摘要
目的探讨无陪护病房照护模式在老年股骨粗隆间骨折患者中的应用效果。方法本研究采用回顾性研究,选取2022年12月至2024年1月福州市第二总医院收治的82例老年股骨粗隆间骨折住院患者作为研究对象。依据患者住院期间是否采用无陪护病房照护模式,运用倾向得分匹配法将其分为观察组(41例)和对照组(41例)。详细记录并比较两组患者在功能锻炼依从性、生活自理能力改善率、满意度、住院总天数、VAS疼痛评分、并发症发生率以及愈合情况等方面的差异。结果观察组患者功能锻炼依从率显著高于对照组(87.8%vs.63.4%,P<0.05);生活自理能力改善率达到明显优于对照组(63.41%vs.39.02%,P<0.05);出院患者满意度显著高于对照组(P<0.001);住院总天数明显短于对照组(P<0.001);术后第一天及出院时VAS疼痛评分均值显著低于对照组(P<0.05)。且观察组的并发症发生率(12.20%)显著低于对照组(29.27%);骨折愈合良好率(73.17%)显著高于对照组(48.78%),组间差异均具有统计学意义(均P<0.05)。结论对于老年股骨粗隆间骨折住院患者,无陪护病房照护模式可有效提升患者功能锻炼依从性,显著改善生活自理能力,提高患者满意度,降低并发症发生率与VAS疼痛评分,优化骨折愈合情况,缩短住院时间,促进患者早日康复,具备较高的临床推广应用价值,但在推广时需重视并妥善处理潜在的负面问题与成本问题。
Objective To explore the eff ectiveness of the unaccompanied ward care model in elderly patients with intertrochanteric fractures.Methods This retrospective study selected 82 elderly patients with intertrochanteric fractures,admitted to the Trauma Department of Fuzhou Second General Hospital from December 2022 to January 2024.The patients were divided into the observation group(41 cases)and the control group(41 cases)based on whether they were assigned to the unaccompanied ward care model during their hospitalization,using propensity score matching.The differences between the two groups were compared in terms of functional exercise adherence,improvement in activities of daily living(ADL)ability,patient satisfaction,total length of hospitalization,VAS(Visual Analog Scale)pain scores,incidence of complications,and fracture healing outcomes.Results The adherence to functional exercise in the observation group was significantly higher than that in the control group(87.8%vs.63.4%,P<0.05).The improvement rate in ADL ability was also significantly higher in the observation group(63.41%vs.39.02%,P<0.05).Patient satisfaction upon discharge was significantly higher in the observation group(P<0.001),and the total length of hospitalization was notably shorter(P<0.001).The average VAS pain scores on the first day post-surgery and at discharge were significantly lower in the observation group(P<0.05).The complication rate in the observation group(12.20%)was significantly lower than in the control group(29.27%).The rate of good fracture healing(73.17%)in the observation group was significantly higher than in the control group(48.78%),with statistically significant diff erences between the groups(all P<0.05).Conclusion The unaccompanied ward care model can eff ectively improve functional exercise adherence,significantly enhance ADL ability,increase patient satisfaction,reduce complication rates and VAS pain scores,optimize fracture healing,shorten hospitalization time,and promote earlier recovery in elderly patients with intertrochanteric fractures.This model holds considerable clinical application value,though attention should be given to addressing potential negative issues and cost concerns during its implementation and expansion.
作者
黄柳青
陈小玲
雷美英
林东泽
林煜
HUANG Liuqing;CHEN Xiaoling;LEI Meiying;LIN Dongze;LIN Yufu(Trauma Orthopedics Department,Fuzhou Second General Hospital,Fuzhou 350007,China)
出处
《中华灾害救援医学》
2025年第5期618-623,628,共7页
Chinese Journal of Disaster Medicine
基金
福建省卫健委科技计划项目(2022QNA086)
福建省创伤骨科急救与康复临床医学研究中心(2020Y2014)。
关键词
无陪护病房
股骨粗隆间骨折
功能锻炼依从性
Unaccompanied ward
Intertrochanteric fracture
Functional exercise adherence
