持续性干预对老年髋部骨折患者术后肢体功能恢复的影响研究-现代医学

持续性干预对老年髋部骨折患者术后肢体功能恢复的影响研究

单位：1. 十堰市太和医院/湖北医药学院附属医院骨科, 湖北十堰 442000;
2. 十堰市太和医院/湖北医药学院附属医院骨关节科, 湖北十堰 442000

分类号：R473.6

出版年·卷·期（页码）：2018·46·第五期（564-567）

摘要：

目的：探讨持续性干预对老年髋部骨折患者术后肢体功能恢复的影响。方法：选取本院70例老年髋部骨折患者，将患者随机分为干预组和对照组，各35例。对照组采取传统护理方式，干预组采取持续性干预护理方式。测量并记录患者入院时、出院时、出院1个月后、出院3个月后的Harris髋关节评分、Barthel指数和GDS评分等指标。结果：两组患者治疗后各指标均有所改善。干预组出院1、3个月后的Harris髋关节评分和Barthel指数均显著高于对照组，出院3个月后GDS评分显著优于对照组，差异均具有统计学意义（P<0.05）。结论：持续性干预可加速老年髋部骨折患者的髋关节功能恢复，改善患者日常生活能力及心理状态，对老年髋部骨折患者术后肢体功能恢复有重要的临床价值。

Objective: To discuss the efficacy of continuing nursing for postoperative functional recovery in elderly with hip fracture.Methods: A total of 70 patients with hip fracture in our hospital were included in this study and were divided intogroup of intervention group and control group based on different nursing ways. The control groupreceived conventional nursing, and the intervention groupreceived continuing care intervention. Harris score, Barthel, GDS of two groups were obtained and compared when patients were hospitalized and discharged after 1 month and 3 months.Results: The indexes of the two groups were improved after cured. Harris score and Barthel at 1 month and 3 month of intervention group were more thancontrol group. The GDS score of intervention group at 3 month were less than that of the control group.,compared differences were statistically significant (P<0.05).Conclusion: The continuing nursing can improve hip function, improve activities of daily living, and mentality, thus has important clinical application value.

参考文献：

[1] ADACHI J D,ADAMI S,GEHLBACH S,et al.Impact of prevalent fractures on quality of life:baseline results from the global longitudinal study of osteoporosis in women[J].Mayo Clin Proc,2010,85(9):806-813.
[2] PIOLI G,LAURETANI F,DAVOLI M L,et al.Older people with hip fracture and IADL disability require earlier surgery[J].J Gerontol A Biol Sci Med Sci,2012,67(11):1272-1277.
[3] 程徽,张洪,罗殿中,等.伯尔尼髋臼周围截骨术治疗髋关节发育不良的中长期疗效[J].中华骨科杂志,2014(12):1190-1197.
[4] 凡芸,杜兆辉,丁燕,等.Barthel指数在老年分级护理评估中的应用[J].中国老年学杂志,2012,32(20):4545-4546.
[5] 孙丽.ADL、MMSE、GDS量表在老年患者入院评估中的联合应用[J].护理学杂志,2013,28(13):53-54.
[6] KLOP C,WELSING P M,COOPER C,et al.Mortality in British hip fracture patients,2000-2010:a population-based retrospective cohort study[J].Bone,2014,66:171-177.
[7] AUAIS M,MORIN S,NADEAU L,et al.Changes in frailty-related characteristics of the hip fracture population and their implications for healthcare services:evidence from Quebec,Canada[J].Osteoporos Int,2013,24(10):2713-2724.
[8] 张国宁,侯波,单连成,等.中老年人群髋部骨折发病率调查:上海市长宁区数据分析[J].中国组织工程研究,2015(37):6055-6059.
[9] 董方,刘德强,朱安礼,等.髋部骨折患者深静脉血栓形成的危险因素分析[J].中国基层医药,2014,21(18):2733-2735.
[10] PANULA J,PIHLAJAMÄKI H,MATTILA V M,et al.Mortality and cause of death in hip fracture patients aged 65 or older:a population-based study[J].BMC Musculoskelet Disord,2011,12:105.
[11] 孙振华.老年髋部骨折患者抑郁焦虑情绪原因分析及心理干预[J].齐鲁护理杂志,2012,18(22):12-14.
[12] 褚夏芳,李玲芳.不同护理模式对骨折术后患者自理能力的影响[J].中国基层医药,2013,20(16):2545-2547.
[13] 卢柳霞,刘卓红.持续性护理干预对老年人髋部骨折术后的影响[J].广东医学,2012,33(23):3672-3673.
[14] COOPER M S,PALMER A J,SEIBEL M J.Cost-effectiveness of the Concord Minimal Trauma Fracture Liaison service,a prospective,controlled fracture prevention study[J].Osteoporos Int,2012,23(1):97-107.
[15] LIU C P,LEUNG D S,CHI I.Social functioning,polypharmacy and depression in older Chinese primary care patients[J].Aging Ment Health,2011,15(6):732-741.
[16] 陈翔溆,王宸,郭玉冬,等.老年患者髋部手术并发症影响因素的研究进展[J].东南大学学报(医学版),2016,35(1):158-161.

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录