Department of Emergency, Tangshan Second Hospital, Tangshan, Hebei Province, China.
Department of Spine, The Second Hospital of Tangshan, Tangshan, Hebei Province, China.
Medicine (Baltimore). 2024 Jan 19;103(3):e36901. doi: 10.1097/MD.0000000000036901.
Fractures often occur in elderly patients. Osteoporosis caused by massive loss of calcium ions in the bones of elderly patients can easily lead to femoral fractures after suffering a low- and medium-energy injury. With the gradual entry of the aging society in China, the incidence of senile fracture is also gradually increasing. However, there is no report on the application of personalized narrative nursing to the mental health, cognitive function, and limb function recovery of elderly patients with fracture complicated with cerebrovascular accident, in order to enhance the cognitive level of elderly patients with fracture complicated with cerebrovascular accident. This study was specially conducted with a positive attitude toward the disease and improving the life quality. During July 2018 to July 2021, 80 elderly patients with fracture complicated with cerebrovascular accident cured were selected in our hospital. The patients were arbitrarily classified into an assigned control group (n = 40) and a study group (n = 40). The former received routine nursing, and the latter received personalized narrative nursing mode. The nursing satisfaction, functional independence scale (FIM), self-rating anxiety scale (SAS), self-rating depression scale (SDS), cognitive function, fracture healing time, length of hospital stays, and hospitalization expenses were compared. The study group had a satisfaction rate of 100.00%, while the control group had 87.50%. The nursing satisfaction of the study group was higher (P < .05). After 3 months of nursing, the FIM scores augmented. The FIM scores of upper and lower limbs in the study group were remarkably higher (P < .05). A decrease in SAS and SDS scores was observed. The SAS and SDS scores of the study group were lower (P < .05). Three months after discharge, the cognitive function score augmented. At 3 months after discharge, the study group had a higher cognitive function score (P < .05). The fracture healing time, length of stay, and cost of hospitalization in the study group were lower (P < .05). Personalized narrative nursing model can successfully enhance the mental health and cognitive function of elderly patients with fracture complicated with cerebrovascular accident, enhance the recovery of limb function, promote patients' nursing satisfaction, and alleviate the economic burden.
骨折常发生于老年患者。老年患者由于大量钙离子流失导致骨质疏松,在遭受低能量和中等能量损伤后容易导致股骨骨折。随着中国老龄化社会的逐步进入,老年骨折的发病率也在逐渐增加。但是,目前还没有关于个性化叙事护理应用于老年骨折合并脑血管意外患者心理健康、认知功能和肢体功能恢复的报道,为了提高老年骨折合并脑血管意外患者的认知水平。本研究特意向疾病积极态度和提高生活质量。2018 年 7 月至 2021 年 7 月,我院共收治老年骨折合并脑血管意外患者 80 例。患者随机分为对照组(n = 40)和研究组(n = 40)。前者接受常规护理,后者接受个性化叙事护理模式。比较护理满意度、功能独立性量表(FIM)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、认知功能、骨折愈合时间、住院时间和住院费用。研究组的满意度为 100.00%,而对照组为 87.50%。研究组的护理满意度更高(P <.05)。护理 3 个月后,FIM 评分增加。研究组上下肢 FIM 评分明显升高(P <.05)。SAS 和 SDS 评分下降。研究组 SAS 和 SDS 评分较低(P <.05)。出院后 3 个月,认知功能评分增加。出院后 3 个月,研究组认知功能评分较高(P <.05)。研究组骨折愈合时间、住院时间和住院费用较低(P <.05)。个性化叙事护理模式能成功提高老年骨折合并脑血管意外患者的心理健康和认知功能,增强肢体功能的恢复,提高患者的护理满意度,减轻经济负担。