Construction and application of standardized management plan for early postoperative activities in elderly patients with intertrochanteric fractures
10.3760/cma.j.cn115682-20211014-04645
- VernacularTitle:老年股骨转子间骨折患者术后早期活动标准化管理方案的构建及应用
- Author:
Shujun ZONG
1
;
Liping DU
;
Fang PAN
Author Information
1. 郑州人民医院骨关节外科，郑州 450000
- Keywords:
Aged;
Femoral neck fracture;
Rehabilitation nursing;
Early activity
- From:
Chinese Journal of Modern Nursing
2022;28(17):2335-2339
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a standardized management plan for early postoperative activities in elderly patients with intertrochanteric fractures, and to explore its effect.Methods:Based on the literature, a standardized management plan for early postoperative activities in elderly patients with intertrochanteric fractures was constructed. Convenience sampling was used to select 162 elderly patients who underwent surgical treatment of intertrochanteric fractures in the Department of Orthopedics, People 's Hospital of Zhengzhou from September 2020 to August 2021. According to the random number table method, the patients were divided into the control group and the observation group, with 81 cases in each group. The control group was given routine postoperative nursing, and the observation group received a standardized management plan for early postoperative activities based on routine postoperative nursing. The postoperative hospital stay, total hospital stay, lower extremity functional recovery, daily living ability and complications were compared between the two groups. Results:The postoperative hospital stay, total hospital stay, postoperative first out-of-bed time and independent walking time in the observation group were all shorter than those in the control group, and the lower extremity function score one week after surgery and the daily living ability score two weeks after surgery in the observation group were higher than those in the control group, and the differences were statistically significant ( P<0.05) . The incidence of pulmonary infection and the total incidence of complications in the observation group were lower than those in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:The standardized management plan for early postoperative activities can effectively shorten the hospitalization time of elderly patients with intertrochanteric fractures, and is helpful for early postoperative mobilization and rapid recovery of joint function and daily living ability.
