Study on the effect of accelerated rehabilitation nursing for elderly patients with hip fractures
老年患者髋部骨折应用加速康复护理的效果研究

摘要

目的 对老年患者髋部骨折的护理措施作出分析，深入探究临床予以加速康复护理的效果。方法 调查目标按照我院收治的髋部骨折患者选择，以2022.01~12一年中72例予以研究，分组采取电脑双盲法均分36例，常规组接受常规护理，康复组应用加速康复护理，针对护理效果及患者恢复情况展开观察比较。结果 患者髋关节恢复优良率经比，康复组有94.44%，明显要高于常规组72.22%，（p＜0.05）；护理前后进行疼痛评估显示，VAS于护理前差异性不大，（p＞0.05），在护理1d、3d和5d相比，VAS评分均下降，康复组显著低于常规组，（p＜0.05）；予以2组功能评价（行动能力、自我管理能力、活动能力及心理功能），相比评分所见康复组较高，（p＜0.05）。结论 对于老年患者髋部骨折的临床护理，以加速康复护理最为合适，利于患者髋关节更快恢复，有效降低关节疼痛感，值得推广。

Abstract

Objective To analyze the nursing measures for elderly patients with hip fractures and to explore the effectiveness of accelerating rehabilitation nursing in clinical practice.
Methods According to the selection of patients with hip fractures admitted to our hospital, a study was conducted on 72 cases from January to December 2022. The group was divided into 36 cases using a computer double-blind method, with the conventional group receiving routine care and the rehabilitation group receiving accelerated rehabilitation care. The nursing effects and patient recovery status were observed and compared.
Results The excellent rate of hip joint recovery in patients was compared, with 94.44% in the rehabilitation group, significantly higher than 72.22% in the conventional group (p<0.05); Pain assessment before and after nursing showed that there was not much difference in VAS before nursing (p>0.05). Compared with the 1st, 3rd, and 5th day of nursing, VAS scores decreased, and the rehabilitation group was significantly lower than the conventional group (p<0.05); Two groups of functional evaluations were given (action ability, self-management ability, activity ability, and psychological function), and the rehabilitation group showed higher scores compared to the evaluation group (p<0.05).
Conclusion   For clinical nursing of elderly patients with hip fractures, accelerated rehabilitation nursing is the most appropriate, which is beneficial for faster recovery of the hip joint and effective reduction of joint pain. It is worth the promo.