Perioperative nursing care of elderly patients with intertrochanteric fracture combined with coronary heart disease
10.7619/jcmp.201708039
- VernacularTitle:老年股骨转子间骨折合并冠心病患者围术期护理
- Author:
Yaxiu LUO
1
;
Fang LI
Author Information
1. 陕西省宝鸡市人民医院骨科
- Keywords:
the elderly with intertrochanteric fracture;
coronary heart disease;
perioperative nursing
- From:
Journal of Clinical Medicine in Practice
2017;21(8):130-133
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore perioperative nursing of elderly patients with intertrochanteric fracture combined with coronary heart disease.Methods A total of 120 femoral intertrochanteric fractures patients with coronary heart disease were selected as the research objects and were randomly divided into observation group (60 cases) with conventional nursing and control group (60 cases) with conventional nursing.Before and after nursing (postoperative 6 h) and after nursing (postoperative 14 d),the pain scores and grading of the patients in the two groups were compared by visual analogue scale (VAS).Before and after nursing,Hamilton Anxiety Scale (HAMA),Depression Scale (HRSD) and the Simple Coping Style Questionnaire (SCSQ) were used to evaluate the psychological status of the two groups.After 14 d of nursing,the Harris hip function score of the patients in the two groups were recorded and compared at discharge and after operation for 6 months.Results After nursing,the number of patients with mild pain of observation group was significantly higher than that of control group (P ＜ 0.05);The number of severe pain was significantly lower than that of the control group (P ＜ 0.01).After nursing,VAS scores of two groups were significantly lower than treatment before (P ＜ 0.05).VAS score of observation group was significantly lower than that of control group (P ＜ 0.05).HAMA,HRSD and SCSQ scores of observation group were significantly lower than nursing before (P ＜ 0.05).The HAMA,HRSD and SCSQ of observation group were significantly lower than that of control group (P ＜ 0.05).Harris hip score of observation group was significantly higher than that of control group at different time points (P ＜ 0.05).Conclusion Comprehensive,scientific and rational nursing should be given to elderly patients with intertrochanteric fracture combined with coronary heart disease during perioperative period.
