医护合作的功能锻炼指导在股骨颈骨折术后老年患者功能锻炼中的应用

目的探讨医护合作的功能锻炼指导模式对股骨颈骨折术后患者住院期间功能锻炼依从性的影响。方法选取60例股骨颈骨折老年患者，随机分为观察组与对照组各30例。对照组给予常规的功能锻炼指导模式，观察组给予医护合作的功能锻炼指导模式。结果观察组患者完全按照医护人员要求的动作、时间和部位进行功能锻炼的人数多于对照组，差异均有统计学意义（x2分别为10．184，10．311，15．148；P〈0．05）；出院时观察组患者功能锻炼动作掌握的平均个数为（5．65±0．63）个，多于对照组的（3．62±0．64）个，差异有统计学意义（t=11．963，P〈0．01）。结论医护合作的功能锻炼指导模式有利于提高股骨颈骨折术后老年患者住院期间功能锻炼的依从性。

Application of physician-nurse collaborative functional exercise instruction to improve the compliance of elderly femoral neck fracture patients after surgery

Objective To investigate the influence of physician-nurse collaborative functional exercise instruction mode on the compliance of elderly femoral neck fracture patients. Methods 60 elderly patients with femoral neck fracture were randomly divided into the experimental group and the control group, each with 30cases. The control group was treated with conventional functional exercise instruction while the experimental group was tre~ited with physician-nurse collaborative functional exercise instruction. Results The patients who took functional exercise according to the exact action, time and part as doctors and nurses requested were more in the experimental group than in the control group, and the differences were statistically significant （X2 = 10. 184,10. 311,15. 148, respectively; P 〈 0. 05）. When discharged from the hospital, the patients in the experimental group could grasp （5.65 ±0.63 ） exercise action, better than （3.62 ± 0.64） in the control group, and the difference was statistically significant（t = 11. 963 ,P 〈0.01 ）. Conclusions Physician-nurse collaborative functional exercise instruction mode is helpful to improve the compliance of elderly femoral neck fracture patients in the hospital.