Application of guided education in postoperative rehabilitation nursing of elderly patients with hip fracture
引导式教育在老年髋部骨折患者术后康复护理中的应用

摘要

目的 研究老年髋部骨折患者术后康复护理中引导式教育的应用效果。方法 本次实验对象为老年髋部骨折患者，人数共计100人，本次实验在2019年10月初开始实施，正式结束时间为2021年6月。双盲对照原则为本次实验的分组依据，对照组患者术后康复护理中应用一般护理，实验组患者术后康复护理中实施一般护理联合引导式教育，两组患者不同时间点髋关节Harris评分、康复锻炼依从性进行记录，并加以分析对比。结果 全面分析本次实验，在护理干预前，两组患者髋关节Harris评分之间不存在突出的差异，（p＞0.05）；（72.57±18.42）分及（82.63±12.24）分为出院3个月后两组患者髋关节Harris评分，两组数据进行比较，对照组较低，（p＜0.05）；深入分析本次实验，54.00%及70.00%分别为对照组及实验组患者康复锻炼依从性，两组数据进行比较，对照组数据较低，（p＜0.05）。结论 在老年髋部骨折患者术后康复护理中引导式教育有着较高的应用价值，其在提高患者髋关节Harris评分及康复锻炼依从性方面表现优异。

Abstract

Objective: To study the application effect of guided education in postoperative rehabilitation nursing for elderly patients with hip fracture.
Methods: The subjects of this experiment were elderly hip fracture patients, with a total of 100 people. The experiment started in early October 2019 and officially ended in June 2021. The principle of double-blind control is the grouping basis for this experiment. The control group is treated with general nursing in postoperative rehabilitation nursing, and the experimental group is provided with general nursing combined guided education in postoperative rehabilitation nursing. The two groups of patients have hip Harris scores at different points in time. Rehabilitation exercise compliance is recorded, and analyzed and compared.
Results: A comprehensive analysis of this experiment showed that before the nursing intervention, there was no outstanding difference in the Harris scores of the hip joint between the two groups of patients, (p>0.05); (72.57±18.42) points and (82.63±12.24) points were discharged into 3 Months later, the two groups of patients’ hip joint Harris scores were compared. The data of the two groups were lower, (p＜0.05); in-depth analysis of this experiment, 54.00% and 70.00% were the rehabilitation exercise compliance of the control group and the experimental group, respectively The data of the two groups are compared, and the data of the control group is lower (p<0.05).
Conclusion  : Guided education has high application value in postoperative rehabilitation nursing of elderly patients with hip fractures. It has excellent performance in improving patients' hip Harris score and compliance with rehabilitation exercises.