顿焦虑量表(HAMA)量表评定两组焦虑情况,对比两组护理满意度,另用视觉模拟评分法(VAS)评估两组疼痛情况。结果两组术前第1天的焦虑评分及术前VAS评分相比,差异无统计学意义(t=0.190、0.610,P>0.05)。观察组麻醉前、术毕时及术后第1天的HAMA评分[(21.5±3.8)分、(21.3±3.5)分、(18.8±4.0)分]均较对照组偏低[(24.0±6.3)分、(24.7±5.1)分、(21.6±3.9)分],差异有统计学意义(t=2.390、3.510、3.240,P<0.05)。观察组术后VAS评分[(3.1±1.1)分]相比对照组[(3.9±1.7)分],明显偏低,差异有统计学意义(t=2.470,P<0.05)。观察组护理满意度(100.00%)相比对照组(75.00%),显著偏高,差异有统计学意义(χ^2=5.130,P<0.05)。结论针对老年股骨颈骨折患者,通过开展舒适护理干预,能消除其焦虑心理,减轻术后疼痛,提高护理满意度。

Objective To explore the application value of comfort nursing in elderly patients with femoral neck fracture.Methods Based on this hospital,from August 2017 to August 2019,80 elderly patients with femoral neck fractures admitted to this hospital were conveniently selected and divided into two groups according to the random number table method.40 cases in the control group were given traditional nursing care;in the observation group,40 patients implemented comfort nursing intervention.The Hamilton Anxiety Scale(HAMA)was used to assess the anxiety of the two groups,the satisfaction of the two groups of nursing care was compared,and the visual analogue scale(VAS)was used to evaluate the pain of the two groups.Results There was no statistically significant difference between the anxiety scores and the preoperative VAS scores on the first day of operation between the two groups(t=0.190,0.610,P>0.05).The HAMA scores[(21.5±3.8)points,(21.3±3.5)points,(18.8±4.0)points]of the observation group before anesthesia,at the end of the operation and on the first day after the operation were lower than those of the control group[(24.0±6.3)points,(24.7±5.1)points,(21.6±3.9)points],the difference was statistically significant(t=2.390,3.510,3.240,P<0.05).The postoperative VAS score of the observation group[(3.1±1.1)points]was significantly lower than that of the control group[(3.9±1.7)points],the difference was statistically significant(t=2.470,P<0.05).The nursing satisfaction of the observation group(100.00%)was significantly higher than that of the control group(75.00%),the difference was statistically significant(χ^2=5.130,P<0.05).Conclusion For elderly patients with femoral neck fractures,comfortable nursing intervention can eliminate their anxiety,reduce postoperative pain,improve nursing satisfaction.