改良定式易筋经锻炼联合健康意识理论护理干预对髋部骨折术后患者的影响

Effect of Modified Set Yijinjing Exercise Combined with Health Consciousness Theory Nursing Intervention on Postoperative Patients after Hip Fracture

目的:探讨改良定式易筋经锻炼联合健康意识理论护理干预对髋部骨折术后患者髋关节功能及骨折愈合时间的影响.方法:选取2022年10月至2024年2月驻马店市第二中医院收治的80例髋部骨折术后患者为研究对象.根据护理方法,将其分为研究组(n=40,予以改良定式易筋经锻炼联合健康意识理论护理)和对照组(n=40,予以常规护理).比较统计两组患者骨折愈合时间、并发症发生情况及干预前、干预8周髋关节评分表(Harris)、健康行为能力自评量表(SRAHP)、日常生活活动能力量表(ADL)评分.结果:研究组患者住院、骨折愈合时间短于对照组,并发症总发生率(2.50%)低于对照组(15.00%),差异有统计学意义(P<0.05);干预8周后研究组Harris、SRAHP、ADL评分高于对照组,差异有统计学意义(P<0.05).结论:改良定式易筋经锻炼联合健康意识理论护理干预应用于髋部骨折术后患者,能有效改善患者髋关节功能,缩短骨折愈合时间,降低并发症发生率,提升健康行为水平,提高生活活动能力.

Objective:To explore the effect of modified set Yijinjing exercise combined with health consciousness theory nursing intervention on hip joint function and fracture healing time of postoperative patients after hip fracture.Methods:A total of 80 patients with hip fracture who were admitted to Zhumadian second hospital of TCM from October 2022 to February 2024 were selected and divided into study group(n=40,received modified fixed-form Yijinjing exercise combined with health awareness theory nursing)and control group(n=40,received routine nursing)according to different nursing methods.The fracture healing time,the occurrence of complications,and the scores of the hip rating scale(Harris),the self-rating scale of health behavior ability(SRAHP)and the activity of daily living scale(ADL)before and after 8 weeks of intervention were compared between the two groups.Results:The hospitalization and fracture healing time in study group were shorter than those in control group,and the total incidence of complications(2.50%)was lower than that in control group(15.00%),and the differences were statistically significant(P<0.05).After 8 weeks of intervention,the scores of Harris,SRAHP,and ADL in study group were higher than those in control group,and the differences were statistically significant(P<0.05).Conclusion:The application of modified set Yijinjing exercise combined with health consciousness theory nursing intervention in patients after hip fracture surgery can improve hip joint function,shorten fracture healing time,reduce the incidence of complications,enhance the level of health behavior,and improve the ability of living activities.