品管圈及延续护理模式对老年股骨颈骨折患者预后效果的影响

Effect of Quality Control Circle and Continuous Nursing Mode on Postoperative Femoral Neck Fracture in Elderly Patients

目的分析品管圈及延续护理模式对老年股骨颈骨折患者预后效果的影响。方法选取葫芦岛市中心医院收治的72例老年股骨颈骨折患者为研究对象,时间为2018年1月至2019年1月,随机将所有患者分为对照组(36例)和观察组(36例),对照组行常规护理干预,观察组行品管圈及延续护理模式护理,观察两组患者出院时、术后3个月、术后6个月的髋关节功能、自我效能以及生活质量。结果观察组患者术后3个月和术后6个月的髋关节功能评分明显高于对照组(P<0.05);观察组患者术后3个月和术后6个月的自我效能评分明显高于对照组(P<0.05);观察组患者的躯体功能、社会功能、心理健康、情感角色、总体健康评分明显高于对照组(P<0.05)。结论老年股骨颈骨折患者接受品管圈及延续护理模式护理,可显著提升患者术后的髋关节功能和自我效能,并提高患者的生活质量。

Objective To analyze the effects of quality control circle and continuous nursing mode on postoperative femoral neck fracture in the elderly. Methods A total of 72 patients with femoral neck fractures in huludao central hospital were enrolled in the study. All patients were randomly divided into control group(36 cases) and observation group(36 cases). The control group received routine nursing intervention. The observation group received the quality control circle and continuous nursing mode nursing. The hip joint function, self-efficacy and quality of life of the two groups of patients at discharge, 3 months after surgery, and 6 months after surgery were observed. Results The hip function scores of the observation group were significantly higher than those of the control group at 3 months and 6 months after surgery(P<0.05). The self-efficacy score of the observation group at 3 months after operation and 6 months after operation was significantly higher than that of the control group(P<0.05). The quality of life, social function, mental health, emotional role, overall health and other quality of life scores of the observation group were significantly higher than the control group(P<0.05). Conclusion Elderly patients with femoral neck fractures receiving quality control circle and continuous nursing mode nursing can significantly improve the hip function and selfefficacy of patients after surgery, and improve the quality of life of patients.