损伤控制理论在股骨转子间骨折患者急诊手术后护理中的应用

Application of Damage Control Theory in Postoperative Nursing Care for Patients with Intertrochanteric Femur Fractures

目的探索损伤控制理论应用于股骨转子间骨折患者急诊手术后护理中的临床价值。方法回顾性选取2022年5月至2024年5月厦门弘爱医院收治的68例股骨转子间骨折患者为研究对象,根据术后护理模式的差异分为观察组(采取损伤控制理论下急诊术后的护理)与对照组(常规护理),每组34例。比较临床疗效、生活质量、疼痛程度、不良心理和不良反应情况。结果观察组研究对象临床总有效率为94.12%,显著高于对照组的67.65%(P=0.006)。干预前,两组研究对象生活质量QOL评分、疼痛程度VSA评分、焦虑SAS评分和抑郁SDS评分均无显著差异(P>0.05);干预后观察组研究对象QOL评分显著高于对照组,VSA评分显著低于对照组,SAS评分和SDS评分均显著低于对照组(P<0.001)。观察组研究对象不良反应总发生率为11.76%,显著低于对照组的32.35%(P<0.05)。结论损伤控制理论指导下的护理可提高股骨转子间骨折患者的临床疗效,改善患者的生活质量,降低疼痛程度,减少不良情绪,控制不良反应的发生。

Objective To investigate the clinical value of applying damage control theory in the postoperative nursing care of patients with intertrochanteric femur fractures undergoing emergency surgery.Methods A retrospective study was conducted on 68 patients with intertrochanteric femur fractures who underwent emergency surgery at Xiamen Hong'ai Hospital from May 2022 to May 2024.Based on postoperative nursing methods,the patients were divided into an observation group(postoperative nursing under damage control theory)and a control group(routine nursing),with 34 cases in each group.Clinical efficacy,quality of life,pain levels,adverse psychological conditions,and adverse reactions were compared between the two groups.Results The overall clinical efficacy rate in the observation group was 94.12%,significantly higher than the control group's 67.65%(P=0.006).Before intervention,there were no significant differences in qua lity of life(QOL)scores,Visual Analog Scale(VAS)pain scores,Self-Rating Anxiety Scale(SAS)scores,and Self-Rating Depression Scale(SDS)scores between the two groups(P>0.05).After intervention,the observation group had significantly higher QOL scores,lower VAS pain scores,and lower SAS and SDS scores compared to the control group(P<0.001).The total incidence of adverse reactions in the observation group was 11.76%,significantly lower than the control group's 32.35%(P<0.05).Conclusion Nursing guided by damage control theory can improve clinical efficacy,enhance the quality of life,reduce pain levels,alleviate adverse psychological conditions,and control the incidence of adverse reactions in patients with intertrochanteric femur fractures.