基于风险评估的分层护理在股骨转子间骨折术后患者中的应用效果

Application effects of stratified nursing based on risk assessment in postoperative patients with intertrochanteric fracture of femur

目的:观察基于风险评估的分层护理在股骨转子间骨折术后患者中的应用效果。方法:回顾性分析2019—2022年该院收治的75例股骨转子间骨折术后患者的临床资料,根据护理方法不同将其分为对照组(n=40)和观察组(n=35)。对照组实施常规护理,观察组实施基于风险评估的分层护理。比较两组护理前及护理1、3个月后髋关节功能[Harris髋关节功能评分(HHS)]评分、疼痛程度[视觉模拟评分法(VAS)]评分、并发症发生率及护理满意度。结果:护理1、3个月后,两组HHS评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组VAS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为5.71%(2/35),低于对照组的22.50%(9/40),差异有统计学意义(P<0.05);观察组护理满意度为91.43%(32/35),高于对照组的72.50%(29/40),差异有统计学意义(P<0.05)。结论:基于风险评估的分层护理应用于股骨转子间骨折术后患者可提高髋关节功能评分和护理满意度,以及降低疼痛程度评分和并发症发生率的效果优于常规护理效果。

Objective:To observe application effects of stratified nursing based on risk assessment in postoperative patients with intertrochanteric fracture of femur.Methods:The clinical data of 75 patients with intertrochanteric fractures treated in this hospital from 2019 to 2022 were retrospectively analyzed.According to different nursing methods,they were divided into control group(n=40)and observation group(n=35).The control group received routine nursing,while the observation group received the stratified nursing based on risk assessment.The hip joint function[Harris hip scale(HHS)]score,the pain degree[visual analogue scale(VAS)]score,the incidence of complications,and the nursing satisfaction were compared between the two groups before and 1 and 3 months after the nursing Results:After 1 and 3 months of nursing,the HHS scores of the two groups were higher than those before nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The VAS scores of the two groups were lower than those before nursing,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 5.71%(2/35),which was lower than 22.50%(9/40)in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 91.43%(32/35),which was higher than 72.50%(29/40)of the control group,and the difference was statistically significant(P<0.05).Conclusions:Stratified nursing based on risk assessment can improve the hip function scores and the nursing satisfaction,and reduce the pain scores and the incidence of complications for the postoperative patients with intertrochanteric fractures Moreover,it is superior to the routine nursing.