Li Qun, Wang Yin, Shen Xiang
Orthopaedics Department, The Fourth Hospital of Changsha (Affiliated Changsha Hospital of Hunan Normal University), Changsha, China.
Front Surg. 2022 Mar 24;9:859269. doi: 10.3389/fsurg.2022.859269. eCollection 2022.
The objective of this study was to explore the nursing effect and negative psychological stress response of elderly patients with femoral neck fracture by applying the high-quality nursing mode of medical care.
A total of 130 elderly patients with femoral neck fractures hospitalized in our hospital from January 2020 to June 2021 were randomly divided into the control group and observation group, with 65 patients in each group. The control group adopted the conventional nursing mode, while the observation group adopted the high-quality nursing mode of medical care. The observation indexes selected in this study are nursing satisfaction, hip flexion activity on the 1, 15, and 30 days after the operation, the time when the affected limb was lifted off the bed actively, and the anxiety and depression of patients.
On the 1, 15, and 30 days after the operation, there were statistically significant differences between the two groups in hip flexion activity and the time when the affected limb was lifted off the bed ( < 0.05). The nursing satisfaction of the observation group was 95.38%, which was statistically significant compared with the 80.00% of the control group ( < 0.05). After treatment, the self rating depression scale (SDS) and self rating anxiety scale (SAS) scores in the observation group were lower than those in the control group ( < 0.05).
The high-quality nursing model of medical care can effectively promote the rehabilitation of elderly patients with femoral neck fracture, reduce the negative psychological stress reaction of patients, and improve nursing satisfaction, which has important application value and guiding significance for the nursing of patients with femoral neck fracture.
本研究旨在探讨运用优质医护一体化护理模式对老年股骨颈骨折患者的护理效果及负性心理应激反应。
选取2020年1月至2021年6月在我院住院的130例老年股骨颈骨折患者，随机分为对照组和观察组，每组65例。对照组采用常规护理模式，观察组采用优质医护一体化护理模式。本研究选取的观察指标为护理满意度、术后1天、15天、30天的髋关节屈曲活动度、患肢主动离床时间以及患者的焦虑和抑郁情况。
术后1天、15天、30天，两组患者的髋关节屈曲活动度及患肢主动离床时间比较，差异有统计学意义（<0.05）。观察组护理满意度为95.38%，与对照组的80.00%比较，差异有统计学意义（<0.05）。治疗后，观察组患者的抑郁自评量表（SDS）和焦虑自评量表（SAS）评分低于对照组（<0.05）。
优质医护一体化护理模式能有效促进老年股骨颈骨折患者康复，减轻患者负性心理应激反应，提高护理满意度，对股骨颈骨折患者的护理具有重要应用价值和指导意义。
