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Nursing Science 2024
精细化护理联合中医护理在老年半髋关节置换术围手术期中的应用
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Abstract:
目的：观察精细化护理联合中医护理在老年半髋关节置换术患者围手术期中的临床应用及效果评价。方法：选取2023年12月~2024年6月新疆医科大学第六附属医院关节外科收治的86例老年单侧股骨颈骨折行半髋置换术患者为研究对象，根据患者入院顺序随机分为对照组与试验组各43例。对照组采用常规围手术期护理，试验组在常规护理的基础上，采用精细化护理联合中医护理。观察两组围手术期疼痛(VAS)评分、髋关节功能评分(Harris)、焦虑情况(HADS评分)及护理满意度。结果：试验组术后3天和7天的VAS评分较对照组更低(P < 0.05)、试验组术后7天和术后1月的Harris评分较对照组更高(P < 0.05)、试验组术后7天HADS评分较对照组更低(P < 0.05)、试验组本次住院护理满意度较对照组更高(P < 0.05)。结论：精细化护理联合中医护理模式能进一步改善老年股骨颈骨折围手术期疼痛、焦虑情况及髋关节功能，提高患者护理满意度，促进患者术后康复进程。
Objective: To observe the clinical application and effect evaluation of fine nursing combined with traditional Chinese medicine nursing in the perioperative period of elderly patients undergoing hemihip arthroplasty. Methods: A total of 86 elderly patients with unilateral femoral neck fracture who underwent hemihip replacement in the Department of Joint Surgery of the Sixth Affiliated Hospital of Xinjiang Medical University from December 2023 to June 2024 were randomly divided into control group and experimental group with 43 cases in each group according to the order of admission. The control group was treated with conventional perioperative nursing, and the experimental group was treated with refined nursing combined with traditional Chinese medicine nursing on the basis of routine nursing. Perioperative pain (VAS) score, hip function score (Harris), anxiety (HADS score) and nursing satisfaction were observed in the two groups. Results: The VAS score of the experimental group was lower than that of the control group at 3 days and 7 days after surgery (P < 0.05), the Harris score of the experimental group was higher than that of the control group at 7 days and 1 month after surgery (P < 0.05), the HADS score of the experimental group was lower than that of the control group at 7 days after surgery (P < 0.05), and the satisfaction of the experimental group with inpatient nursing was higher than that of the control group (P < 0.05). Conclusion: The combination of refined nursing and traditional Chinese medicine nursing can further improve the perioperative pain, anxiety and hip function of femoral neck fractures in the elderly, improve patients' nursing satisfaction, and promote the postoperative rehabilitation process.
| [1] | Central South University. Medical Sciences, 46, 272-277. |
| [2] | 张然, 许长鹏, 李文俊. 全髋关节置换术与人工双极股骨头置换术治疗70岁以上患者股骨颈骨折的效果比较[J].国际老年医学杂志, 2022, 43(5): 595-598． |
| [3] | 崔东明, 刘琪, 赵金柱, 等. 股骨颈骨折两种内固定治疗方法效果比较[J]. 青岛大学学报(医学版), 2024, 60(1): 77-80. |
| [4] | 张文涛, 黄晓平. 比较全髋关节置换术与半髋关节置换术治疗老年股骨颈骨折的临床疗效[J]. 中国实用医药, 2020, 15(10): 84-86. |
| [5] | Cui, S., Wang, D., Wang, X., Li, Z. and Guo, W. (2020) The Choice of Screw Internal Fixation and Hemiarthroplasty in the Treatment of Femoral Neck Fractures in the Elderly: A Meta-Analysis. Journal of Orthopaedic Surgery and Research, 15, Article No. 433. https://doi.org/10.1186/s13018-020-01958-2 |
| [6] | Zhang, M., Gong, S. and Xie, R. (2024) Application of Enhanced Recovery After Surgery in Perioperative Nursing Care of Elderly Patients with Hip and Knee Arthroplasty: A Systematic Review and Meta-Analysis. Medicine, 103, e37240. https://doi.org/10.1097/md.0000000000037240 |
| [7] | 何莹莹, 陈进芬, 张小丽, 等. 老年股骨颈骨折围手术期精准护理干预效果观察[J]. 现代医院, 2024, 24(2): 325-328. |
| [8] | 董星. 中医特色护理在老年行人工髋关节置换术患者中的应用[J]. 山东医学高等专科学校学报, 2024, 46(3): 89-91. |
| [9] | Niu, S., Li, J., Zhao, Y., Ding, D., Jiang, G. and Song, Z. (2021) Preoperative Deep Venous Thrombosis (DVT) After Femoral Neck Fracture in the Elderly, the Incidence, Timing, Location and Related Risk Factors. BMC Musculoskeletal Disorders, 22, Article No. 264. https://doi.org/10.1186/s12891-021-04145-4 |
| [10] | 严中甲, 陈伟, 刘杰. 内固定术与髋关节置换术治疗老年股骨颈骨折的效果比较[J]. 中国社区医师, 2024, 40(2): 37-39. |
| [11] | 孔涛涛, 曹旭阳, 董瑞芳, 等. 半髋和全髋关节置换术治疗老年股骨颈骨折的疗效比较[J]. 临床骨科杂志, 2024, 27(1): 30-34. |
| [12] | 沈小军. 全髋与半髋置换术对老年股骨颈骨折的效果[J]. 中国继续医学教育, 2020, 12(12): 111-113. |
| [13] | 龚洪军. 全髋与半髋关节置换术治疗老年股骨颈骨折的疗效比较[J]. 临床骨科杂志, 2023, 26(1): 38-41. |
| [14] | 潘哲浩. 中医管理的指导思想在骨科的实践分析[J]. 中医药管理杂志, 2023, 31(14): 133-135. |
