Application of the intervention model based on hospital elder life program in patients after hip fracture surgery
10.3760/cma.j.cn115682-20211227-05842
- VernacularTitle:基于住院老年人生活项目的干预模式在髋部骨折术后患者中的应用
- Author:
Haojie ZHANG
1
;
Huiping XU
;
Yan'ge XUE
;
Ning SUN
Author Information
1. 郑州大学第一附属医院骨科，郑州 450052
- Keywords:
Hip fracture;
Life program;
Orthopedic nursing;
Out of bed activity time
- From:
Chinese Journal of Modern Nursing
2022;28(12):1627-1631
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of the intervention model based on hospital elder life program (HELP) in patients after hip fracture surgery.Methods:A total of 98 patients who underwent hip fracture surgery in the First Affiliated Hospital of Zhengzhou University from January 2019 to February 2021 were selected. According to the time of admission, 49 postoperative patients from January 2019 to January 2020 were set as the control group and they were given routine orthopedic nursing. A total of 49 postoperative patients admitted from February 2020 to February 2021 were set as the observation group and they were given the intervention model based on HELP . The out of bed activity time, postoperative complications and falls were recorded in the two groups after the intervention. Activity of Daily Living (ADL) Scale, Harris Hip Score (HHS) and self-made Rehabilitation Exercise Compliance Questionnaire were used to evaluate ADL, hip function and rehabilitation exercise compliance of patients in the two groups. Before and after the intervention, the self-made Early Rehabilitation Training Cognitive Questionnaire was used to evaluate the cognitive status of early rehabilitation training in the two groups.Results:After the intervention, the postoperative ambulation time of the observation group was shorter than that of the control group, and ADL score, HHS score and compliance score were higher than those of the control group, and the differences were statistically significant ( P<0.05) . After intervention, the scores of bed rehabilitation training, correct functional exercise, hip dislocation prevention, and lower extremity deep vein thrombosis prevention scores in the observation group were higher than those in the control group, with statistical significance ( P<0.05) . The incidences of constipation, DVT in the observation group were lower than those in the control group and the differences were statistically significant ( P<0.05) . Conclusions:The intervention model based on HELP is beneficial to early postoperative ambulation for patients with hip fractures, reducing the incidence of postoperative adverse event, and improving the patients' ability to take care of themselves in daily life.
