摘要
目的探究股骨颈骨折术后患者采用基于医护一体化的康复护理对其髋关节功能及疼痛程度的影响.方法选取本院2020年7月-2021年9月收治的股骨颈骨折患者112例,按照随机数字表法分为对照组和观察组,每组56例.对照组采用常规护理,观察组采用基于医护一体化的康复护理,均持续护理1个月.比较两组的髋关节功能、疼痛程度、生活质量及并发症发生情况.结果护理后,观察组的髋关节Harris评分表中疼痛、功能、关节活动度及肢体畸形评分分别为(40.42±3.21)分、(41.16±4.19)分、(3.89±0.26)分、(3.26±0.27)分,均高于对照组,组间差异有统计学意义(P<0.05).护理后,观察组的疼痛视觉模拟评分低于对照组,健康调查简表中各维度评分均高于对照组,组间差异有统计学意义(P<0.05).观察组的并发症发生率为5.36%,低于对照组的21.43%,差异有统计学意义(P<0.05).结论基于医护一体化的康复护理可有效减轻股骨颈骨折术后患者的疼痛,改善髋关节功能,提高生活质量,减少并发症,值得临床推广使用.
Objective To explore the effect of rehabilitation nursing based on medical and nursing integration on hip function and pain degree in patients with femoral neck fracture after operation.Methods A total of 112 patients with femoral neck fractures admitted to the hospital from July 2020 to September 2021 were selected and were divided into a control group and an observation group according to the random number table method,with 56 cases in each group.The control group received routine nursing,while the observation group received rehabilitation nursing based on medical and nursing integration.Both groups continued nursing for 1 month.The hip function,pain level,quality of life and complications were compared between the two groups.The hip function,pain degree,quality of life and complications were compared between the two groups.Results After nursing,the scores of pain,function,range of motion and limb deformity in Harris hip scale of the observation group were(40.42±3.21)points,(41.16±4.19)points,(3.89±0.26)points and(3.26±0.27)points,respectively,which were higher than those of the control group,the differences between groups were statistically significant(P<0.05).After nursing,the visual analogue score of pain in the observation group was lower than that in the control group,and the scores of all dimensions in the MOS item short from health survey were higher than those in the control group,and the differences between groups were statistically significant(P<0.05).The complication rate in the observation group was 5.36%,which was lower than 21.43%in the control group,and the difference was statistically significant(P<0.05).Conclusion Rehabilitation nursing based on medical and nursing integration can effectively reduce the pain of patients with femoral neck fracture after surgery,improve the function of hip joint,improve the quality of life,reduce complications,and is worthy of clinical application.
作者
范静宜
张立艳
FAN Jingyi;ZHANG Liyan(Sterile Supply Room,People's Hospital of Rizhao,Rizhao Shandong,276800,China;Department of Orthopedics,People's Hospital of Rizhao,Rizhao Shandong,276800,China)
出处
《反射疗法与康复医学》
2022年第15期148-151,162,共5页
Reflexology And Rehabilitation Medicine
关键词
股骨颈骨折
医护一体化
康复护理
髋关节功能
疼痛程度
生活质量
并发症
Femoral neck fracture
Medical and nursing integration
Rehabilitation nursing
Hip function
Pain level
Quality of life
Complications
