老年股骨颈骨折手术患者应用快速康复护理的效果

Effect of Rapid Rehabilitation Nursing on Elderly Patients with Femoral Neck Fracture Undergoing Surgery

目的:探讨老年股骨颈骨折手术患者应用快速康复护理的效果。方法:纳入南安市医院2022年1-12月收治的100例老年股骨颈骨折患者,所有患者均实施髋关节置换术治疗,随机分为对照组和观察组,各50例。对照组实施常规护理,观察组实施快速康复护理。应用Harris髋关节功能评分标准评估两组关节功能恢复优良状况,统计两组下床活动时间、住院时间及住院费用等临床指标,应用视觉模拟评分法(VAS)评估两组护理前和护理2、4周疼痛程度,观察两组并发症发生情况。结果:观察组髋关节功能优良率高于对照组,差异有统计学意义(P<0.05)。观察组下床活动时间、住院时间均短于对照组,住院费用低于对照组,差异均有统计学意义(P<0.05)。护理前,两组VAS评分比较,差异无统计学意义(P>0.05);护理2、4周,观察组VAS评分均低于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:老年股骨颈骨折手术患者应用快速康复护理的效果较佳,不仅可以改善、强化髋关节功能,同时还能缓解疼痛,减少并发症发生,从而缩短住院时间,促进病情康复。

Objective:To explore the effect of rapid rehabilitation nursing on elderly patients with femoral neck fracture undergoing surgery.Method:A total of 100 elderly patients with femoral neck fracture admitted to Nan’an Hospital from January 2022 to December 2022 were enrolled.All patients were treated with hip replacement.They were randomly divided into the control group and the observation group,50 cases in each group.The control group received routine,the observation group received rapid rehabilitation.The Harris hip function score was used to evaluate the excellent recovery of joint function in the two groups,the time of getting out of bed,length of hospitalization and hospitalization cost of the two groups were analyzed,the visual analog scale(VAS)was used to evaluate the degree of pain before and after nursing 2 and 4 weeks,and the incidence of complications was observed in the two groups.Result:The excellent and good rate of hip joint function in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).The time of getting out of bed and the length of hospitalization in the observation group were shorter than those in the control group,and the hospitalization cost was lower than that in the control group,the differences were statistically significant(P<0.05).Before nursing,there was no significant difference in VAS scores between the two groups(P>0.05);after 2 and 4 weeks of nursing,the VAS scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:The effect of rapid rehabilitation nursing is better in elderly patients undergoing surgery with femoral neck fracture.It can not only improve and strengthen the function of hip joint,but also relieve pain and reduce complications,so as to shorten the hospitalization time and promote the recovery of disease.