Application of family-dominated disease course diary in elderly patients with hip fracture
10.3760/cma.j.issn.1674-2907.2016.32.022
- VernacularTitle:以家属为主导的病程日记在老年髋部骨折患者中的应用
- Author:
Xiaojuan ZHANG
1
;
Yu ZHAO
;
Xiaocui HUANG
Author Information
1. 150010,哈尔滨医科大学附属第一医院骨科
- Keywords:
Hip fracture;
Elderly patients;
Disease course diary;
Family-dominated
- From:
Chinese Journal of Modern Nursing
2016;22(32):4666-4670
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application effect of family-dominated disease course diary in elderly patients with hip fracture.Methods Totally 92 elderly patients with hip fracture and underwent surgical treatment in the First Affiliated Hospital of Harbin Medical Universty from January 2015 to January 2016 were selected as the research object.They were randomly divided into the intervention group (46 cases) and the control group (46 cases) according to random number table method.After discharge,patients in the control group received routine telephone follow-up and education,while patients in the intervention group and their families accepted the disease course diary on the basis of routine education.4 weeks after discharge,the Harris hip function score,activity of daily living (ADL) and the severity of anxiety and depression of patients in two groups were compared.Results 4 weeks after discharge,in the intervention group,the Harris hip function score was (54.29±6.83) points,and the ADL score was (75.52± 11.21) points;they were all higher than that in the control group [(48.99±6.79) points and (65.58±12.13) points] (t=3.534,3.426;P＜0.05).Four weeks after discharge,in the intervention group,the SAS (46.81±5.21) and SDS (46.53±5.14) were all lower than that in the control group [(52.58±5.52) and (53.19±6.13)] (t=3.407,3.974;P＜0.05).Conclusions Family-dominated disease course diary can effectively promote the patient's hip function recovery,improve the ability of patients to take care of themselves,and reduce anxiety and depression,so it can be used in clinical practice.
