Study on the effect of all-round quality nursing care on the recovery of joint function in elderly patientsundergoing scopic arthroplasty for femoral neck fracture
全程优质护理对老年股骨颈骨折行镜关节置换术患者关节功能恢复的影响研究

摘要

目的 探讨全程优质护理模式对老年股骨颈骨折行镜关节置换术患者关节功能恢复的影响｡方法 选择2021年3月至2023年2月期间在我院接受镜关节置换术的82例股骨颈骨折患者为对象，采用随机数分法分为对照组（n=39）与观察组（n=43），分别实施常规临床护理与全程优质护理，比较不同护理方案下的两组患者干预前后髓关节功能评分、髓关节被动活动察觉阈值及髓关节功能恢复良好率等指标。结果 干预前，两组患者髓关节功能评分差异不具有统计学意义（P>0.05）；干预后，两组患者髓关节功能评分显著高于干预前，且观察组明显高于对照组（P＜0.05）；干预前，两组患者髓关节被动活动察觉阈值无明显差异，不具有统计学意义（P>0.05）；干预后，两组患者髓关节被动活动察觉阈值显著降低，且观察组低于对照组（P＜0.05）；比较两组患者术后2个月、4个月时髋关节功能恢复情况，观察组患者髋关节功能恢复良好率显著高于对照组，差异有统计学意义（P＜0.05）。结论 在老年股骨颈骨折行镜关节置换术患者临床治疗中实施全程优质护理可促进其髋关节功能恢复，改善患者髓关节功能障碍，具备广泛推广应用价值。

Abstract

Objective To investigate the effect of full quality nursing mode on the recovery of joint function in elderly patients with femoral neck fracture undergoing arthroscopic joint replacement.
Methods A total of 82 patients with femoral neck fracture who received arthroscopic joint replacement in our hospital from March 2021 to February 2023 were selected as subjects and divided into control group (n=39) and observation group (n=43) by random number score method. Routine clinical nursing and full quality nursing were provided, respectively. The indexes of medullary joint function score, passive activity detection threshold and good recovery rate of medullary joint function before and after intervention were compared between the two groups under different nursing schemes.
Results Before intervention, there was no significant difference between the two groups (P>0.05). After intervention, the medullary joint function score in 2 groups was significantly higher than before intervention, and the observation group was significantly higher than the control group (P < 0.05). Before intervention, there was no significant difference in the detection threshold of medullary joint passive activity between the two groups (P>0.05). After intervention, the threshold of passive activity detection of medullary joint was significantly decreased in both groups, and the observation group was lower than the control group (P < 0.05). The recovery of hip function 2 months and 4 months after operation was compared between the two groups. The good recovery rate of hip function in the observation group was significantly higher than that in the control group, the difference was statistically significant (P < 0.05).
Conclusion   The whole process of high-quality nursing in the clinical treatment of elderly patients with femoral neck fracture undergoing arthroscopic replacement can promote the recovery of hip function and improve the medullary joint dysfunction of patients, which has a wide application value.