加速康复外科联合舒适护理对老年股骨颈骨折患者的影响

Effect of enhanced recovery after surgery combined with comfort care on elderly patients with femoral neck fracture

目的分析加速康复外科(enhanced recovery after surgery,ERAS)联合舒适护理对老年股骨颈骨折(femoral neck fracture,FNF)患者的影响。方法选取开封市人民医院2020年8月至2022年8月收治的82例老年股骨颈骨折患者为研究对象,分为对照组和研究组,每组41例。对照组行常规护理,研究组行ERAS联合舒适护理,比较两组的心理状态、髋关节功能、疼痛程度、并发症及生活质量。结果护理后,研究组焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)评分均低于对照组(P<0.001);研究组护理后1个月、3个月及6个月Harris评分较对照组高(P<0.001);研究组术后1 d、3 d、5 d及7 d视觉模拟评分法(visual analogue scale,VAS)评分较对照组低(P<0.05);研究组并发症发生率较对照组低(4.88%vs.24.39%,P=0.012);研究组社会功能、心理功能、躯体功能及物质生活评分均较对照组高(P<0.001)。结论老年FNF患者应用ERAS联合舒适护理,有利于减少并发症,提高生活质量,减轻术后疼痛,并促进髋关节功能恢复,改善心理状态。

Objective To analyze the effect of enhanced recovery after surgery(ERAS)combined with comfort care on elderly patients with neck of femur fracture(FNF).Methods 82 elderly patients with neck of femur fracture who were admitted to Kaifeng People's Hospital from August 2020 to August 2022 were selected and divided into the control group and the study group,with 41 cases in each group.The control group received routine nursing care,and the study group received ERAS combined with comfort nursing care.The psychological status,hip joint function,pain degree,complications and quality of life of the two groups were compared.Results After nursing,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of the study group were lower than those in the control group(P<0.001).The Harris scores of the study group were higher than those of the control group at 1 month,3 months,and 6 months after nursing(P<0.001).The visual analogue scale(VAS)scores of the study group at 1 day,3 days,5 days,and 7 days after surgery were lower than those of the control group(P<0.05).The incidence of complications in the study group was lower than that in the control group(4.88%vs.24.39%,P=0.012).The social function,psychological function,physical function,and material life scores of the study group after nursing were higher than those of the control group(P<0.001).Conclusion The application of ERAS combined with comfort care in elderly FNF patients is beneficial for reducing complications,promoting patients'quality of life,alleviating postoperative pain,promoting hip joint function improvement,and improving patients'psychological status.