循证护理在股骨粗隆间骨折护理中的应用效果

The Effect of Evidence-Based Nursing in the Care of Intertrochanteric Femur Fracture

目的 分析循证护理在股骨粗隆间骨折护理中的应用效果。方法 纳入2021年10月至2023年10月尤溪县中医医院收治的股骨粗隆间骨折患者171例,采用随机数字表法分组,对照组86例,观察组85例。对照组采取常规护理,观察组采取循证护理,对比两组实施效果。结果 观察组术后恢复指标[功能训练(6.10±0.76)d、住院(11.95±1.25)d、骨折愈合(2.90±0.24)月]优于对照组[功能训练(7.23±1.19)d、住院(14.82±1.65)d、骨折愈合(3.54±0.26)月](P<0.05)。观察组疼痛和睡眠质量评分[VAS(2.29±0.40)分、PSQI(2.75±0.36)分]低于对照组[VAS(4.12±0.52)分、PSQI(4.02±0.42)分](P<0.05)。观察组髋关节功能和生活能力评分[Harris(73.28±5.37)分、Barthel(64.85±6.62)分]高于对照组[Harris(62.34±4.85)分、Barthel(56.55±5.69)分](P<0.05)。观察组并发症发生率(2.35%)低于对照组(11.63%)(P<0.05)。观察组护理满意度(97.65%)高于对照组(82.56%)(P<0.05)。结论 对股骨粗隆间骨折手术患者采取循证护理,有助于改善患者睡眠质量、疼痛程度、髋关节功能、生活能力,利于术后尽早恢复,预防并发症,患者护理满意度较高。

Objective To analyze the application effect of evidence-based nursing in the care of intertrochanteric fracture of femur.Methods A total of 171 patients with intertrochanteric fracture of the femur admitted to Youxi County Hospital of Traditional Chinese Medicine from October 2021 to October 2023 were included and grouped by randomized numerical table method,86 cases in the control group and 85 cases in the observation group.The control group adopted conventional nursing,and the observation group adopted evidence-based nursing,comparing the implementation effect of the two groups.Results The postoperative recovery indexes of the observation group[functional training(6.10±0.76)d,hospitalization(11.95±1.25)d,and fracture healing(2.90±0.24)months]were better than those of the control group[functional training(7.23±1.19)d,hospitalization(14.82±1.65)d,and fracture healing(3.54±0.26)months](P<0.05).Pain and sleep quality scores[VAS(2.29±0.40)points,PSQI(2.75±0.36)points]were lower in the observation group than in the control group[VAS(4.12±0.52)points,PSQI(4.02±0.42)points](P<0.05).The scores of hip function and living ability in the observation group[Harris(73.28±5.37)score,Barthel(64.85±6.62)score]were higher than those in the control group[Harris(62.34±4.85)score,Barthel(56.55±5.69)score](P<0.05).The complication rate of the observation group(2.35%)was lower than that of the control group(11.63%)(P<0.05).The nursing satisfaction of the observation group(97.65%)was higher than that of the control group(82.56%)(P<0.05).Conclusions Adopting evidence-based nursing care for patients with intertrochanteric femur fracture surgery helps to improve patients'sleep quality,pain level,hip function,and ability to live,facilitates early postoperative recovery,prevents complications,and results in higher patient care satisfaction.