基于量化评估策略的手术室护理在老年髋部骨折内固定术患者中的应用效果

Effects of operating room nursing based on quantitative evaluation strategy on elderly patients with hip fracture internal

目的:观察基于量化评估策略的手术室护理在老年髋部骨折内固定术患者中的应用效果。方法:选取2019年8月至2022年8月于该院行髋部骨折内固定术的118例老年患者进行前瞻性研究,按照随机数字表法将其分为研究组与对照组各59例。对照组采用常规手术室护理,研究组采用基于量化评估策略的手术室护理,比较两组手术相关指标(术中出血量、手术时间、术后首次下床活动时间)水平,简明健康调查量表(SF-36)评分和并发症发生率。结果:研究组手术时间、术后首次下床活动时间短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05);出院时,两组SF-36各维度评分高于术前,且研究组高于对照组,差异均有统计学意义(P<0.05);住院期间,研究组并发症发生率为6.78%,明显低于对照组的25.42%,差异有统计学意义(P<0.05)。结论:基于量化评估策略的手术室护理用于老年髋部骨折内固定术患者可缩短手术时间、术后首次下床活动时间,提高SF-36评分,降低术中出血量和并发症发生率,效果优于常规手术室护理。

Objective:To observe effects of operating room nursing based on quantitative evaluation strategy on elderly patients with hip fracture internalfixation.Methods:A prospective study was conducted on 118 elderly patients who underwent hip fracture internalfixation in this hospital from August 2019 to August 2022.According to the random number table method,they were divided into study group and control group,59 cases in each group.The control group was treated with routine operating room nursing,while the study group was treated with the operating room nursing based on quantitative evaluation strategy.The levels of operation-related indicators(intraoperative blood loss,operation time,first out-of-bed after the surgery),the short form health survey scale(SF-36)score,and the incidence of complications were compared between the two groups.Results:The operation time and thefirst out-of-bed after the surgery in the study group were shorter than those in the control group,the intraoperative blood loss was lower than that in the control group,and the differences were statistically significant(P<0.05).At discharge,the scores of each dimension of SF-36 in the two groups were higher than those before the surgery,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).During hospitalization,the incidence of complications in the study group was 6.78%,which was significantly lower than 25.42%in the control group,and the difference was statistically significant(P<0.05).Conclusions:The operating room nursing based on quantitative evaluation strategy for the elderly patients with hip fracture internalfixation can shorten the operation time and thefirst out-of-bed after the surgery,improve the SF-36 scores,and reduce the intraoperative blood loss and the incidence of complications.Moreover,it is superior to the routine operating room nursing.