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基于快速康复外科理念的护理模式在老年股骨颈骨折患者围术期中的应用效果

Application Effect of Nursing Mode Based on Fast Track Surgery Concept in Perioperative Period of Elderly Patients with Femoral Neck Fracture
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摘要 目的:探讨基于快速康复外科(FTS)理念的护理模式在老年股骨颈骨折患者围术期中的应用效果。方法:选取泰兴市人民医院收治的96例老年股骨颈骨折患者(收治时间:2021年6月—2022年10月)作为研究对象,以随机数字表法分为观察组和对照组,各43例。对照组给予常规护理,观察组接受基于FTS理念的护理模式。比较两组护理效果。结果:与对照组相比,观察组骨折愈合时间、首次下地活动时间、住院时间均更短(P<0.05)。护理前,两组Harris髋关节功能评分量表(HHS)、视觉模拟评分法(VAS)、Barthel指数(BI)评分对比,无统计学差异(P>0.05);护理后,两组HHS、BI评分均升高,且观察组比对照组高;两组VAS评分均降低,且观察组比对照组低(P<0.05)。观察组并发症总发生率为2.33%,低于对照组(P<0.05)。观察组护理总满意度为97.69%,高于对照组(P<0.05)。结论:基于FTS理念的护理模式在老年股骨颈骨折患者围术期中的应用效果良好,能改善患者围术期指标,减轻患者疼痛,促进髋关节功能、日常生活能力恢复,减少并发症,提高护理满意度。 Objective:To investigate the application effect of nursing mode based on fast track surgery(FTS)concept in perioperative period of elderly patients with femoral neck fracture.Methods:A total of 96 elderly patients with femoral neck fracture admitted to Taixing People's Hospital(admission time:June 2021 to October 2022)were selected as the study subjects.They were divided into an observation group and a control group according to the random number table method,with 43 cases in each group.The control group received routine nursing and the observation group received nursing mode based on FTS concept.The nursing effects of the two groups were compared.Results:Compared with the control group,the fracture healing time,the first weight-bearing ambulation time,and the length of hospital stay in the observation group were shorter(P<0.05).Before nursing,there was no statistical difference in Harris Hip Score(HHS),Visual Analogue Scale(VAS)and Barthel Index(BI)scores between the two groups(P>0.05).After nursing,the HHS and BI scores in two groups increased,and the scores in the observation group were higher than those in the control group;The VAS scores in two groups decreased,and the scores in the observation group were lower than those in the control group(P<0.05).The total incidence of complications in the observation group was 2.33%,which was lower than that in the control group(P<0.05).The total satisfaction degree in the observation group was 97.69%,which was higher than that in the control group(P<0.05).Conclusion:The nursing mode based on the FTS concept has a good effect in the perioperative period of elderly patients with femoral neck fracture,and can improve the perioperative indexes of patients,relieve the pain of patients,promote the recovery of hip joint function and daily living ability,reduce complications,and improve nursing satisfaction degree.
作者 陈丽 刘蓉 Chen Li;Liu Rong(Operating Room,Taixing People's Hospital,Taixing 225400,Jiangsu Province,China)
出处 《中国社区医师》 2024年第30期101-103,共3页 Chinese Community Doctors
关键词 股骨颈骨折 老年 快速康复外科理念 围术期 Femoral neck fracture Elderly Fast track surgery concept Perioperative period
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