渐进式康复护理对老年骨折患者术后康复的影响

Effect of progressive rehabilitation nursing on postoperative rehabilitation of elderly patients with fracture

目的探讨渐进式康复护理对老年骨折患者术后康复的影响。方法选取2018年3月-2020年5月河南省某医院诊治的118例老年骨折患者为研究对象,采用随机数字表法分为研究组与对照组,每组59例。对照组患者采用常规护理干预,研究组患者在对照组基础上采用渐进式康复护理。比较2组患者康复锻炼依从性、恢复情况、并发症发生情况及干预前后Barthel指数(BI)、Oswestry功能障碍指数(ODI)评分。结果研究组患者康复锻炼依从率为98.31%,高于对照组的86.44%,差异有统计学意义(χ^(2)=4.330,P=0.037)。干预后,研究组患者BI评分高于对照组,ODI评分低于对照组,差异均有统计学意义(P<0.05)。研究组患者住院时间、骨折愈合时间短于对照组,差异有统计学意义(P<0.05)。研究组患者并发症发生率为3.39%,低于对照组的15.25%,差异有统计学意义(χ^(2)=4.913,P=0.027)。结论渐进式康复护理用于老年骨折患者术后康复,可提高患者康复锻炼依从性,降低并发症发生率,加快康复进程,促进骨折愈合,减轻功能障碍,提高日常生活能力。

Objective To explore the effect of progressive rehabilitation nursing on postoperative rehabilitation of elderly patients with fracture.Methods A total of 118 elderly patients with fracture treated in a hospital in Henan Province from March 2018 to May 2020 were randomly divided into study group and control group,with 59 cases in each group.The patients in the control group were treated with routine nursing intervention,and the patients in the study group were treated with progressive rehabilitation nursing on the basis of the control group.The compliance of rehabilitation exercise,recovery situation,complications,Barthel index(BI)and Oswestry disability index(ODI)scores before and after intervention were compared between the two groups.Results The compliance rate of rehabilitation exercise in the study group was 98.31%,which was higher than that in the control group(86.44%),and the difference was statistically significant(χ^(2)=4.330,P=0.037).After intervention,the BI score of the study group was higher than that of the control group,while the ODI score of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).The length of hospital stay and fracture healing time in the study group were significantly shorter than those in the control group(P<0.05).The incidence of complications in the study group was 3.39%,which was lower than that in the control group(15.25%).The difference was statistically significant(χ^(2)=4.913,P=0.027).Conclusion Progressive rehabilitation nursing is used for postoperative rehabilitation of elderly patients with fracture,which can improve patients'compliance with rehabilitation exercise,reduce the incidence of complications,speed up the process of rehabilitation,promote fracture healing,reduce dysfunction and improve the ability of daily living.