老年股骨颈骨折全髋关节置换术后早期康复护理对策探讨

Nursing Countermeasures of Early Rehabilitation after Total Hip Arthroplasty for Senile Femoral Neck Fracture

目的:探究早期康复护理与常规护理在老年股骨颈骨折全髋关节置换术后治疗中应用的优势效果.方法:对2019年9月-2020年9月在我院进行治疗的80例老年股骨颈骨折患者进行对比研究,患者均实施全髋关节置换术治疗,通过系统抽样法分成2组,实施常规护理的40例患者归入对照组,实施早期康复护理的40例患者归入观察组,分组对比患者护理前后NRS和Harris评分、康复效果以及生活质量.结果:就护理后NRS疼痛评分分组对比来看,观察组与对照组相比较低,Harris评分观察组与对照组相比较高,观察组患者早期康复效果统计优良率与对照组相比较高,分别为97.50%和72.50%,生活质量评分高于对照组,均存在统计学意义(P<0.05).抑郁评分和焦虑评分方面,护理前,观察组与对照组比较,差异无统计学意义(P>0.05);护理后,观察组更低,与对照组比较,差异有统计学意义(P<0.05);护理总满意度方面,观察组是95.00%,对照组是77.50%,观察组较对照组高,差异有统计学意义(P<0.05).结论:老年股骨颈骨折患者实施全髋关节置换术治疗后早期康复护理的应用,与常规护理相比有非常明显的优势,值得推广应用.

Objective:To explore the advantages of early rehabilitation nursing and conventional nursing in the treatment of senile femoral neck fracture after total hip arthroplasty.Methods:a comparative study was conducted on 80 elderly patients with femoral neck fracture treated in our hospital from September 2019 to September 2020,all of whom were treated with total hip replacement.The patients were divided into two groups by systematic sampling method.40 patients who were treated with routine nursing were assigned to the control group,and 40 patients who were treated with early rehabilitation nursing were assigned to the study group.NRS and Harris scores,rehabilitation effect and quality of life were compared before and after nursing.Results:In terms of NRS pain score after nursing,the control group was lower than the study group,and Harris score was higher than the control group.The statistical excellent and good rate of early rehabilitation effect in the study group was higher than that in the control group(97.50%and 72.50%,respectively),and quality of life score was higher than that in the control group.All had statistical significance(P<0.05).There was no significant difference in depression score and anxiety score between the study group and the control group before nursing(P>0.05).After nursing,the study group was lower than the control group,the difference was statistically significant(P<0.05);The total satisfaction of nursing was 95.00%in the research group and 77.50%in the control group,and the difference was statistically significant(P<0.05).Conclusion:The application of early rehabilitation nursing after total hip replacement for senile patients with femoral neck fracture has obvious advantages compared with conventional nursing,and is worth popularizing.