Liu Yan, Fu Mingming, Zhou Qi, Tian Miao, Zhang Xiuguo, Wang Zhiqian
The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050051, P.R. China.
Department of Geriatric Orthopedics, the Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050051, P.R. China.
Geriatr Nurs. 2022 Jan-Feb;43:213-218. doi: 10.1016/j.gerinurse.2021.11.014. Epub 2021 Dec 17.
This study was designed as a pilot test to analyze the effect of patient-centered care (PCC) bundle intervention on perioperative respiratory complications and other outcomes in hip fracture patients aged ≥80. Between Jan 2018 and Dec 2019, 198 patients comprised the routine care group and 187 comprised the PCC bundle group. After propensity score matching, 151 remained in each group. Incidence of perioperative respiratory complications in the PCC bundle group was significantly lower than in the routine care group (all P < 0.05). Furthermore, significant reductions were observed in surgery delay, length of stay, incidence of arrhythmia, hypoproteinemia, and electrolyte disturbance (all P < 0.05) in the PCC bundle group. Age-Adjusted Charlson Comorbidity Index score was related, but only weakly, to length of stay and the number of perioperative complications. These results suggested that the PCC bundle might be a more suitable care modality for patients ≥80 with hip fracture.
本研究旨在进行一项初步试验，以分析以患者为中心的护理（PCC）综合干预对80岁及以上髋部骨折患者围手术期呼吸并发症及其他结局的影响。2018年1月至2019年12月期间，198例患者组成常规护理组，187例患者组成PCC综合干预组。经过倾向得分匹配后，每组各有151例患者。PCC综合干预组围手术期呼吸并发症的发生率显著低于常规护理组（所有P<0.05）。此外，PCC综合干预组在手术延迟、住院时间、心律失常发生率、低蛋白血症和电解质紊乱方面均有显著降低（所有P<0.05）。年龄调整后的Charlson合并症指数评分与住院时间和围手术期并发症数量有关，但相关性较弱。这些结果表明，PCC综合干预可能是80岁及以上髋部骨折患者更合适的护理模式。
