压力性损伤链条式管理对股骨颈骨折患者康复护理及负面情绪影响

Influence of Stress Injury Chain Management on Rehabilitation and Negative Emotion of Patients with Femoral Neck Fracture

目的:探讨压力性损伤链条式管理对股骨颈骨折患者康复及负面情绪影响.方法:选取我院2017年8月-2020年8月共收治的60例股骨颈骨折患者作为研究对象,所有患者均通过手术治疗,将所有患者随机分为观察组(n=30例)与对照组(n=30例),给予对照组患者常规护理干预,给予观察组患者压力性损伤链条式管理模式,对比2组患者压力性损伤发生率、关节功能Harris评分、心理状态与功能康复水平.结果:观察组患者的压力性损伤总发生率10.00%,明显低于对照组患者压力性损伤总发生率33.33%(P<0.05);对比2组患者Harris评分发现,观察组患者的关节畸形、关节活动、关节疼痛以及关节功能方面的Harris评分明显高于对照组(P<0.05);护理前2组患者SDS、SAS评分对比无明显差异(P>0.05),2组患者护理30天后,观察组患者的SDS与SAS评分明显低于对照组(P<0.05);通过对比2组患者护理3个月后功能康复水平发现,观察组患者的社会康复水平、心理康复水平与躯体康复水平明显高于对照组(P<0.05).结论:对股骨颈骨折患者应用压力性损伤链条式管理,能够提升整体护理效果,进而降低患者压力性损伤发生率,提升患者的关节功能恢复,减少患者负面心理,提升患者的康复水平,值得临床应用推广.

Objective:To explore the influence of stress injury chain management on rehabilitation and negative emotion of patients with femoral neck fracture.Methods:60 cases of femoral neck fracture patients in our hospital from August 2017 to August 2020 were selected as the research objects.All patients were treated with surgery.All patients were randomly divided into observation group(30 cases)and control group(30 cases).The control group was given routine nursing intervention,and the observation group was given stress injury chain management mode.The incidence of stress injury,Harris scores of joint function,mental state and functional rehabilitation level were compared between the two groups of patients.Results:The total incidence of stress injury in the observation group was 10.00%,which was significantly lower than the total incidence of 33.33%in the control group(P<0.05).Comparing the Harris scores of the two groups,it was found that the Harris score of the observation group in terms of joint deformity,joint activity,joint pain and joint function was significantly higher than that of the control group(P<0.05);the two groups were significantly higher than the control group(P<0.05).There was no significant difference in SDS and SAS scores between the two groups before nursing(P>0.05).After 30 days of nursing,the scores of SDS and SAS in the observation group were significantly lower than those in the control group(P<0.05).By comparing the functional rehabilitation level of the two groups after 3 months of nursing,it was found that the social rehabilitation level,psychological rehabilitation level and physical rehabilitation level of the observation group were significantly higher than those of the control group(P<0.05).Conclusion:The application of stress injury chain management in patients with femoral neck fracture can improve the overall nursing effect,reduce the incidence of stress injury,improve the recovery of joint function,reduce the negative psychology of patients,and improve the rehabilitation level of patients,which is worthy of clinical application and promotion.