Accelerated rehabilitation nursing therapy in the preoperative and postoperative management of elderly femoral neck fractures
加速康复护理治疗在老年股骨颈骨折术前术后的应用

摘要

目的 研究加速康复护理治疗对老年股骨颈骨折术前术后的应用效果。方法 本次加速康复护理治疗的研究选取2022年2月～2023年3月经我院手术术前术后护理的100例老年股骨颈骨折患者，经JAVA语言随机函数分组，均分为参照组和加速组，参照组实施涵盖踝泵运动、肌肉锻炼以及换药指导等常规训练干预，以及相关宣教和检测。加速组在参照组的基础上，对老年股骨颈骨患者实施加速康复护理治疗，术前组建专业加速康复干预护理项目管理小组，并为患者提供有利于康复的外部环境，以及进行健康宣教和引导患者进行正确的术前饮食和休息。在术后开展患者术后训练，训练分为四个阶段，每个阶段都有不同的训练内容。结果 通过健康调查简表对老年股骨颈骨折患者的生活质量进行评估，发现加速组在老年股骨颈折患者干预后的躯体疼痛、总体健康、生理职能、社会功能、精神状态、精力情况、情感职能、生理功能等各项生活质量评分对比中的结果高于参照组，差异有统计学意义（P＜0.05）。结论 加速康复训练对老年股骨颈骨折术前术后患者的各系行为能力及生活质量，有显著的提升，具有重要的临床意义。

Abstract

Objective To study the application effect of accelerated rehabilitation nursing treatment on elderly patients with femoral neck fracture before and after surgery.
Methods This study selected 100 elderly patients with femoral neck fracture who underwent preoperative and postoperative nursing in our hospital from February 2022 to March 2023. They were randomly divided into a reference group and an accelerated group using the JAVA language random function. The reference group received routine training interventions, including ankle pump exercise, muscle exercise, and dressing change guidance, as well as relevant education and testing. The accelerated group, on the basis of the reference group, implemented accelerated rehabilitation nursing treatment for elderly patients with femoral neck fracture. A professional accelerated rehabilitation intervention nursing project management team was established before surgery, and an external environment conducive to recovery was provided for patients, along with health education and guidance on proper preoperative diet and rest. Postoperative training was carried out in four stages, each with different training content.
Results The quality of life of elderly patients with femoral neck fracture was evaluated using the Health Survey Short Form. It was found that the accelerated group had higher scores in various aspects of quality of life, including physical pain, overall health, physical function, social function, mental state, energy level, emotional function, and physiological function, compared to the reference group, with statistically significant differences (P < 0.05).
Conclusion   Accelerated rehabilitation training has a significant improvement in the various behavioral abilities and quality of life of elderly patients with femoral neck fracture before and after surgery, which has important clinical significance.