摘要
目的探讨护士主导的共管模式在老年股骨粗隆间骨折患者行股骨近端抗旋髓内钉(PFNA)手术中的应用效果。方法选取2020年6月至2021年9月在佛山市中医院行PFNA手术治疗的104例老年股骨粗隆间骨折患者,按照住院时间分为对照组(2020年6月至2021年1月,51例)和观察组(2021年2月至2021年9月,53例),对照组采用常规护理,观察组采用护士主导的共管模式进行综合管理,收集并比较两组患者的疼痛评分、Harris评分、Barthel指数、术后住院时间、部分负重时间及完全负重时间等情况。计量资料采用独立样本t检验,计数资料采用卡方检验。结果术后2 h、12 h、1 d、3 d观察组的疼痛得分、术后住院时间、部分负重时间及完全负重时间均明显低于对照组;术后1、4、12、24周的Harris评分和Barthel指数观察组均明显高于对照组,差异均具有统计学意义(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,均为P<0.05)。结论护士主导的共管模式有利于缓解老年股骨粗隆间骨折患者PFNA手术后的疼痛程度,有效促进患者术后康复和提升其生活自理能力。
Objective 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.Methods 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.Results 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).Conclusion 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.
作者
杜雪清
冯周莲
钟佩珍
潘杏玲
Du Xueqing;Feng Zhoulian;Zhong Peizhen;Pan Xingling(Department of orthopedics,Foshan Hospital of traditional Chinese medicine,Foshan 528000,China)
出处
《中华关节外科杂志（电子版）》
CAS
CSCD
2024年第3期421-426,共6页
Chinese Journal of Joint Surgery(Electronic Edition)
