整体护理干预对小于65岁的股骨颈骨折患者术后康复及减少并发症的影响

Effect of Holistic Nursing Intervention on Postoperative Rehabilitation and Reduction of Complications in Patients with Femoral Neck Fracture Younger than 65 Years Old

摘要: 目的：研究整体护理干预对小于65岁的股骨颈骨折患者术后康复以及手术并发症的影响。方法：选取新疆医科大学第六临床医学院创伤骨一科收治的80例年龄小于65岁的股骨颈骨折患者，根据不同住院时间随机分为对照组(n = 40例)和观察组(整体护理干预n = 40例)，对比两组患者在整体护理干预实施后的术后恢复时间、骨折愈合时间、术后6个月疼痛模拟评分、髋关节Harris评分及并发症，包括切口感染、肺部感染、尿路感染、压疮和深静脉血栓形成。结果：观察组与对照组间基线资料的差异无统计学意义(P > 0.05)，具有可比性；观察组术后恢复时间、骨折愈合时间、术后6个月疼痛模拟评分明显低于对照组，差异具有统计学意义(P < 0.05)；观察组术后髋关节功能Harris评分优于对照组，差异具有统计学意义(P < 0.05)；观察组术后的并发症发生率明显低于对照组，差异具有统计学意义(P < 0.05)。结论：综上所述，整体护理干预在小于65岁的股骨颈骨折患者中的应用效果显著，可显著缩短伤口愈合和住院时间，改善患者髋关节功能，减少并发症的发生，值得临床推广应用。

Abstract: Objective: To investigate the effects of holistic nursing intervention on postoperative rehabilitation and complications of femoral neck fracture in patients younger than 65 years old. Methods: A total of 80 patients with femoral neck fracture younger than 65 years old admitted to Department I of Trauma and Orthopedics, The Sixth Clinical College of Xinjiang Medical University were randomly divided into routine group (n = 40 cases) and rapid rehabilitation nursing group (n = 40 cases) according to different hospital stay. Postoperative recovery time, fracture healing time, 6-month pain simulation score, hip Harris score and complications including incision infection, lung infection, urinary tract infection, pressure sore and deep vein thrombosis were compared between the two groups after the implementation of the overall nursing intervention. Results: There was no significant difference in baseline data between the observation group and the control group (P > 0.05), which was comparable. The postoperative recovery time, fracture healing time and pain simulation score 6 months after operation in the observation group were significantly lower than those in the control group, with statistical significance (P < 0.05). The Harris score of hip function in the observation group was better than that in the control group. The difference was statistically significant (P < 0.05). The incidence of postoperative complications in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion: In summary, the application of holistic nursing intervention in patients less than 65 years old with femoral neck fracture has significant effects, can significantly shorten the wound healing and hospital stay, improve the hip function of patients, and reduce the occurrence of complications, and is worthy of clinical promotion and application.