To explore the effect of nurse-led co-management mode in elderly patients with intertrochanteric femoral fracture undergoing proximal femoral anti-rotation intramedullary nail surgery.

A total of 104 elderly patients undergoing PFNA surgery for intertrochanteric femoral fracture in Foshan Hospital of traditional Chinese medicinefrom June 2020 to September 2021were selected and divided into control group (from June 2020 to January 2021, 51 cases) and the observation group (from February 2021 to September 2021, 53 cases) according to the length of hospital stay, the control group adopts routine care, and the observation group adopted a nurse-led co-management model for comprehensive management. The pain score, Harris score, Barthel index, postoperative hospital stay, partial weight bearing time and full weight bearing time were collected and compared between the two groups. The independent sample t test was used for measurement data, and chi square test was used for counting data.

The pain scores of the observation group at two hours, 12 h, one, and three days after surgery, postoperative hospital stay, partial weight bearing time and full weight bearing time were significantly lower than those of the control group; the Harris score and Barthel index at one, four, 12, and 24 weeks after surgery were significantly higher than those of the control group, and the differences were statistically significant (t=2.287, 4.174, 5.653, 4.787, 2.787, 6.153, 3.970, 3.915, 3.986, 3.396, 3.550, 3.744, 5.203, 5.053, 2.459, all P<0.05).

The nurse-led co-management model is beneficial to alleviate the pain of elderly patients with intertrochanteric femoral fracture undergoing PFNA surgery, and can effectively promote postoperative recovery and improve self-care ability.