预防性护理联合Autar风险评估对年龄>60岁股骨粗隆间骨折患者的影响

Effect of Preventive Nursing Combined with Autar Risk Assessment on Intertrochanteric Fracture of Femur Patients over 60 Years Old

目的:探究预防性护理联合Autar风险评估对年龄>60岁股骨粗隆间骨折(intertrochanteric fracture of femur,IFF)患者的影响。方法:选取2019年8月-2020年12月福建医科大学附属第一医院96例年龄>60岁IFF患者。按照入院时间将其分为对照组和联合组,各48例。两组均行手术治疗。对照组实施常规护理,联合组在对照组基础上实施预防性护理联合Autar风险评估。比较两组护理前及护理后3、7、14 d深静脉血栓(deep venous thrombosis,DVT)风险,护理前及护理后3、7、14 d疼痛程度,DVT及肿胀发生率,护理前及护理后14 d血流动力学。结果:护理后3、7、14 d,联合组Autar评分均低于对照组(P<0.05)。护理后3、7、14 d,联合组视觉模拟评分(VAS)评分均低于对照组(P<0.05)。联合组DVT发生率为4.17%,低于对照组的18.75%(P<0.05);肿胀发生率为6.25%,低于对照组的22.92%(P<0.05)。护理后14 d,联合组静脉压再充盈时间(venous refill time,VRT)、静脉最大流出量(maximum venous outflow,MVO)、节段性静脉容积(segmental venous capacity,SVC)均优于对照组(P<0.05)。结论:预防性护理联合Autar风险评估应用于年龄>60岁IFF患者,能改善血流动力学,降低术后DVT发生风险评分,减少DVT、肿胀发生,减轻患者疼痛。

Objective:To explore the effect of preventive nursing combined with Autar risk assessment on intertrochanteric fracture of femur(IFF)patients over 60 years old.Method:From August 2019 to December 2020,96 IFF patients aged over 60 years were selected from the First Affiliated Hospital of Fujian Medical University.According to the time of admission,they were divided into control group and combined group,with 48 cases in each group.Both groups received the operation treatment.The control group received routine nursing,while the combined group received preventive nursing combined with Autar risk assessment on the basis of the control group.The risk of deep venous thrombosis(DVT)before nursing,3,7,14 d after nursing,pain degree before nursing,3,7,14 d after nursing,incidences of DVT and swelling,and hemodynamics before nursing and 14 d after nursing were compared between the two groups.Result:At 3,7 and 14 d after nursing,the Autar scores of the combined group were lower than those of the control group(P<0.05).At 3,7 and 14 d after nursing,the visual analog scale(VAS)scores of the combined group were lower than those of the control group(P<0.05).The incidence of DVT in the combined group was 4.17%,which was lower than 18.75% in the control group(P<0.05);the incidence of swelling was 6.25%,which was lower than 22.92% in the control group(P<0.05).At 14 d after nursing,the venous refill time(VRT),maximum venous outflow(MVO)and segmental venous capacity(SVC)in the combined group were better than those in the control group(P<0.05).Conclusion:Preventive nursing combined with Autar risk assessment is applied to IFF patients over 60 years old can improve hemodynamics,reduce the occurence risk score of postoperative DVT,reduce the occurence of DVT and swelling,and reduce patient pain.