Application and effect evaluation of comprehensive nursing intervention in elderly patients with artificial hip arthroplasty of femoral neck fracture
- VernacularTitle:老年股骨颈骨折人工髋关节置换术的综合护理干预效果
- Author:
Zhimin KANG
1
;
Qicai SUN
Author Information
1. 浙江省绍兴市中心医院骨科
- Keywords:
Nursing intervention;
Femoral neck fracture;
Artificial hip replacement
- From:
China Modern Doctor
2015;(12):147-149,153
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical application effect of the comprehensive nursing intervention measures in the elderly femoral neck fracture patients with artificial hip arthroplasty (THA), to provide a reference value for clinical nursing intervention. Methods All 46 patients with femoral neck fracture were randomly divided into control group(n=23)and observation group (n=23), the control group was given conventional nursing model, observation group was given comprehensive nursing intervention measures. Comparison of postoperative 8 h, 24 h, 48 hVAS score, preoperative and after postoperative 4 months,12 months, Harris score and postoperative complications were observed. Results The difference of VAS score,Harris score was not statistically significant between the two groups at preoperative(P>0.05);VAS scores in observation group at 8 h, 24 h and 48 h after operation was significantly lower than those in control group,the difference between the two groups was statistically significant (P<0.05),and Harris score in the observation group at 4 months and 12 months postoperative was significantly higher than those of control group, the difference be tween the two groups was statistically significant(P<0.05); postoperative complication rate was 13.0% in the observa tion group,significantly better than the 39.1%in the control group,the difference was statistically significant (P<0.05). Conclusion Comprehensive nursing intervention can significantly decrease the incidence of postoperative complications and improve the postoperative hip joint function and quality of nursing, has important clinical significance, worthy of further dissemination of research.