Development and application of a transitional home nursing program for the elderly patients after surgery of hip fractures
10.3969/j.issn.1671-8283.2023.12.007
- VernacularTitle:老年髋部骨折术后患者过渡期居家护理指导方案的构建和应用
- Author:
Huaqin CHEN
1
;
Rongrong DONG
Author Information
1. 盐城市第一人民医院,江苏盐城,224000
- Keywords:
nursing for the aged;
hip fractures;
transitional period;
home nursing;
instruction program
- From:
Modern Clinical Nursing
2023;22(12):42-49
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop a transitional home nursing program and evaluate its effectiveness in guidance on the elderly patients after surgery of hip fractures.Methods A literature review on transitional home nursing was conducted and then Delphi method was employed to generate a transitional home nursing program and had it applied to the elderly patients after hip fracture surgery.After that,a total of 104 elderly patients with hip fractures admitted to Yancheng First People's Hospital from March 2022 to January 2023 were enrolled as study subjects.According to the order of admission,52 patients admitted between March and August 2022 were assigned to a control group,while the rest of 52 patients admitted between September 2022 and January 2023 were assigned to an trial group.Patients in the control group received routine transitional nursing,and those in the trial group received instructions based on the developed transitional home nursing program.Patient recovery and the quality of life of the two groups were compared at the time of discharge and at 3 months after discharge.The patients'compliance at 3 months after discharge was analysed.Results After 2 rounds of consultations with 12 experts,the questionnaire retrieval rates reached 100.00%and 91.67%,with Kendall's W coefficients of 0.800 and 0.832,respectively(both P<0.05).The home nursing program consisted of methods for the online instructions and postoperative follow-up.The contents of instructions covered diet and nutrition guidance,rehabilitation exercise,home environment,health education,psychological care and prevention of complication.The scores of rehabilitation,functional exercises,medication compliance and quality of life in the trial group were all significantly higher than those in the control group(all P<0.001).Conclusions The transitional home nursing program developed for elderly patients after hip fracture surgery in this study is scientific and practical.It can provide a basis for the hospital-home transitional nursing.
