基于信息化沟通的长期强化家庭康复训练在老年髋部骨折术后的应用观察

Application of long-term intensive family rehabilitation training based on informatization communication in elderly patients after hip fracture surgery

目的探讨基于信息化沟通的长期强化家庭康复训练在老年髋部骨折术后的应用效果。方法选取2020年1月至2021年1月河南省直第三人民医院收治的100例老年髋部骨折患者,根据其术后护理方法不同分为对照组48例,观察组52例,对照组使用常规干预方法,观察组使用基于信息化沟通的长期强化家庭康复训练干预。干预前后采用视觉模拟评分法(VAS)、Harris髋关节功能评分、自护能力测定量表(ESCA)及生活质量量表(QOL)评估疼痛程度、髋关节功能、自我护理能力、生活质量。结果干预前两组VAS评分、髋关节功能评分比较差异无统计学意义(P>0.05),干预后观察组VAS评分为(2.29±0.51)分,低于对照组的(2.72±0.52)分,髋关节功能评分为(77.41±5.69)分,高于对照组的(70.79±5.88)分(P<0.05)。干预前两组ESCA量表中自护责任感、自护健康知识水平、自我概念、自护技能比较差异无统计学意义(P>0.05),干预后观察组各项评分依次为(32.66±4.78)分、(23.67±3.84)分、(23.21±3.61)分、(32.57±3.47)分,均高于对照组的(27.54±4.71)分、(19.62±3.79)分、(19.17±3.63)分、(28.58±3.51)分(P<0.05);干预前两组QOL量表中躯体功能、心理功能、社会功能评分比较差异无统计学意义(P>0.05),干预后观察组各项评分依次为(70.78±5.54)分、(70.74±5.62)分、(72.55±5.49)分,均高于对照组的为(65.33±5.61)分、(66.88±5.59)分、(68.87±5.63)分(P<0.05)。结论基于信息化沟通的长期强化家庭康复训练可以降低老年髋部骨折手术患者疼痛程度,改善髋关节功能,提高自护能力和生活质量。

Objective To investigate the application of long-term intensive family rehabilitation training based on informatization communication in elderly patients after hip fracture surgery.Methods A total of 100 elderly patients with hip fracture admitted to the Third People’s Hospital of Henan Province from January 2020 to January 2021 were selected.According to their different postoperative nursing methods,they were divided into control group 48 cases and observation group52 cases.The control group used conventional intervention methods,and the observation group used long-term intensive family rehabilitation training intervention based on information communication.Pain severity,hip function,self-care ability and quality of life were assessed by visual analog scale(VAS),Harris hip function scale,exercise of self-care agency(ESCA)and quality of life(QOL)scale before and after intervention.Results There was no significant difference in VAS score and hip function score between the two groups before intervention(P>0.05).After intervention,the VAS score of the observation group was(2.29±0.51),lower than that of the control group(2.72±0.52),and the hip function score was(77.41±5.69),higher than that of the control group(70.79±5.88),P<0.05.Before intervention,there was no significant difference in self-care responsibility,self-care health knowledge level,self-concept and self-care skills between the two groups(P>0.05).After intervention,the scores of the observation group were(32.66±4.78),(23.67±3.84),(23.21±3.61),(32.57±3.47),which were higher than those of the control group(27.54±4.71),(19.62±3.79),(19.17±3.63),(28.58±3.51),P<0.05;Before intervention,there was no significant difference in the scores of physical function,psychological function and social function in QOL between the two groups(P>0.05).After intervention,the scores of the observation group were(70.78±5.54),(70.74±5.62),(72.55±5.49),which were higher than those of the control group(65.33±5.61),(66.88±5.59),(68.87±5.63),P<0.05.Conclusion Long-term intensive home rehabilitation training based on informatization communication can reduce pain degree,improve hip function,improve self-care ability and quality of life of elderly patients with hip fracture surgery.