多学科康复护理联合活血化瘀汤熏洗对股骨颈骨折患者术后康复的影响

Effect of multidisciplinary rehabilitation nursing combined with Huoxue Huayu Decoction fumigation on the postoperative rehabilitation of patients with femoral neck fracture

目的观察多学科康复护理联合活血化瘀汤熏洗应用在股骨颈骨折患者中的价值。方法选取2018年1月—2019年12月安徽省六安市中医院(以下简称"我院")收治的103例股骨颈骨折患者为研究对象,根据随机数字表法分为对照组(n=51)及观察组(n=52),术后对照组接受常规康复护理联合活血化瘀汤熏洗,观察组则接受多学科康复护理联合活血化瘀汤熏洗,于术后1、3、7 d比较两组患者疼痛程度[采用视觉模拟评分(VAS)量表评价];干预3个月后,评价两组患者髋关节功能恢复情况[采用髋关节评分量表(Harris)]及日常生活自理能力[参照日常生活活动(ADL)评定表];采用我院自制护理满意度调查问卷评估两组患者护理满意度。结果术后3、7 d,两组VAS评分均较术后1 d降低,且两组术后7 d VAS评分低于术后3 d(P <0.05),但两组间各时点的VAS评分比较,差异无统计学意义(P> 0.05);干预3个月后,观察组髋关节功能恢复优良率高于对照组(P <0.05);两组干预3个月后ADL评分均较干预前升高,且观察组高于对照组(P <0.05);观察组护理总满意率高于对照组(P <0.05)。结论给予股骨颈骨折患者术后多学科康复护理联合活血化瘀汤熏洗干预,更利于提高患者术后髋关节功能,患者日常生活能力改善,护理满意度高。

Objective To observe the value of multidisciplinary rehabilitation nursing combined with Huoxue Huayu Decoction fumigation in patients with femoral neck fractures. Methods A total of 103 patients with femoral neck fractures who were treated in Traditional Chinese Hospital of Lu’an of Anhui Province(hereinafter referred to as "our hospital") from January 2018 to December 2019 were selected as the research object. They were divided into control group(n = 51) and observation group(n = 52) by random number table method. The control group received routine rehabilitation nursing combined with Huoxue Huayu Decoction fumigat ion, while the observation group received multidisciplinary rehabilitation nursing combined with Huoxue Huayu Decoction fumigation after operation;the pain levels of the two groups were compared one, three and seven days after surgery(using visual analog score [VAS] scale);after three months of intervention, the recovery of hip function in both groups(using the hip score scale [Harris]) and daily life self-care ability(activities of daily living [ADL] assessment scale) were evaluated;the self-made nursing satisfaction questionnaire of our hospital was used to evaluate the nursing satisfaction of the two groups. Results Three and seven days after surgery, the VAS scores of both groups were lower than that one day after surgery, and the VAS scores seven day after surgery in both groups were lower than that three day after surgery(P < 0.05). However, the VAS score at each time point between the two groups was compared, the difference was not statistically significant(P > 0.05). After three months of intervention, the good rate of hip joint function recovery in the observation group was higher than that in the control group(P < 0.05). After three months of intervention, the ADL scores of the two groups were higher than those before the intervention, and the observation group was higher than the control group(P < 0.05). The total satisfaction rate of nursing in the observation group was higher than that in the control group(P < 0.05). Conclusion Multidisciplinary rehabilitation nursing combined with Huoxue Huayu Decoction fumigation as intervention for patients with femoral neck fracture is more conducive to improving postoperative hip function, patients’ daily living ability and the nursing satisfaction is high.