Effectiveness of multi-component exercise intervention in rehabilitative nursing of elderly patients with intertrochanteric femoral fractures and frailty
10.3760/cma.j.cn115682-20240619-03438
- VernacularTitle:多组分运动干预在老年股骨粗隆间骨折合并衰弱患者康复护理中的应用
- Author:
Ruijuan LI
1
;
Yingchao TANG
;
Ning ZHAO
;
Wei SHEN
;
Lan WEI
Author Information
1. 郑州市骨科医院健康城脊柱骨科，郑州 450000
- Publication Type:Journal Article
- Keywords:
Aged;
Frailty;
Intertrochanteric femur fractures;
Rehabilitation nursing;
Multi-component exercise intervention
- From:
Chinese Journal of Modern Nursing
2025;31(16):2215-2220
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the efficacy of multi-component exercise intervention in the rehabilitation nursing of elderly patients with intertrochanteric femoral fractures and frailty.Methods:Between January and December 2023, 130 elderly patients with intertrochanteric femoral fractures and frailty admitted to Zhengzhou Orthopaedic Hospital were selected by convenience sampling method. The patients were divided into control group ( n=65) and observation group ( n=65) using the random number table method. Control group implemented conventional nursing and observation group was treated with multi-component exercise intervention, both intervening for three months. The rehabilitation status of two groups of patients was evaluated with the Modified Barthel Index (MBI) and Functional Independence Measure (FIM) . Harris Hip Score (HHS) , Physical Frailty Phenotype, Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) and Compliance Scale of Functional Exercise for Orthopedic Patients were used to evaluate the hip function, frailty, quality of life and exercise compliance. Results:After intervention, the MBI score, FIM score and SF-36 score of control group were lower than those of observation group, and the Physical Frailty Phenotype score was higher than that of observation group, and the differences were statistically significant ( P<0.05) . At one and three months after intervention, the HHS scores of observation group were higher than those of control group, and the differences were statistically significant ( P<0.05) . During the intervention period, the exercise compliance of patients in observation group was higher than that of control group, and the difference was statistically significant ( P<0.05) . Conclusions:Multi-component exercise intervention promotes postoperative rehabilitation, improves hip function and quality of life, alleviates the frailty, and enhances exercise compliance in elderly patients with intertrochanteric femoral fractures and frailty.
