健康教育联合家庭–医护一体化护理对老年股骨骨折患者的影响研究
Study on the Effect of Health Education Combined Family-Medical Care Integrated Nursing on Elderly Patients with Femoral Fracture

DOI: 10.12677/NS.2021.102019, PP. 117-122

Keywords: 股骨骨折，老年，健康教育，家庭–医护一体化
Femoral Fractures, Elderly, Health Education, Family-Medical Care Integration

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Abstract:

目的：探讨健康教育联合家庭–医护一体化护理对老年股骨骨折患者的影响。方法：以我院2018年10月~2019年12月112例老年股骨骨折患者为研究对象，随机分为对照组(56例)和观察组(56例)；对照组给予常规护理，观察组给予健康教育联合家庭–医护一体化护理；对比两组Bathel指数评分、心理状态及并发症。结果：术后1、3个月，观察组(75.13 ± 4.06分，93.27 ± 6.36分)与对照组(68.25 ± 3.97分，82.19 ± 7.38分) Bathel指数评分均明显高于术前，且观察组明显高于对照组(P < 0.05)。术后1、3个月，观察组(60.02 ± 4.28分、61.34 ± 5.23分；51.02 ± 4.28分、53.24 ± 3.82分)与对照组(63.15 ± 4.35分、64.52 ± 5.17分；60.47 ± 4.69分、62.15 ± 3.76分) SAS、SDS评分均明显低于术前，且观察组明显低于对照组(P < 0.05)。观察组各类并发症发生率明显低于对照组(P < 0.05)。结论：健康教育联合家庭–医护一体化护理能够明显改善患者Bathel指数评分，降低患者焦虑、抑郁状态及并发症发生率。
Objective: To explore the effect of health education combined with family-medical care integrated nursing on elderly patients with femoral fractures. Methods: 112 elderly patients with femoral fractures from October 2018 to December 2019 in our hospital were taken as the research objects. They were randomly divided into a control group (56 cases) and an observation group (56 cases); the control group was given routine care and the observation group was given health education combined family-medical care integrated nursing; compare the Bathel index scores, mental status and complications of the two groups. Results: 1 and 3 months after the operation, the Bathel index scores of the observation group (75.13 ± 4.06 points, 93.27 ± 6.36 points) and the control group (68.25 ± 3.97 points, 82.19 ± 7.38 points) were significantly higher than those before surgery, and the observation group was significantly Higher than the control group (P < 0.05). After 1, 3 months, the observation group (60.02 ± 4.28 points, 61.34 ± 5.23 points; 51.02 ± 4.28 points, 53.24 ± 3.82 points) and the control group (63.15 ± 4.35 points, 64.52 ± 5.17 points; 60.47 ± 4.69 points, 62.15 ± 3.76 points) SAS and SDS scores were significantly lower than those before surgery, and the observation group was significantly lower than the control group (P < 0.05). The incidence of various complications in the observation group was significantly lower than that in the control group (P < 0.05). Conclusion: Health education combined with family-medical care integrated care can significantly improve the Bathel index score of patients and reduce the incidence of anxiety, depression and complications.

References

[1]	梁云云, 项蕾蕾. 回馈式健康教育对老年股骨颈骨折患者术后康复训练和知信行水平及康复效果的影响[J]. 医学临床研究, 2019, 36(3): 480-482, 485.
[2]	潘雪梅. 老年股骨颈骨折实施前瞻性护理后的相关功能恢复及并发症研究[J]. 实用临床医药杂志, 2015, 19(2): 53-55.
[3]	张红英, 王芳平. 针对性护理对老年股骨转子间骨折患者髋关节置换术疗效的影响[J]. 海军医学杂志, 2017, 38(1): 77-79.
[4]	戴艳, 昊垠, 周扬. 系统化护理模式对老年股骨颈骨折患者消极情绪及并发症的影响[J]. 现代中西医结合杂志, 2016, 12(7): 784-786.
[5]	边荣. 健康教育及心理护理干预对高龄股骨颈骨折人工关节置换术患者预后的影响研究[J]. 中国药物与临床, 2019, 19(8): 1391-1392.
[6]	穆红, 王欣然, 周萌, 等. 医护一体化搬运结合超前镇痛对老年股骨骨折患者疼痛的影响研究[J]. 北京医学, 2015, 37(10): 1013-1014.
[7]	银广红, 杨志敏, 刘伯芬, 等. 医护一体化服务在老年股骨转子间骨折围术期谵妄患者中的应用[J]. 护士进修杂志, 2019, 34(1): 77-79.
[8]	刘伟, 龚畅, 戴乐, 等. 延伸护理对老年性股骨颈骨折患者临床疗效、Barhtel指数及Harris评分的影响[J]. 河北医药, 2018, 7(1): 3024-3027.
[9]	张天锋, 杨华清, 黄国英, 等. 护理计划单的应用对于老年股骨骨折患者预后的影响[J]. 骨科, 2016, 7(1): 54-56.
[10]	刘桂华, 刘丽, 刘桂舫. 品管圈及延续护理模式对老年股骨颈骨折术后的影响研究[J]. 河北医药, 2016, 38(11): 1732-1735.
[11]	杨东霞, 曲慧丽, 宋真, 等. 医护一体化健康教育提高乳腺癌氟维司群注射患者依从性效果研究[J]. 中华现代护理杂志, 2017, 23(31): 4017-4020.
[12]	周婷. 医护患一体化健康教育模式对全膝关节置换术患者自我效能及康复效果的影响[J]. 医学临床研究, 2020, 37(4): 611-613.

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