基于循证医学的围手术期综合护理对股骨粗隆间骨折手术患者的应用效果分析

Application Effect Analysis of Perioperative Comprehensive Nursing Based on Evidence-based Medicine for Patients with Intertrochanteric Fracture of Femur

目的:观察基于循证医学在股骨粗隆间骨折手术患者围手术期护理中的应用效果。方法:选取2020年1月—2022年2月平顶山市第二人民医院接受手术治疗的103例股骨粗隆间骨折患者作为研究对象,基于抽签法,将围手术期仅实施常规护理的51例患者设为对照组,并将基于循证医学实施围手术期护理的52例患者设为观察组,比较两组患者的生理、心理康复情况,对所有患者开展为期6个月的短期随访,观察两组患者术后并发症发生情况及生活质量。结果:护理后,观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,差异有统计学意义(t=2.832、2.669,P<0.05);观察组骨折愈合时间、视觉模拟评分法(VAS)评分、住院时间低于对照组,下肢Fugl-Meyer运动功能(FMA)评分高于对照组,差异有统计学意义(t=2.711、3.575、2.422、2.765,P<0.05);随访期间,观察组的日常活动能力评定(ADL)量表各维度评分高于对照组,差异有统计学意义(t=2.481、3.710,P<0.05);术后并发症发生率低于对照组,差异有统计学意义(χ^(2)=5.137,P<0.05)。结论:基于循证医学为股骨粗隆间骨折手术患者制定并实施围手术期护理方案可有效促进其术后生理、心理状态恢复,对提高患者远期生活质量、降低并发症发生风险均有重要意义。

Objective:To observe the effect of evidence-based medicine in perioperative nursing care of patients with intertrochanteric fracture of femur.Methods:103 patients with intertrochanteric fracture of femur who received surgical treatment in the hospital from January 2020 to February 2022 were taken as the research objects,and they were divided into the control group(51 cases)who only received routine care and the observation group(52 cases)who performed perioperative care based on evidence-based medicine by computer grouping method.The physiological and psychological rehabilitation of the two groups of patients were compared,and all patients were followed up for a short period of 6 months.The postoperative complications and quality of life were observed in the two groups.Results:After nursing,the SAS and SDS scores of the observation group were lower than those of the control group(t=2.832,2.669;P<0.05).The fracture healing time,VAS scores and hospital stay were lower than those in the control group,and the FMA scores were higher than those in the control group(t=2.711,3.575,2.422,2.765;P<0.05).During the follow-up period,ADL scores of different dimensions were higher than those of the control group(t=2.481,3.710;P<0.05),and the incidence of postoperative complications was lower than the control group(χ^(2)=5.137,P<0.05).Conclusion:Based on evidence-based medicine,formulating and implementing perioperative nursing programs for patients with intertrochanteric fracture of the femur can effectively promote their postoperative physiological and psychological recovery,which is of great significance in improving the long-term quality of life of patients and reducing the risk of complications.