Clinical effect of comprehensive nursing combined with total hip arthroplasty in the treatment of femoral neck fracture in the elderly
ZHANG Min1 HE Peng1 LYU Xue2▲ ZHANG Mengnan1 ZHANG Jing1#br#
1.Department of Orthopedics, Xidian Group Hospital, Shaanxi Province, Xi’an 710077, China;
2.Department of Otolaryngology Head and Neck Surgery, Xidian Group Hospital, Shaanxi Province, Xi’an 710077, China
Abstract:Objective To explore the clinical effect of comprehensive nursing combined with total hip arthroplasty in the treatment of femoral neck fracture in the elderly. Methods A total of 74 elderly patients with femoral neck fracture treated in Xidian Group Hospital from July 2019 to January 2021 were divided into observation group and control group by random number table method, with 37 cases in each group. They were treated with total hip arthroplasty. The control group was treated with routine nursing intervention and the observation group was treated with comprehensive nursing intervention. The clinical effects and pain degree of the two groups were compared. Results The total effective rate of the observation group was higher than that of the control group (P < 0.05). The Harris score and Barthel index of the observation group after nursing were higher than those of the control group (P < 0.05). The pain score after intervention was lower than that before intervention, and the observation group was significantly lower than that of the control group (P < 0.05). Conclusion Comprehensive nursing combined with total hip arthroplasty can improve the clinical effect and relieve the pain of elderly patients with femoral neck fracture.
张敏1 何鹏1 吕雪2▲ 张梦楠1 张静1. 老年股骨颈骨折治疗中应用综合护理配合全髋关节置换术的临床效果[J]. 中国医药导报, 2022, 19(15): 160-162,174.
ZHANG Min1 HE Peng1 LYU Xue2▲ ZHANG Mengnan1 ZHANG Jing1. Clinical effect of comprehensive nursing combined with total hip arthroplasty in the treatment of femoral neck fracture in the elderly. 中国医药导报, 2022, 19(15): 160-162,174.
[1] 李靖宇,卢健祺,蔡仲斌,等. Super PATH微创髋关节置换术和常规髋关节置换术治疗老年股骨颈骨折的效果比较[J].中国当代医药,2020,27(28):140-142,146.
[2] 罗丹.老年性股骨颈骨折围术期采用舒适护理联合中医情志护理的效果[J].中国医药导报,2021,18(10):189-192.
[3] 陈敏,蔡文智,谭静,等.综合护理干预在老年股骨颈骨折人工髋关节置换术中的应用[J].中外医疗,2020,39(28):125-127.
[4] 王金庆.分析半髋关节置换术与全髋关节置换术治疗中老年股骨颈骨折的治疗有效率[J].中国伤残医学,2021, 12(7):894-896.
[5] Chughtai M,Kelly JJ,Newman JM,et al. The Role of Virtual Rehabilitation in Total and Unicompartmental Knee Arthroplasty [J]. J knee surg,2019,32(1)105~110.
[6] Gungor S,Fields K,Aiyer R,et al. Incidence and risk factors for development of persistent postsurgical pain following total knee arthroplasty [J]. Medicine Baltimore,2019, 98(28):276-279.
[7] 陈雅竹,黎元菲,童萍,等.Wong-Baker面部表情量表和VRS法在根管预备后疼痛评估中的应用对比[J].健康前沿,2018,12(6):782-783.
[8] 王艳君.手术室护理路径在髋关节置换术患者手术过程中的临床应用[J].母婴世界,2017(11):210.
[9] 罗亚秀.护理干预对髋关节置换术患者心理状态及术后并发症的影响[J].实用临床医药杂志,2016,20(14):79-82.
[10] Wang J,Tong Y,Jiang Y,et al. The effectiveness of extended care based on Internet and home care platform for orthopaedics after hip replacement surgery in China [J]. J Clin Nur,2018,27(21/22):4077-4088.
[11] 丘雪梅,刘洁杏,李洁媛.综合护理配合在全髋关节置换术治疗老年股骨颈骨折中的应用[J].齐鲁护理杂志,2016,22(24):7-9.
[12] 徐冉.综合护理干预对全髋关节置换术治疗老年股骨颈骨折的影响[J].中国伤残医学,2019,12(7):804-805.
[13] Frandin K, Gr?觟nstedt H,Helbostad JL,et al. Long-Term Effects of Individually Tailored Physical Training and Activity on Physical Function,Well-Being and Cognition in Scandinavian Nursing Home Residents: A Randomized Controlled Trial [J]. Gerontology,2016,62(6):571-580.
[14] 全海燕.综合护理在股骨颈骨折患者全髋关节置换术后的应用[J]中国伤残医学,2020,12(8):782-783.
[15] 暨菲菲.综合护理干预对预防全髋关节置换术术中压疮的效果观察[J].中外医学研究,2020,9(27):644-645.
[16] Zhang H,Cheng G,Shan X,et al. Singularity-free path optimization of the parallel test mechanism for artificial hip joints [J]. Journal of Mechanical Science & Technology,2018,32(4):1775-1786.
[17] 陈慕秋.手术室护理干预对全膝关节置换患者术后感染 的预防效果分析[J].中国伤残医学,2020,28(1):92-93.
[18] 周红艳.手术室护理路径对老年髋关节置换术患者手术及术后的临床效果分析[J].实用临床护理学电子杂志,2020,5(37):145.
[19] 雷木清,王媛,程亚.磁吸式疼痛评估尺与视觉模拟评分法在全髋关节置换术后护理中的应用对比[J].中国医药导报,2021,18(30):193-196.
[20] 张倩,史美萍,杨莉,等.老年股骨颈骨折患者手术室苏醒期躁动状况及其影响因素分析[J].中国临床研究,2021,34(9):1236-1239.
[21] 孙银侠,申琳,郗春梅.多维度强化护理对股骨颈骨折全髋关节置换术后功能恢复及预后的影响[J].海南医学,2019,15(19):2581-2584.
[22] 杨斌,曾明,卢美萍.全髋关节置换术与人工股骨头置换术治疗中老年股骨颈骨折临床疗效比较[J].医学理论与实践,2019,19(21):3479-3481.
[23] 曹慧,王伟风.综合护理干预在腰椎爆裂骨折患者中的应用效果[J].中国医药科学,2021,11(6):133-135,148.
[24] 马俊剑.半髋关节置换术与全髋关节置换术治疗中老年股骨颈骨折的临床疗效比较[J].临床合理用药杂志,2018,23(17):137-138.
[25] 李霞,李艳芳.舒适护理在股骨颈骨折护理中的效果分析[J].医学美学美容,2018,27(18):110.
[26] 赵雅楠.系统化护理干预在老年股骨颈骨折中的临床效果及患者心理健康和安全性分析[J].国际护理学杂志,2019,12(6):762-765.
[27] 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,2019,27(3):480-482,485.
[28] 孙桂芳,丁莹莹,荣风菊,等.健康教育在老年骨质疏松性髋部骨折护理中的应用效果[J].中国当代医药,2021, 28(1):219-222.