持续性护理对老年股骨粗隆间骨折术后患者的效果

doi:10.3969/j.issn.1006-9771.2022.02.006

Abstract

Abstract:

Objective To explore the effect of continuous nursing intervention on limb function and nursing quality after proximal femoral nail antirotation (PFNA) internal fixation for femoral intertrochanteric fracture in the elderly. Methods From February, 2017 to November, 2018, 100 elderly patients with femoral intertrochanteric fracture who underwent PFNA internal fixation in our hospital were randomly divided into control group (n = 50) and observation group (n = 50), who accepted routine nursing and continuous nursing respectively for three months. They were assessed with Harris score and visual analogue scale for pain (VAS) before and after the intervention. The postoperative nursing effect was compared. Results The Harris score increased in both groups after the intervention (t > 45.98, P < 0.001), and increased more in the observation group than in the control group (t = 15.03, P < 0.001). The VAS score decreased in both groups after the intervention (t > 16.33, P < 0.001), and decreased more in the observation group than in the control group (t = 9.749, P < 0.001). The effect of nursing was better in the observation group than in the control group (Z = -2.272, P = 0.023). Conclusion Continuous nursing intervention can significantly improve the limb function and nursing satisfaction of elderly patients with femoral intertrochanteric fracture after PFNA.

Key words: continuous nursing, aged, femoral intertrochanteric fracture, limb function, nursing quality

CLC Number:

R687.3

ZHAO Kecong,ZHANG Baocui,FAN Jingyu,YANG Wei,WANG Xuehua,YUE Xiaoxin,CAO Yanyuan,CHEN Ruikun,LIU Siyu,MIN Hongwei. Effect of continuous nursing intervention on nursing quality and postoperative function in elderly patients after femoral intertrochanteric fracture[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(2): 170-174.

Figures/Tables 4

References 27

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项目		对照组 (n = 50)	观察组(n = 50)	t/χ²值	P值
性别/n	男性	33	34	0.045	0.832
性别/n	女性	17	16	0.045	0.832
年龄/岁		74.95±1.92	74.99±1.95	0.103	0.918
Evans分型/n	Ⅰ型	16	12	0.983	0.612
	Ⅱ型	24	25
	Ⅲ型	10	13
受伤原因/n	车祸伤	15	12	0.457	0.499
受伤原因/n	摔伤	35	38	0.457	0.499

组别	n	干预前	干预后	t值	P值
对照组	50	39.35±2.54	65.71±3.16	45.98	< 0.001
观察组	50	40.22±2.55	75.66±3.45	58.41	< 0.001
t值		1.709	15.03
P值		0.091	< 0.001

组别	n	干预前	干预后	t值	P值
对照组	50	6.37±1.27	3.21±0.51	16.33	< 0.001
观察组	50	6.41±1.32	2.35±0.36	20.98	< 0.001
t值		0.154	9.749
P值		0.878	< 0.001

Effect of continuous nursing intervention on nursing quality and postoperative function in elderly patients after femoral intertrochanteric fracture

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组别	n	显效	有效	无效
对照组	50	13	28	9
观察组	50	21	27	2