摘要
目的:观察动机行为转化护理在老年股骨转子间骨折患者中的应用效果。方法:选取2018年6月至2019年12月该院收治的90例接受手术治疗的老年股骨转子间骨折患者进行前瞻性研究,采用随机数字表法将其分为对照组与观察组各45例。对照组采用围术期常规护理,观察组在对照组基础上联合动机行为转化护理,比较两组术前、术后7 d负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、疼痛程度[视觉模拟评分法(VAS)]评分、Harris髋关节功能评分和并发症发生率。结果:术后7 d,观察组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05);术后3个月,观察组VAS评分低于对照组,差异有统计学意义(P<0.05);术后1、3个月,观察组Harris评分均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:在围术期常规护理基础上采用动机行为转化护理可提高老年股骨转子间骨折手术患者Harris髋关节功能评分,降低负性情绪评分、VAS评分和术后并发症发生率,其效果优于单纯围术期常规护理。
Objective:To observe application effects of motivational behavior transformation nursing in elderly patients with femoral intertrochanteric fracture surgeries.Methods:A prospective study was conducted on 90 elderly patients with femoral intertrochanteric fractures who received surgical treatment in this hospital from June 2018 to December 2019.They were divided into control group and observation group by using the random number table method,45 cases in each group.The control group received perioperative routine nursing,while the observation group received motivational behavior transformation nursing on the basis of that of the control group.The negative emotion [self-rating anxiety scale(SAS),self-rating depression scale(SDS)] score,the pain level [visual analog scale(VAS)] score,the Harris hip function score and the incidence of complications were compared between the two groups before and 7 days after the surgery.Results:7 days after the surgery,the SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).3 months after the surgery,the VAS score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).1 and 3 months after the surgery,the Harris scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the perioperative routine nursing,the motivational behavior transformation nursing can improve the Harris hip function score,and reduce the negative emotion score,the VAS score and the incidence of postoperative complications in the elderly patients with femoral intertrochanteric fracture surgeries.Moreover,it is superior to single perioperative routine nursing.
作者
刘佳
于文静
杨飒
LIU Jia;YU Wenjing;YANG Sa(Department of Orthopedics of Henan Provincial People’s Hospital,Zhengzhou 450000 Henan,China)
出处
《中国民康医学》
2022年第15期164-167,共4页
Medical Journal of Chinese People’s Health
关键词
股骨转子间骨折
老年
动机行为转化
负性情绪
疼痛
髋关节功能
并发症
Femoral Intertrochanteric fractures
Elderly
Motivational behavior transformation
Negative emotion
Pain
Hip function
Complication
