Effects of early bed-out intervention based on enhanced recovery after surgery in elderly patients with hip fracture
10.3760/cma.j.cn115682-20190530-01912
- VernacularTitle:基于加速康复外科的早期离床干预在老年髋部骨折患者中的应用
- Author:
Chaoying JIANG
1
;
Hui WANG
;
Weiping HUANG
;
Huazhen LI
Author Information
1. 浙江省台州医院综合骨科 317000
- Keywords:
Hip fracture;
Aged;
Enhanced recovery after surgery;
Bed-out;
Quality of life;
Adverse event;
Hip joint function
- From:
Chinese Journal of Modern Nursing
2020;26(12):1642-1645
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effects of early bed-out intervention based on enhanced recovery after surgery (ERAS) in elderly patients with hip fracture.Methods:Totally 80 patients with hip fracture admitted in Zhejiang Taizhou Hospital from January 2017 to December 2018 were selected and divided into observation group ( n=40) and control group ( n=40) according to the random number table. Patients in the control group received conventional nursing care, while patients in the observation group received early ERAS-based bed-out interventions. The incidence of adverse events, including pulmonary infection, abdominal pain and constipation, was compared between the two groups within 2 weeks. Postoperative hip joint function, daily living activities and quality of life were evaluated in the two groups. Results:The incidence of pulmonary infection, urinary tract infection, bloating, constipation and deep vein thrombosis (DVT) in lower limbs in the observation group was lower than that in the control group, and the difference of total complication rate was statistically significant ( P<0.05) . The hip joint function, daily life activity and quality of life scores in the observation group were higher than those in the control group, and the differences were statistically significant ( P< 0.05) . Conclusions:Early ERAS-based bet-out interventions taken for elderly patients with hip fracture can reduce the incidence of postoperative adverse events, and improve their hip joint function, daily activities and quality of life.
