护理临床路径在老年股骨颈骨折患者护理中的应用

Application of Nursing Clinical Pathway in Elderly Patients with Femoral Neck Fracture

目的在老年股骨颈骨折患者治疗中应用护理临床路径,以达到提高患者依从性及患者生活质量的目的。方法于2017年10月1日—2020年9月30日,随机抽取某院老年股骨颈骨折患者100例,并随机分为对照组50例、观察组50例。对照组实施常规护理,观察组实施护理临床路径,比较两组的治疗依从性、术后并发症发生率、髋关节功能评分、舒适度评分、日常生活能力评分、生活质量评分。结果观察组的治疗总依从率94.00%较对照组78.00%更高(χ^(2)=5.316,P<0.05)。观察组术后并发症发生率2.00%低于对照组14.00%(χ^(2)=4.891,P<0.05)。观察组HSS、GCQ、ADL评分分别为(88.34±9.57)分、(97.09±10.83)分、(86.65±6.27)分,均比对照组高(t=5.895、5.856、6.346,P<0.05)。观察组在生理、心理、环境、社会关系等维度的生活质量评分分别为(84.05±6.59)分、(84.39±6.28)分、(82.47±5.38)分、(83.62±5.71)分,均比对照组高(t=5.157、5.237、5.664、6.199,P<0.05)。结论护理临床路径用于老年股骨颈骨折在住院期间的护理中,可有效增强患者的治疗依从性,有利于减少术后并发症,还可改善髋关节功能,提高患者舒适度、日常生活能力及生活质量。

Objective Clinical nursing pathway was applied in the treatment of elderly patients with femoral neck fracture in order to improve patients’compliance and quality of life.Methods From October 1st,2017 to October 1st,2020,100 cases of elderly patients with femoral neck fracture in Beijing Jishuitan Hospital were randomly selected and divided into 50 cases in the control group and 50 cases in the observation group.The control group received routine nursing,while the observation group received clinical pathway nursing.The treatment compliance,postoperative complications,hip joint function,comfort,daily living ability and quality of life were compared between the two groups.Results The total compliance rate of 94.00%in the observation group was lower than 78.00%in the control group(χ^(2)=5.316,P<0.05).The incidence of postoperative complications in the observation group was 2.00%,which was lower than 14.00%in the control group(χ^(2)=4.891,P<0.05).After nursing,the scores of HSS,GCQ and ADL in the observation group were(88.34±9.57),(97.09±10.83)and(86.65±6.27)respectively,which were higher than those in the control group(t=5.895,5.856 and 6.346,P<0.05).After nursing,the scores of quality of life in the dimensions of physiology,psychology,environment and social relations in the observation group were(84.05±6.59),(84.39±6.28),(82.47±5.38)and(83.62±5.71)respectively,which were higher than those in the control group(t=5.157,5.237,5.664 and 6.199,P<0.05).Conclusions The application of clinical pathway in perioperative nursing care of elderly patients with femoral neck fracture could effectively enhance patients’treatment compliance,reduce postoperative complications,and improve hip joint function,comfort,daily living ability and quality of life.