早期康復護理對股骨頸骨折患者全髖關節置換術后功能恢復的影響

楊書嬌

摘 要：目的 觀察早期康復護理對股骨頸骨折患者全髖關節置換術后功能恢復的影響。方法 將于本院行全髖關節置換術治療的股骨頸骨折患者84例，隨機分為觀察組和對照組，各42例。對照組予以常規護理，觀察組在此基礎上配合早期康復護理，比較兩組患者護理后Harris、VAS評分情況、護理滿意度及并發癥發生率。結果 觀察組的Harris、VAS評分改善程度優于對照組，差異有統計學意義（P<0.05）；觀察組護理滿意度高于對照組（95.24% vs 76.19%），差異有統計學意義（P<0.05）；觀察組并發癥發生率低于對照組（9.52% vs 33.33%），差異有統計學意義（P<0.05）。結論 將早期康復護理應用于股骨頸骨折患者行全髖關節置換術治療中，不僅能加快其髖關節功能恢復進度和緩解機體疼痛感，還利于減少患者并發癥發生率，提高患者護理滿意度。

關鍵詞：早期康復護理；股骨頸骨折；全髖關節置換術

中圖分類號：R473.6 文獻標識碼：A DOI：10.3969/j.issn.1006-1959.2018.22.056

文章編號：1006-1959（2018）22-0184-03

Effect of Early Rehabilitation Nursing on Functional Recovery after Total Hip Arthroplasty in Patients with Femoral Neck Fracture

YANG Shu-jiao

（Department of Rehabilitation，People's Hospital of Dongxiang District，Fuzhou 331800，Jiangxi，China）

Abstract：Objective To observe the effect of early rehabilitation nursing on functional recovery after total hip arthroplasty in patients with femoral neck fracture. Methods 84 patients with femoral neck fractures treated with total hip arthroplasty were randomly divided into observation group and control group， 42 cases each. The control group received routine nursing. On the basis of this， the observation group cooperated with early rehabilitation nursing to compare the Harris， VAS scores， nursing satisfaction and complication rate of the two groups. Results The improvement of Harris and VAS scores in the observation group was better than that in the control group，the difference was statistically significant （P<0.05）. The nursing satisfaction of the observation group was higher than that of the control group （95.24% vs 76.19%）， the difference was statistically significant （P<0.05）； the incidence of complications in the observation group was lower than that in the control group （9.52% vs 33.33%），the difference was statistically significant （P<0.05）. Conclusion The application of early rehabilitation nursing in the treatment of patients with femoral neck fracture undergoing total hip arthroplasty can not only accelerate the recovery of hip function and relieve the pain of the body， but also help reduce the incidence of complications and improve the satisfaction of patients.

Key words：Early rehabilitation nursing；Femoral neck fracture；Total hip arthroplasty

股骨頸骨折（femoral neck fractures）作為臨床骨科常見病中的一種，老年階段患者是該類病癥的高發群體[1]。因患者年齡較高，機體常合并有骨質疏松、骨強度減弱、股骨頸上區滋養血管孔分布密集等情況，都是致使患者易骨折的主要影響因素[2]。臨床現今針對股骨頸骨折患者，多是應用全髖關節置換術作其首選治療方案，雖有一定的臨床療效，但手術對患者機體造成的創傷性及應激反應，加上其機體自我恢復功能較差，都會對患者術后健康恢復進度造成間接性影響[3，4]。因此，圍術期需配合有效的護理措施來提高其治療效果，而早期康復護理模式的應用則能有效彌補患者手術治療的不足之處，可有效加快患者術后功能恢復[5]。本次研究選擇我院行全髖關節置換術的股骨頸骨折患者84例作為研究對象，觀察早期康復護理對股骨頸骨折患者全髖關節置換術后功能恢復的影響，現報告如下。……