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中华关节外科杂志(电子版)

中华关节外科杂志(电子版) ›› 2019, Vol. 13 ›› Issue (03) : 387 -390. doi: 10.3877/cma.j.issn.1674-134X.2019.03.024

所属专题： 文献；

护理园地

老年人髋关节周围骨折的护理对策和效果分析
胡芳1, 杨淑红1,†(), 张亚辉2   
  1. 1. 050001　石家庄市，河北医科大学第三医院手术室
    2. 050001　石家庄市，河北医科大学第三医院创伤急救中心
  • 收稿日期:2019-03-14 出版日期:2019-06-01
  • 通信作者: 杨淑红

Nursing strategy and effect analysis of hip periarticular fracture in the elderly

Fang Hu1, Shuhong Yang1,†(), Yahui Zhang2   

  1. 1. Operating room of the Third Hospital of Hebei Medical University, Shijiazhuang 050001, China
    2. Trauma Emergency Center, Third Hospital of Hebei Medical University, Shijiazhuang 050001, China
  • Received:2019-03-14 Published:2019-06-01
  • Corresponding author: Shuhong Yang
  • About author:
    Corresponding author: Yang Shuhong, Email:
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引用本文：

胡芳, 杨淑红, 张亚辉. 老年人髋关节周围骨折的护理对策和效果分析[J]. 中华关节外科杂志(电子版), 2019, 13(03): 387-390.

Fang Hu, Shuhong Yang, Yahui Zhang. Nursing strategy and effect analysis of hip periarticular fracture in the elderly[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2019, 13(03): 387-390.

目的

通过对老年髋关节周围骨折患者的综合护理，探讨老年人髋关节周围骨折的护理对策和效果分析。

方法

选取河北医科大学第三医院手术室2015年2月至2018年2月收治的42例老年髋关节周围骨折患者作为研究对象，根据随机对照双盲法进行分组，对照组(21人)患者进行常规护理，观察组(21人)进行综合护理(包括心理护理、睡眠护理、辅助患者进行术后功能锻炼等)，应用Student’s t-test或卡方检验比较两组患者的主观满意度、住院时间、患者的活动情况(Harris评分)和并发症的发生情况。

结果

观察组患者的主观满意度显著高于对照组，差异具有统计学意义(χ2＝7.000，P<0.05)；观察组患者的住院时间短于对照组，但差异没有统计学意义(t＝1.158，P>0.05)；观察组患者的Harris评分显著高于对照组，差异具有统计学意义(t＝18.482，P<0.05)；观察组患者并发症显著低于对照组，差异具有统计学意义(χ2＝4.725，P<0.05)。

结论

综合护理可减少并发症的发生，提高老年髋关节周围骨折患者的主观满意度及患者的活动情况，对促进老年髋关节周围骨折患者康复有重要的临床意义。

关键词: 髋关节, 骨折, 老年, 护理, 并发症
Objective

To discuss effects of the comprehensive nursing and the nursing strategies of the elderly patients with hip fractures.

Methods

Forty-two elderly patients with peri-hip fracture admitted to the operating room of the third hospital of Hebei Medical University from February 2015 to February 2018 were selected as the research objects. They were randomly divided into two groups, 21 patients each. The control group received routine nursing, the observation group received comprehensive nursing(including psychological care, sleep care, assisting patients for postoperative functional exercise, etc.). Student’s t-test or Chi-square test was used to compare subjective satisfaction, length of hospital stay, patient activity (Harris score), and complications.

Results

Subjective satisfaction of the observation group was significantly higher than that of the control group, the difference was statistically significant (χ2=7.000, P<0.05); the hospitalization time of the observation group was shorter than that of the control group, but the difference was not statistically significant (t=1.158, P>0.05); the Harris score of the observation group was significantly higher than that of the control group, the difference was statistically significant (t=18.482, P<0.05); the complication of the observation group was significantly lower than that of the control group, the difference was statistically significant (χ2=4.725, P<0.05).

Conclusion

Comprehensive nursing can reduce the occurrence of complications, improve the subjective satisfaction of patients with hip fractures and the activities of patients, and have important clinical significance for promoting the rehabilitation of elderly patients with hip fractures.

Key words: Hip joint, Fractures, bone, Aged, Nursing care, Complications
表1 两组患者一般资料的对比
组别 例数 性别 年龄 [岁，(±s)]
男 女
对照组 21 12(57.1%) 9(42.9%) 72.3±1.9
观察组 21 11(52.4%) 10(47.6%) 74.3±2.4
统计值 ? χ2＝0.096 t ＝1.234
P值 ? 0.757 0.186
表2 两组患者主观满意度的对比
组别 例数 满意 比较满意 不满意 满意度
对照组 21 10 5 6 15(71%)
观察组 21 17 4 0 21(100%)
χ2值 ? ? ? ? 7.000
P值 ? ? ? ? 0.008
表3 两组患者并发症发生率的比较[例(%)]
组别 例数 伤口感染 肺炎 泌尿系感染 腹胀 便秘 总发生率
对照组 21 1(4.7) 0(0) 1(4.7) 2(9.5) 4(19.1) 38.1%
观察组 21 1(4.7) 0(0) 0(0) 0(0) 1(4.7) 9.5%
χ2值 ? ? ? ? ? ? 4.725
P值 ? ? ? ? ? ? 0.030
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