摘要
目的:分析老年髋部骨折患者联合应用基于循证理论的多维护理与中医护理途径的效果。方法:选取我院2018年12月-2021年1月收治的190例髋部骨折患者,根据护理方式不同分为2组,各95例。对照组采用常规护理,观察组在常规护理基础上采用基于循证理论的多维护理与中医护理途径。比较2组临床护理效果、并发症发生情况及髋关节功能改善情况、VAS疼痛评分、Barthel指数评分、SAS、SDS评分、依从性评分。结果:观察组护理总有效率为96.84%,高于对照组的87.37%;且观察组并发症发生率为5.26%,低于对照组的15.79%(P<0.05);护理前,2组Harris评分无统计学差异(P>0.05),护理后,观察组Harris评分高于对照组(P<0.05);护理前,2组VAS疼痛评分差异无统计学意义(P>0.05),护理后与对照组相比,观察组VAS疼痛评分更低(P<0.05);护理前,2组Barthel指数评分差异无统计学意义(P>0.05),护理后与对照组相比,观察组Barthel指数评分更高(P<0.05);护理前,2组SAS、SDS评分差异无统计学意义(P>0.05),护理后与对照组相比,观察组SAS、SDS评分均更低(P<0.05);护理前,2组依从性评分差异无统计学意义(P>0.05),护理后与对照组相比,观察组依从性评分更高(P<0.05)。结论:在基于循证理论的多维护理基础上应用中医护理途径,可显著提高临床护理有效率,降低并发症发生率,改善髋关节功能,降低疼痛程度,改善情绪和日常生活水平,提高依从性。
Objective:To analyze the effect of combined application of evidence-based theory-based multi-maintenance theory and traditional Chinese medicine nursing approach in elderly patients with hip fracture.Methods:A total of 190 patients with hip fracture who were admitted to our hospital from December 2018 to January 2021 were selected and divided into two groups according to different nursing methods,with 95 cases in each group.The control group was given routine nursing care,while the research group was given the multi-maintenance theory and traditional Chinese medicine nursing approach based on evidence-based theory on the basis of routine nursing.The clinical nursing effect,incidence of complications,improvement of hip joint function,VAS pain score,Barthel index score,SAS,SDS score,and compliance score were compared between the two groups.Results:The total effective rate of nursing in the study group was 96.84%higher than that in the control group,which was 87.37%,and the incidence of complications in the study group was 5.26%lower than that in the control group,15.79%(P<0.05).Before nursing,there was no statistical difference in Harris score between the two groups(P<0.05).P>0.05;after nursing,Harris score in the study group was higher than that in the control group(P<0.05);before nursing,there was no significant difference in VAS pain scores between the two groups(P>0.05);The VAS pain score in the group was lower(P<0.05);before nursing,there was no significant difference in the Barthel index score between the two groups(P>0.05);after nursing,the Barthel index score in the study group was lower than that in the control group(P<0.05);before nursing,there was no significant difference in SAS and SDS scores between the two groups(P>0.05);after nursing,compared with the control group,the SAS and SDS scores of the study group were lower(P<0.05);There was no significant difference in compliance score(P>0.05);after nursing,the compliance score of the study group was higher than that of the control group(P<0.05).Conclusion:The application of traditional Chinese medicine nursing approach based on the multi-maintenance theory based on evidence-based theory can significantly improve the efficiency of clinical nursing,reduce the incidence of complications,improve hip function,reduce pain,improve mood and daily life level,and improve compliance.
作者
刘常玉
杨素华
LIU Chang-yu;YANG Su-hua(Shanxian traditional Chinese medicine hospital,Heze city,Heze,Shandong 274300)
出处
《中国伤残医学》
2022年第18期12-16,共5页
Chinese Journal of Trauma and Disability Medicine
关键词
老年髋部骨折
循证理论
多维护理
中医护理
价值分析
Elderly hip fracture
Eevidence-based theory
Multi-maintenance theory
Traditional Chinese medicine nursing
Value analysis
