持续性护理对老年股骨粗隆间骨折术后患者的效果北大核心CSCD

目的探讨持续性护理干预对老年股骨粗隆间骨折股骨近端抗旋髓内钉(PFNA)内固定术后肢体功能康复和护理质量的影响。方法2017年2月至2018年11月,本院100例行PFNA内固定术的老年股骨粗隆间骨折患者随机分为对照组(n=50)和观察组(n=50),分别采用常规护理干预和持续性护理干预3个月。干预前、后分别用Harris评分和疼痛视觉模拟量表(VAS)进行评定,比较术后护理效果。结果干预后,两组Harris评分均显著升高(t>45.98,P<0.001),观察组显著高于对照组(t=15.03,P<0.001);两组VAS评分均显著下降(t>16.33,P<0.001),观察组显著低于对照组(t=9.749,P<0.001)。干预后,观察组临床护理优良率高于对照组(Z=-2.272,P=0.023)。结论持续性护理干预可以显著改善老年股骨粗隆间骨折PFNA内固定术后患者患肢功能,提高护理满意度。

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

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.