老年股骨颈骨折患者行人工股骨头置换术的围术期护理干预分析

Perioperative Nursing Intervention Analysis of Artificial Femoral Head Replacement in Elderly Patients with Femoral Neck Fracture

目的:分析老年股骨颈骨折患者行人工股骨头置换术的围术期护理干预措施与实施效果。方法:选取2015年1月-2017年12月本院收治的老年股骨颈骨折患者60例。经信封式分组法将其分为对照组和观察组,各30例。对照组给予常规围术期护理干预,观察组给予围术期系统化康复护理干预。比较两组关节功能(Harris评分)、术后并发症发生情况。结果:护理后,观察组各维度髋关节Harris评分及总分均高于对照组,比较差异均有统计学意义(P<0.05);观察组术后并发症发生率为3.33%,低于对照组的23.33%(P<0.05)。结论:老年股骨颈骨折患者行人工股骨头置换术的围术期系统化康复护理干预效果显著,其对患者关节功能改善有利。

Objective:To analyze the perioperative nursing intervention of artificial femoral head replacement in elderly patients with femoral neck fracture.Method:A total of 60 elderly patients with femoral neck fracture admitted to our hospital from January 2015 to December 2017 were selected.By envelope grouping method,they were divided into control group and observation group,30 cases in each group.The control group was given routine perioperative nursing intervention,while observation group was given systematic perioperative rehabilitation nursing intervention.The joint function(Harris score)and complications between two groups were compared.Result:After nursing,the each dimension of Harris score and total score in observation group were higher than those of control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications in observation group was 3.33%,which was lower than 23.33% in control group(P<0.05).Conclusion:Systematic rehabilitation nursing intervention for elderly patients with femoral neck fracture undergoing artificial femoral head replacement during perioperative period has significant effect,which is beneficial to improve the joint function of patients.