手术室护理在老年股骨粗隆间骨折术中的应用

Application of operating room nursing in the operation of senile intertrochanteric fracture of femur

目的探讨基于量化评估策略的手术室护理在老年骨质疏松性股骨粗隆间骨折术中的应用。方法选取2019年3月—2021年3月收治的老年骨质疏松性股骨粗隆间骨折患者100例,随机分为观察组和对照组各50例。对照组患者接受手术室常规护理,观察组患者接受基于量化评估策略的手术室护理。比较两组患者的切口感染发生率、炎性因子变化水平以及护理满意率。结果术后第1周,两组患者切口感染发生率比较,差异无统计学意义(P>0.05);术后1个月,观察组患者切口感染发生率低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组患者的IL-6和TNF-α水平均低于对照组,差异均有统计学意义(P<0.05)。观察组患者护理总满意率为96.00%,高于对照组的82.00%,差异有统计学意义(χ^(2)=10.010,P<0.05)。结论基于量化评估策略的手术室护理可以有效夯实老年骨质疏松性股骨粗隆间骨折患者的护理质量,通过对患者进行优质的专业护理达到有效预防术后切口感染的目的,帮助患者改善炎性因子水平,促进患者预后,并提升护理满意度,值得临床推广应用。

Objective To explore the application of operating room nursing based on quantitative evaluation strategy in the operation of elderly patients with osteoporotic femoral intertrochanteric fracture.Methods A total of 100 elderly patients with osteoporotic femoral intertrochanteric fracture from March 2019 to March 2021 were selected and randomly divided into observation group and control group,with 50 cases in each group.Patients in the control group received routine nursing in the operating room,while patients in the observation group received nursing in the operating room based on quantitative evaluation strategy.The incidence of incision infection,changes of inflammatory factors and nursing satisfaction rate of the two groups were compared.Results At first week after operation,there was no significant difference in the incidence of incision infection between the two groups(P>0.05),the incidence of incision infection in the observation group was lower than that in the control group at 1 month after operation,and the difference was statistically significant(P<0.05).After treatment,the levels of IL-6 and TNF-αin the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total nursing satisfaction rate of patients in the observation group was 96.00%,which was higher than 82.00%of the control group,and the difference was statistically significant(χ^(2)=10.010,P<0.05).Conclusion The operating room nursing based on quantitative evaluation strategy could effectively consolidate the nursing quality of elderly patients with osteoporotic femoral intertrochanteric fracture.Through high-quality professional nursing for patients,it could effectively prevent postoperative incision infection,help patients improve the level of inflammatory factors,promote the prognosis of patients,and improve nursing satisfaction,which was worthy of clinical promotion and application.