量化风险评估策略指导下手术室护理在老年髋部骨折手术患者中的应用研究

Application of Operating Room Nursing Guided by a Quantitative Risk Assessment Strategy in Elderly Patients Undergoing Hip Fracture Surgery

摘要: 目的：探讨量化风险评估策略指导下手术室护理在老年髋部骨折手术患者中的应用效果。方法：选取2024年1月至2025年12月上海某三级甲等综合医院收治的82例老年髋部骨折手术患者，采用随机数字表法，将所有患者分为对照组(n = 41)手术室常规护理，观察组(n = 41)在此基础上采用量化风险评估策略指导下手术室护理，比较两组手术风险事件发生情况、术后清醒即刻及术后24 h VAS评分、Harris髋关节功能评分、住院时间及护理满意度。结果：两组患者一般资料比较，差异无统计学意义(P > 0.05)，观察组手术风险事件总发生率为2.44%，低于对照组的19.51% (P < 0.05)；观察组术后清醒即刻及术后24 h VAS评分低于对照组(P < 0.05)；观察组Harris髋关节功能评分高于对照组，住院时间短于对照组(P < 0.05)；观察组护理满意度为95.12%，高于对照组的78.05% (P < 0.05)。结论：对老年髋部骨折手术患者实施量化风险评估策略指导下手术室护理，有助于降低手术风险事件发生率，减轻早期术后疼痛，并可能促进功能恢复、缩短住院时间及提高护理满意度。

Abstract: Objective: To explore the application effect of operating room nursing guided by a quantitative risk assessment strategy in elderly patients undergoing hip fracture surgery. Methods: A total of 82 elderly patients with hip fractures admitted to a tertiary general hospital in Shanghai from January 2024 to December 2025 were selected and randomly divided into a control group (n = 41) receiving routine operating room nursing and an observation group (n = 41) receiving operating room nursing guided by quantitative risk assessment strategy. The two groups were compared in terms of surgical risk events, VAS scores immediately after awakening and 24 h postoperatively, Harris hip score, hospital stay, and nursing satisfaction. Results: No statistically significant difference was found in the general characteristics between the two groups (P > 0.05). The total incidence of surgical risk events in the observation group was 2.44%, The total incidence of surgical risk events in the observation group was 2.44%, lower than that in the control group (19.51%) (P < 0.05). The VAS scores immediately after awakening and 24 h postoperatively in the observation group were lower than those in the control group (P < 0.05). The Harris hip score in the observation group was higher, and the hospital stay was shorter than those in the control group (P < 0.05). The nursing satisfaction rate in the observation group was 95.12%, higher than that in the control group (78.05%) (P < 0.05). Conclusions: Operating room nursing guided by a quantitative risk assessment strategy may help reduce the incidence of surgical risk events, alleviate early postoperative pain, and may promote functional recovery, shorten hospital stays, and improve nursing satisfaction in elderly patients undergoing hip fracture surgery.