多学科护理模式用于老年髋部骨折患者围术期中的效果探讨(1)
[摘要] 目的 以老年髖部骨折患者为研究对象，探讨患者围术期应用多学科护理模式的效果。方法 方便选取2018年2月—2019年5月于该院接受治疗的124例老年髋部骨折患者实施随机分组，为对照组(n=62)患者提供健康教育、咳嗽及咳痰指导、深呼吸训练等常规护理干预，观察组(n=62)患者采用多学科护理模式。分析两组患者的护理满意度、并发症发生率和各项生存质量指标评价。 结果 观察组护理总满意率98.39%，对照组总满意率87.10%，与对照组患者相比，观察组护理满意率显著更高(χ2=5.871，P<0.05)。观察组护理后关节僵硬等并发症总发生率6.45%，对照组骨折愈合不良等并发症总发生率16.13%，观察组术后并发症总发生率较对照组低(χ2=3.919，P<0.05)。护理后观察组患者社会功能、心理功能、物质生活、躯体功能、生活质量等各项生存质量指标评分均较对照组高(t=3.018、3.527、4.205、5.139、4.016，P<0.05)。结论 老年髋部骨折患者应用多学科护理模式可加快其身体机能恢复，能够有效减少相关并发症，有助于提升其生存品质。
[关键词] 多学科护理模式;老年髋部骨折;围手术期;护理效果
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2020)08(b)-0131-03
Effect of Multidisciplinary Nursing Model on Elderly Patients with Hip Fracture During Perioperative Period
HUANG Chun-yan
Department of Orthopedics， Xiamen City Hospital of Traditional Chinese Medicine， Xiamen， Fujian Province， 361000 China
[Abstract] Objective To study the effect of applying multidisciplinary nursing model during perioperative period in elderly patients with hip fracture. Methods 124 elderly hip fracture patients who were treated in the hospital from February 2018 to May 2019 were convenienty selected and randomized to provide control group (n=62) patients with health education， cough and sputum guidance， deep breathing training and other routine care Intervention， patients in the observation group (n=62) adopted a multidisciplinary nursing model. The evaluation of nursing satisfaction， incidence of complications and various quality of life indicators of the two groups of patients was analyzed. Results The total satisfaction rate of the nursing group in the observation group was 98.39%， and the total satisfaction rate in the control group was 87.10%. Compared with the patients in the control group， the satisfaction rate in the observation group was significantly higher，(χ2=5.871， P<0.05). The total incidence of complications such as joint stiffness in the observation group after care was 6.45%， and the total incidence of complications such as poor fracture healing in the control group was 16.13%. The total incidence of postoperative complications in the observation group was lower than that in the control group (χ2=3.919， P<0.05). After nursing， the observation group's social function， psychological function， material life， physical function， quality of life and other quality of life indicators were higher than the control group，(t=3.018， 3.527， 4.205， 5.139， 4.016， P<0.05). Conclusion The application of multidisciplinary nursing model for elderly hip fracture patients can speed up the recovery of their physical function， can effectively reduce related complications， and help to improve their quality of life., 百拇医药(黄春燕)
[关键词] 多学科护理模式;老年髋部骨折;围手术期;护理效果
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2020)08(b)-0131-03
Effect of Multidisciplinary Nursing Model on Elderly Patients with Hip Fracture During Perioperative Period
HUANG Chun-yan
Department of Orthopedics， Xiamen City Hospital of Traditional Chinese Medicine， Xiamen， Fujian Province， 361000 China
[Abstract] Objective To study the effect of applying multidisciplinary nursing model during perioperative period in elderly patients with hip fracture. Methods 124 elderly hip fracture patients who were treated in the hospital from February 2018 to May 2019 were convenienty selected and randomized to provide control group (n=62) patients with health education， cough and sputum guidance， deep breathing training and other routine care Intervention， patients in the observation group (n=62) adopted a multidisciplinary nursing model. The evaluation of nursing satisfaction， incidence of complications and various quality of life indicators of the two groups of patients was analyzed. Results The total satisfaction rate of the nursing group in the observation group was 98.39%， and the total satisfaction rate in the control group was 87.10%. Compared with the patients in the control group， the satisfaction rate in the observation group was significantly higher，(χ2=5.871， P<0.05). The total incidence of complications such as joint stiffness in the observation group after care was 6.45%， and the total incidence of complications such as poor fracture healing in the control group was 16.13%. The total incidence of postoperative complications in the observation group was lower than that in the control group (χ2=3.919， P<0.05). After nursing， the observation group's social function， psychological function， material life， physical function， quality of life and other quality of life indicators were higher than the control group，(t=3.018， 3.527， 4.205， 5.139， 4.016， P<0.05). Conclusion The application of multidisciplinary nursing model for elderly hip fracture patients can speed up the recovery of their physical function， can effectively reduce related complications， and help to improve their quality of life., 百拇医药(黄春燕)