CAJ | 학술논문

目的：探讨综合护理干预在股骨颈骨折术后应用效果。方法回顾性分析2010年2月~2014年2月我院骨科病房收治的股骨颈骨折患者64例,将其分为对照组和干预组各32例。对照组给予骨科常规护理,干预组实施综合护理干预,比较两组术后心理状态、关节功能、并发症和生活质量。结果术后4周,对照组出现压疮12例,便秘13例,感染11例；干预组出现压疮3例,便秘4例,感染3例,差异有统计学意义(χ2=5.12~6.40,P<0.05﹚；两组术后4周心理状态(包括焦虑和抑郁﹚比较[对照组分别为(43.69±5.47﹚、(42.34±5.24﹚,干预组分别为(37.26±6.18﹚、(36.36±4.87﹚],差异有统计学意义(t=4.40、4.72,P<0.01﹚；两组术后4周关节功能比较[Harris评分对照组和干预组分别为(56.26±8.35﹚、(64.35±9.27﹚],差异有统计学意义(t=3.67,P<0.01﹚；对照组和干预组HSS评分分别为(81.33±13.31﹚、(88.67±12.26﹚,差异有统计学意义(t=2.29,P<0.05﹚；两组术后4周活动、睡眠、疼痛、生活自理比较[对照组分别为(37.42±4.62﹚、(39.62±3.13﹚、(29.25±3.15﹚、(29.32±3.14﹚,干预组分别为(41.13±6.73﹚、(43.34±4.28﹚、(31.61±3.57﹚、(32.57±4.32﹚],差异有统计学意义(t=2.80~3.96,P<0.01﹚。结论综合护理干预能有效减少股骨颈骨折术后并发症,改善心理状态和关节功能,提高生活质量。
목적：탐토종합호리간예재고골경골절술후응용효과。방법회고성분석2010년2월~2014년2월아원골과병방수치적고골경골절환자64례,장기분위대조조화간예조각32례。대조조급여골과상규호리,간예조실시종합호리간예,비교량조술후심리상태、관절공능、병발증화생활질량。결과술후4주,대조조출현압창12례,편비13례,감염11례；간예조출현압창3례,편비4례,감염3례,차이유통계학의의(χ2=5.12~6.40,P<0.05﹚；량조술후4주심리상태(포괄초필화억욱﹚비교[대조조분별위(43.69±5.47﹚、(42.34±5.24﹚,간예조분별위(37.26±6.18﹚、(36.36±4.87﹚],차이유통계학의의(t=4.40、4.72,P<0.01﹚；량조술후4주관절공능비교[Harris평분대조조화간예조분별위(56.26±8.35﹚、(64.35±9.27﹚],차이유통계학의의(t=3.67,P<0.01﹚；대조조화간예조HSS평분분별위(81.33±13.31﹚、(88.67±12.26﹚,차이유통계학의의(t=2.29,P<0.05﹚；량조술후4주활동、수면、동통、생활자리비교[대조조분별위(37.42±4.62﹚、(39.62±3.13﹚、(29.25±3.15﹚、(29.32±3.14﹚,간예조분별위(41.13±6.73﹚、(43.34±4.28﹚、(31.61±3.57﹚、(32.57±4.32﹚],차이유통계학의의(t=2.80~3.96,P<0.01﹚。결론종합호리간예능유효감소고골경골절술후병발증,개선심리상태화관절공능,제고생활질량。
Objective To investigate the effect of comprehensive nursing intervention in transcervical fracture after operation. Methods A total of 64 cases of transcervical fracture were retrospectively analyzed from the ward of depart-ment of orthopedics in our hospital, from February 2010 to February 2014, with thirty-two patients in each group. The control group adopted routine postoperative nursing in department of orthopedics and the intervention group adopted comprehensive nursing intervention. Then the postoperative mental state, joint function, complications and quality of life were compared between the two groups. Results Four weeks after operation, 12 patients happened pressure sores, 13 patients happened constipation, 11 patients happened infection in control group, and 3 patients happened pressure sores, 4 patients happened constipation, 3 patients happened infection in intervention group, there were significantly differences between the two groups (χ2=5.12~6.40, P<0.05). The psychological state of anxiety and depression was compared between the two groups after 4 weeks, in control group, anxiety and depression was (43.69±5.47) and (42.34± 5.24), while in intervention group, anxiety and depression was (37.26 ±6.18) and (36.36 ±4.87), there were significantly difference between two groups (t=4.40, 4.72, P<0.01). The joint function was compared between the two groups after 4 weeks, Harris score in intervention group and control group was (64.35±9.27) and (56.26±8.35) respectively, there was significantly difference between the two groups (t=3.67, P<0.01), and HSS score in intervention group and control group was (88.67±12.26) and (81.33±13.31) respectively, there was significantly difference between the two groups (t=3.67, P<0.01). 4 weeks after operation, activities, sleep, pain, self-care was compared between the two groups, the score was (37.42±4.62), (39.62±3.13), (29.25±3.15), (29.32±3.14) respectively in the control group, while the score was(41.13±6.73), (43.34±4.28), (31.61±3.57), (32.57±4.32) in the intervention group, there were significantly differences between the two groups (t=2.80~3.96, P<0.01). Conclusion Comprehensive nursing intervention can effectively reduce the postoperative complications of femoral neck fracture, improve the psychological state and joint function, and it can also improve the quality of life.