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目的探讨综合性护理干预对股骨近端髓内钉内固定术治疗老年股骨转子间骨折患者术后髋关节功能的影响,为临床疾病康复指导提供可靠依据。方法选取2015年5月—2016年5月于蚌埠医学院第一附属医院就诊并同意参与本次研究的老年股骨转子间骨折患者98例,均进行股骨近端髓内钉内固定术,按随机数字表法分为2组,对照组49例,开展常规护理干预,包括术前检查、用药指导、合理饮食等;观察组49例,开展综合护理干预,包括术前准备工作、心理护理、术后病情观察、并发症预防、疼痛护理、肢体功能锻炼等,采用Harris评分标准对2组患者术后髋关节功能恢复情况进行评定,比较2组术后并发症发生情况,同时设计问卷调查表,对患者护理满意度进行评定,组间术后髋关节功能恢复情况比较采用t检验,组间术后并发症采用χ~2检验,组间护理满意度采用秩和检验,P<0.05为差异有统计学意义。结果观察组治疗后Harris评分为(86.81±10.62)分,高于对照组[(72.32±7.43)分],差异有统计学意义(t=7.826,P<0.05);观察组术后并发症发生率为4.08%,低于对照组的18.37%,差异有统计学意义(χ~2=5.018,P<0.05);观察组护理满意度为97.96%,高于对照组的75.51%,差异有统计学意义(Hc=3.501,P<0.05)。结论对老年转子间骨折患者开展股骨近端髓内钉内固定术的同时,配合综合护理干预措施的开展,可促进患者髋关节功能恢复,同时可降低术后并发症发生率,提高护理质量,具有良好的应用效果。
Objective To investigate the effect of comprehensive nursing intervention on the function of hip joint in patients with senile intertrochanteric fractures treated with proximal femoral nail in order to provide a reliable basis for rehabilitation guidance of clinical diseases. Methods A total of 98 elderly patients with intertrochanteric fracture were selected from the First Affiliated Hospital of Bengbu Medical College from May 2015 to May 2016. All patients underwent proximal femoral nailing, The digital meter method was divided into two groups, control group, 49 cases, to carry out routine nursing interventions, including preoperative examination, medication guidance, reasonable diet, etc .; observation group of 49 cases, to carry out comprehensive nursing interventions, including preoperative preparation, psychological care, Postoperative condition observation, prevention of complications, pain care and limb functional exercise. Harris score was used to evaluate the postoperative hip joint function recovery in two groups. Comparisons were made between two groups of postoperative complications. At the same time, questionnaires were designed, T-test was used to compare the postoperative recovery of hip joint function between groups. Χ ~ 2 test was used to evaluate the postoperative complication, and rank sum test was used to evaluate the nursing satisfaction of patients. P <0.05 was considered as the difference Statistical significance. Results The Harris score of the observation group was (86.81 ± 10.62) points higher than that of the control group [(72.32 ± 7.43) points], the difference was statistically significant (t = 7.826, P <0.05) The rate of nursing satisfaction in the observation group was 97.96%, which was higher than that of the control group (75.51%), the difference was statistically significant (χ ~ 2 = 5.018, P <0.05) Significance (Hc = 3.501, P <0.05). Conclusion In the treatment of intertrochanteric fracture in elderly patients with proximal femoral nail fixation, combined with comprehensive nursing interventions can promote functional recovery of patients with hip joint, while reducing the incidence of postoperative complications and improve the quality of care, Has a good application effect.