摘要
目的 探讨快速康复外科(FTS)护理结合延续护理模式在老年股骨转子间骨折手术患者中的应用效果。方法 选取2021年1月至2022年12月收治的72例老年股骨转子间骨折手术患者,排除12例(9例因失访排除,3例因其他原因死亡排除),按照随机数字表法将其分为对照组与试验组,各30例。对照组采取常规护理,试验组在对照组基础上实施FTS护理结合延续护理模式。比较两组的护理效果。结果 试验组的术后谵妄总发生率低于对照组(P<0.05)。术后1、15、30 d,试验组的疼痛数字评分法(NRS)评分低于对照组(P<0.05)。术后7 d及1、2、3个月,试验组的Harris髋关节功能量表评分高于对照组(P<0.05)。出院时及术后1、2、3个月,试验组的Barthel指数评分高于对照组(P<0.05)。试验组的并发症总发生率低于对照组(P<0.05)。结论 FTS护理结合延续护理模式可降低老年股骨转子间骨折患者术后谵妄发生率,减轻术后疼痛,改善髋关节功能,提高日常生活活动能力,并减少术后相关并发症。
Objective To explore the application effect of fast track surgery(FTS)nursing combined with continuous nursing mode in elderly patients with intertrochanteric fracture surgery.Methods A total of 72 elderly patients with intertrochanteric fracture surgery from January 2021 to December 2022 were selected,and 12 cases were excluded(9 cases were excluded due to loss of follow-up,3 cases were excluded due to died of other causes).According to the random number table method,the patients were divided into control group and experimental group,with 30 cases in each group.The control group adopted routine nursing,and the experimental group implemented FTS nursing combined with continuous nursing mode on the basis of the control group.The nursing effects of the two groups were compared.Results The total incidence of postoperative delirium in the experimental group was lower than that in the control group(P<0.05).At 1,15 and 30 d after operation,the Numerical Rating Scale(NRS)score of the experimental group was lower than that of the control group(P<0.05).At 7 d and 1,2 and 3 months after operation,the Harris hip function score of the experimental group was higher than that of the control group(P<0.05).At discharge and 1,2 and 3 months after operation,the Barthel index score of the experimental group was higher than that of the control group(P<0.05).The total incidence of complications in the experimental group was lower than that in the control group(P<0.05).Conclusion FTS nursing combined with continuous nursing mode can reduce the incidence of postoperative delirium in elderly patients with intertrochanteric fracture surgery,alleviate postoperative pain,ameliorate hip function,improve the ability of daily living activities,and reduce postoperative complications.
作者
孙文娟
SUN Wenjuan(Sihong Hospital of Traditional Chinese Medicine,Suqian 223900,China)
出处
《临床医学研究与实践》
2025年第20期151-154,共4页
Clinical Research and Practice
关键词
股骨转子间骨折
老年患者
快速康复外科护理
延续护理
intertrochanteric fracture
elderly patient
fast track surgery nursing
continuous nursing
