思维导图引导下的康复护理在股骨颈骨折术后患者中的应用效果

Application effects of mind map-guided rehabilitation nursing in postoperative patients with femoral neck fractures

目的:探讨思维导图引导下的康复护理在股骨颈骨折术后患者中的应用效果。方法:回顾性分析2020年12月至2022年8月该院收治的104例股骨颈骨折术后患者的临床资料,按照护理方法不同将其分为研究组与对照组各52例。对照组实施常规术后护理,研究组在对照组基础上实施思维导图引导下的康复护理。比较两组护理前后汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、成年人健康自我管理能力测评量表(AHSMARS)、自我护理能力量表(ESCA)、Barthel指数、Harris髋关节功能量表(HHS)评分,护理满意度。结果:护理后,研究组HAMA、HAMD评分均低于对照组,AHSMARS、ESCA、Barthel指数及HHS评分均高于对照组,差异有统计学意义(P<0.05);研究组护理满意度为98.08%(51/52),高于对照组的76.92%(40/52),差异有统计学意义(P<0.05)。结论:思维导图引导下的康复护理应用于股骨颈骨折术后患者中,能改善其关节功能和心理状况,降低并发症发生率,提高其生命质量、健康行为及护理满意度。

Objective:To explore application effects of mind map-guided rehabilitation nursing in postoperative patients with femoral neck fractures.Methods:The clinical data of 104 patients with femoral neck fractures treated in this hospital from December 2020 to August 2022 were retrospectively analyzed.According to different nursing methods,they were divided into study group and control group,52 cases in each group.The control group was given routine postoperative nursing,while the study group was given the mind map-guided rehabilitation nursing on the basis of the routine postoperative nursing.The scores of Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),adult health self-management skill for reliability scale(AHSMARS),exercise of self-care agency scale(ESCA),Barthel index,Harris hip function scale(HHS)score before and after the nursing,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the HAMA and HAMD scores of the study group were lower than those of the control group,the AHSMARS,ESCA,Barthel index and HHS scores were higher than those of the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction of the study group was 98.08%(51/52),which was higher than 76.92%(40/52)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The mind map-guided rehabilitation nursing in the postoperative patients with femoral neck fractures can improve the joint function,improve the psychological status,reduce the incidence of complications,improve their quality of life and health behavior,and improve the nursing satisfaction.