探究舒适型护理对股骨颈骨折术后患者骨折愈合及并发症的影响张丽梅

探究舒适型护理对股骨颈骨折术后患者骨折愈合及并发症的

影响张丽梅

【摘要】目的：探讨老年股骨颈骨折患者全髋关节置换术后辅助舒适型护理对骨折愈合及并发症的影响。方法：选取本院骨外科收治的股骨颈骨折术后患者90例，依据随机数字表法

分为观察组和对照组，每组均45例。对照组给予常规护理；观察组在对照组基础上依据骨

折所导致具体情况给予相应舒适护理。采用Harris功能表评价两组患者术后髋关节功能；分

析两组术后临床疗效；比较两组患者并发症发生情况。结果：术后1、3个月和6个月，观

察组患者的髋关节Harris功能评分均明显高于同时点的对照组（P<0.01）。观察组优良率为91.11%，对照组为73.33%，比较差异有统计学意义（字2=3.905，P<0.05）。观察组6例（13.33%）发生并发症，明显低于对照组的15例（33.33%），比较差异有统计学意义（字

2=3.975，P<0.05）。结论：相对于常规护理，老年股骨颈骨折全髋关节置换术后应用舒适型

护理，更能促进关节恢复，减少并发症。

【关键词】舒适型护理；股骨颈骨折；骨折愈合术；并发症

[abstract] Objective：To explore the effect of comfortable nursing on fracture healing and complications in elderly patients with femoral neck fracture after total hip arthroplasty.Methods：Ninety patients with femoral neck fracture after operation were selected and divided into observation group and control group according to random number table method.Each group had

45 cases.The control group was given routine nursing，while the observation group was given comfortable nursing according to the specific conditions caused by fracture on the basis of the control group.Harris function table was used to evaluate the hip joint function of the two groups after operation；the clinical efficacy of the two groups was analyzed；and the complications of

the two groups were compared.Results：The Harris functional score of the hip joint in the observation group was significantly higher than that in the control group at the same time point 1，3 and 6 months after operation （P < 0.01）.The excellent and good rate was 91.11% in the observation group and 73.33% in the control group，with significant difference （word 2 = 3.905，P < 0.05）.Complications occurred in 6 cases （13.33%）of the observation group，which was significantly lower than that in 15 cases （33.33%）of the control group，and the difference was statistically significant （word 2 = 3.975，P < 0.05）.Conclusion：Compared with routine nursing，comfortable nursing after total hip arthroplasty for elderly patients with femoral neck fracture can promote joint recovery and reduce complications.

[Key words] Comfortable nursing；Femoral neck fracture；Fracture healing；Complications

老年股骨颈骨折是临床骨科多发病，约占全部骨折发病患者中占3.58%[1]；伴随我国老龄化

日趋，老年股骨颈骨折患者日渐增多。受到老年身体功能低下以及骨质脆性增高等情况的影响，骨折愈合难度较大，易产生股骨头坏死等；因此，如何提高股骨颈骨折全髋关节置换术

后老年患者的骨折愈合，降低股骨头坏死的发生，促进关节恢复以及最大限度减少并发症，

提高患者生活质量是当前临床不断研究和探索的重要难题[2]。

近年发现，股骨颈骨折全髋关节术后选取适当的护理模式和措施对疾病的恢复和预后起到重

要作用[3]。舒适护理从患者的心理、生理、社会及精神方面出发，使患者在疾病疗程中处于

最舒适状态[4]。研究发现，舒适护理用于临床骨科治疗取得较大进展，能提高患者治疗耐受性，促进疾病康复，提高患者满意度[5]。本研究在常规骨科术后护理基础上加用舒适护理措施，观察其对患者骨折愈合以及术后并发症的影响，为舒适护理理论在临床应用方面提供有

益借鉴。

1 资料与方法