【摘要】 目的探讨综合性护理干预对老年髋部骨折患者术后治疗依从性、髋关节功能和并发症的影响。方法选取老年髋部骨折患者76例,分为常规护理组和护理干预组,每组38例;两组患者均予以相同的手术治疗。常规护理组予以围手术期骨科常规护理,护理干预组予以综合性护理,两组的疗程均为6个月。观察并比较两组患者术后髋关节功能恢复和术后并发症情况。结果随访6个月,护理干预组总依从率明显高于常规护理组(94.74%vs 76.32%)(χ2=5.21,P<0.05);护理干预组患者术后髋关节功能恢复优良率明显高于常规护理组(92.11%vs73.68%)(χ2=4.55,P<0.05);护理干预组患者术后并发症的发生率明显低于常规护理组(7.89%vs 26.32%)(χ2=4.55,P<0.05)。结论综合性护理干预用于老年髋部骨折手术患者的效果较确切,可提高患者治疗依从性,促进术后髋关节功能的恢复,减少患者术后并发症的发生,降低其致残率。更多还原

【Abstract】 Objective To discuss influence of comprehensive nursing Intervention on postoperative treatment compliance, hip joint function and complication of patients with geriatric hip fracture. Methods A total of 76 cases of patients with geriatric hip fracture were divided into routine nursing group and nursing intervention group with 38 cases of patients in each group, and given the same surgical treatment. The patients in routine nursing group were given orthopedics routine nursing in perioperative period, while the patients in nursing intervention group were given comprehensive nursing for 6 months. The postoperative recovery of hip joint function and complication of patients in two groups were observed and compared. Results According to 6 months’ following-up, the total treatment compliance rate of patients in nursing intervention group was much higher than that in routine nursing group(94.74% vs 76.32%)(χ2=5.21, P<0.05). The good rate of postoperative hip joint function recovery of patients in nursing intervention group was much higher than that in routine nursing group(92.11% vs 73.68%)(χ2=4.55, P<0.05). The occurrence rate of postoperative complication of patients in nursing intervention group was much lower than that in routine nursing group(7.89% vs26.32%)(χ2=4.55, P <0.05). Conclusion Comprehensive nursing intervention has reliable curative effect on patients with geriatric hip fracture, which can enhance the treatment compliance of patients, improve the postoperative recovery of hip joint function, reduce the postoperative occurrence rate of complication and reduce the disability rate.更多还原