摘要
目的研究围手术期舒适护理对老年股骨颈骨折患者术后疼痛、关节活动度及护理满意度的影响。方法前瞻性收集厦门市中医院骨三科行手术治疗的老年股骨颈骨折患者48例,随机分为常规护理组和舒适护理组(各24例),分别实施常规护理及舒适护理。随访并比较两组患者的术后疼痛、髋关节屈曲活动度和护理满意度评分情况。结果常规护理组有22例患者获得随访,随访率91.67%,随访时间25~48个月,平均(34±7)个月,舒适护理组有23例患者获得随访,随访率95.83%,随访时间22~52个月,平均(35±8)个月。舒适护理组与常规护理组术前VAS评分比较,差异无统计学意义;舒适护理组与常规护理组术后2 d、7 d的VAS评分比较,差异均有统计学意义(t=2.217,t=13.169,P<0.05);舒适护理组与常规护理组术后7 d、14 d的髋关节屈曲活动度比较,差异均有统计学意义(t=5.560,t=7.267,P<0.05);舒适护理组与常规护理组的护理满意度评分比较,差异有统计学意义(t=-2.564,P<0.05)。结论围手术期舒适护理能显著减轻老年股骨颈骨折患者术后疼痛,改善患者髋关节屈曲活动度,并提高护理满意度,值得临床推广运用。
Objective To observe the effects of comfortable nursing on postoperative pain,ROM of hip joint and satisfaction of care in aged patients with femoral neck fractures during perioperative period.Methods Atotal of48aged patients with femoral neck fractures who underwent surgical treatment at the third department of orthopaedic in xiamen hospital of traditional chinese medicine were randomly divided into the routine nursing group and the comfortable nursing group(each group contained24cases).The postoperative VAS(visual analogue scale)scores,the flexionROM(range of motion)of hip joint and the scores on satisfaction of care after operation of the two groups were recorded and compared.Results Twenty-two cases in routine nursing group were followed up for25-49months with an average of34±7months and the fulfill rate of followup was91.67%.Twenty-three cases in comfortable nursing group were followed up for22-52months with an average of35±8months and the fulfill rate of follow-up was95.83%.The VAS scores of baseline had no significant difference between the routine nursing group and the comfortable nursing group,while the VAS scores after operation(2d,7d)had significant difference between the routine nursing group and the comfortable nursing group(t=2.217,t=13.169,P<0.05).The flexion ROM of hip joint after operation(7d,14d)had significant difference between the routine nursing group and the comfortable nursing group(t=5.560,t=7.267,P<0.05).The scores on satisfaction of care had significant difference between the routine nursing group and the comfortable nursing group(t=-2.564,P<0.05).Conclusion Comfortable nursing during perioperative period is worth popularizing because it can not only reduce postoperative pain of aged patients with femoral neck fractures and improve the flexion ROM of hip joint after operation,but also improve the scores on satisfaction of care.
作者
洪丽红
薛丽珍
肖厦厦
张文美
沈慧芳
陈光美
方秀珍
张建新
周毅强
Hong Lihong;Xue Lizhen;Xiao Xiaxia;Zhang Wenmei;Shen Huifang;Chen Guangmei;Fang Xiuzhen;Zhang Jianxin;Zhou Yiqiang(The third department of orthopedics;Operating room, Xiamen Hospital of Traditional Chinese Medicine, Xiamen 361009, China)
出处
《中华老年骨科与康复电子杂志》
2017年第5期285-289,共5页
Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition)
关键词
骨科护理
老年人
股骨颈骨折
疼痛
关节活动度
Orthopedic nursing
Aged
Femoral neck fractures
Pain
Range of motion
