A study of nursing model: establishment of green channel and independent of orthopedics unit for elderly patients with hip fracture
10.3760/cma.j.issn.1674-2907.2018.35.026
- VernacularTitle:老年髋部骨折独立骨科单元及绿色通道的建立与护理模式研究
- Author:
Shaomin CHEN
1
;
Chang LYU
;
Zhenzhen CHEN
;
Jiaozhen WU
Author Information
1. 温州医科大学附属第二医院骨科
- Keywords:
Aged;
Hip Fractures;
Perioperative nursing;
Orthopedics;
Green channel;
Independent orthopedics unit
- From:
Chinese Journal of Modern Nursing
2018;24(35):4309-4312
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo establish a green passage for elderly patients with hip fracture, and explore the feasibility and nursing mode of establishing an independent orthopedics unit for elderly patients with hip fracture. Methods? From January 2017 to June 2018, a total of 391 cases of elderly patients with hip fracture in the Second Affiliated Hospital of Wenzhou Medical University were selected. The patients were divided into two groups according to their admission to the ward. The 213 patients in the elderly hip fracture independent orthopedics unit group were admitted to the emergency green channel; 178 patients in the general orthopedics ward were given routine treatment and nursing. The time interval from admission to operation and the prognosis were compared between the two groups. Results? 77.46% of the elderly patients in the independent orthopedics unit group received operation within 36 hours after admission, while only 29.21% in the general orthopedics ward group, with statistical significance (P＜ 0.01). Rehabilitation and discharge rate of independent orthopaedic unit group was 89.20% and 77.53% in control group within one week after operation. The difference was statistically significant (P=0.009). Conclusions? The establishment of independent orthopedics unit with green channel in geriatric orthopedics reduces the waiting time, bed rest and hospitalization time of patients, and saves medical and nursing resources.
