Effect of rapid turnover nursing intervention on the prognosis of elderly patients with femoral intertrochanteric fracture treated with minimally invasive proximal femoral nail anti-rotation
快速周转护理干预对高龄股骨粗隆间骨折行微创防旋股骨近端髓内钉患者预后影响

摘要

目的 分析高龄股骨粗隆间骨折微创防旋股骨近端髓内钉治疗用快速周转护理所起到的作用。方法随机分2024年1月-2025年1月本院接诊的高龄股骨粗隆间骨折病人（n=69）。试验组35人微创防旋股骨近端髓内钉治疗期间采取快速周转护理，对照组34人行常规护理。对比sf-36评分等指标。结果 关于下床行走与住院时间及Harris评分改善情况：试验组均显著优于对照组（P＜0.05）。并发症：试验组5.71%，对照组23.53%，P＜0.05。sf-36评分：干预后：试验组（89.41±3.76）分，对照组（84.02±4.68）分，差异显著（P＜0.05）。结论 高龄股骨粗隆间骨折病人微创防旋股骨近端髓内钉治疗用快速周转护理，康复速度更快，髋关节与生活质量改善都更显著，并发症更少。

Abstract

Objective To analyze the effect of quick hand turnover nursing in the treatment of elderly intertrochanteric fracture with minimally invasive proximal femoral nail anti-rotation.
Methods Sixty-nine elderly patients with intertrochanteric fracture admitted to our hospital from January 2024 to January 2025 were randomly divided into two groups. During the treatment of minimally invasive proximal femoral nail anti-rotation, 35 patients in the experimental group received rapid turnover nursing, while 34 patients in the control group received routine nursing. The sf-36 score and other indicators were compared.
Results In terms of ambulation, length of hospital stay, and improvement of Harris score, the experimental group was significantly better than the control group (P < 0.05). The incidence of complications was 5.71% in the experimental group and 23.53% in the control group (P < 0.05). sf-36 score: after intervention: (89.41±3.76) points in the experimental group and (84.02±4.68) points in the control group, the difference was significant (P < 0.05).
Conclusion   The elderly patients with intertrochanteric fracture treated with minimally invasive proximal femoral nail anti-rotation have rapid turnover nursing, faster rehabilitation, more significant improvement in hip joint and quality of life, and fewer complications.