摘要
目的:探讨持续质量改进(CQI)对老年股骨粗隆骨折患者术后康复及关节功能的影响。方法:选取84例老年股骨粗隆骨折患者为研究对象,根据随机数字表将患者分为观察组和对照组各42例,对照组应用常规性护理,观察组应用CQI方法,对比分析两组锻炼依从性、总有效率、满意率及干预前后髋关节功能恢复情况。结果:观察组锻炼依从率、总有效率、满意率均高于对照组(P<0.05),而并发症发生率低于对照组(P<0.05);干预后视觉疼痛模拟评分(VAS)显著低于对照组(P<0.05),而Harris髋关节评分、Barthel指数评分显著高于对照组(P<0.05);干预后物质生活、躯体功能、社会功能、心理功能及生活质量评分显著高于对照组(P<0.05)。结论:CQI能有效提高老年股骨粗隆骨折患者术后锻炼依从性,减轻患者术后疼痛,促进患者膝关节功能恢复,提高患者生活质量。
Objective： To investigate the effect of continuous quality improvement on postoperative rehabilitation and joint function of elderly patients with femoral intertrochanteric fracture. Methods： 84 elderly patients with femoral intertrochanteric fracture were randomly divided into the observation group and the control group（ 42 cases in each group）. The routine nursing care was given to the patients in the control group; the continuous quality improvement was implemented in the observation group,the compliance of exercise,the total effective rate and satisfaction rate and hip joint function recovery of the patients were compared between the two groups before and after the intervention. Results： The compliance of exercise,the total effective rate and satisfaction rate and hip joint function recovery of the patients were better and higher in the observation group than the control group（ P〈0. 05）; the incidence of complications was lower in the observation group than the control group（ P〈0. 05）; the VAS score was significantly lower in the observation group than the control group after the intervention（ P〈0. 05）; the Harris score of hip joint and Barthel index was significantly higher in the observation group than the control group（ P〈0. 05）; the scores of material life,somatic function,social function,psychological function and quality of life of the patients were significantly higher in the observation group than that the control group（ P〈0. 05）. Conclusion： The continuous quality improvement can effectively improve postoperative exercise compliance of elderly patients with femoral intertrochanteric fracture and it can reduce postoperative pain,promote knee function recovery and improve the quality of life of the patients.
出处
《齐鲁护理杂志》
2016年第6期25-27,共3页
Journal of Qilu Nursing
关键词
持续质量改进
老年股骨粗隆骨折
康复护理
关节功能
生活质量
Continuous quality improvement
Senile femoral intertrochanteric fracture
Rehabilitation nursing
Joint function
Quality of life
