郑越瑜

[摘要] 目的 探讨早期康复护理干预对老年下肢骨折患者治疗依从性的作用及临床效果。 方法 选取2015年4月7日～2017年3月20日我院收治的老年人下肢骨折患者192例为研究对象，按照数字表法分为观察组（n=96）与对照组（n=96），分别行早期康复护理、常规护理，比较两组的治疗依从性、Harris评分、HSS评分及护理能力评分。结果 观察组治疗的依从性为95.0%，明显高于对照组80.0%，差异明显（P<0.05）；术后3个月后，观察组Harris评分、HSS评分明显高于对照组，差异显著（P<0.05）；观察组自我护理能力评分明显高于对照组，差异显著（P<0.05），均具有统计学意义。 结论 早期康复护理可提高老年下肢骨折治疗的依从性及效果，值得推广应用。

[关键词] 老年下肢骨折；早期康复护理；依从性；影响

[中图分类号] R473.6 [文献标识码] A [文章编号] 2095-0616（2017）14-121-04

Effect of early rehabilitation nursing intervention on treatment of compliance of elderly patients with lower limb fracture

ZHENG Yueyu

Department of Oorthopedic Ward I， Guangdong Medical University Affiliated Hospital， Zhanjiang 524001， China

[Abstract] Objective To investigate the effect of early rehabilitation nursing intervention on the treatment of compliance of elderly patients with lower limb fracture. Methods 192 cases of elderly patients with lower limb fractures in our hospital from April 7th 2015 to March 20th 2017 were selected as the research object， and they were randomly divided into observation group （n=96） and control group （n=96）， respectively， and they were treated with early rehabilitation nursing and routine nursing care， respectively. Treatment compliance， Harris score， HSS score and nursing ability score of the two groups were compared. Results The treatment compliance of observation group was 95%， which was higher than the control group with 80%， and there was significant difference （P<0.05）. 3 months after surgery， Harris score and HSS score of observation group were significantly higher than those of control group， and the difference was significant （P<0.05）. The self-care ability score of observation group was significantly higher than that in control group， and the difference was significant （P<0.05）， and it was statistically significant. Conclusion Early rehabilitation nursing can improve the compliance and effect of the treatment of lower limb fractures in elderly patients. It is worthy of popularization and application.

[Key words] Elderly lower limb fracture； Early rehabilitation nursing； Compliance； Influence

由于骨質疏松、髋部肌群功能渐进性退变等原因，老年人即便是受到轻微外力作用，也可能会导致下肢骨折。在下肢骨折的治疗上，髓内钉内固定为主要治疗方法，但是老年人机体机能衰退，同时术后需长期静卧，肺部感染、压疮及便秘等并发症高发[1-2]。而研究发现早期康复护理对于提高患者治疗依从性，减少术后并发症具有重要的意义。本研究选取我院192例老年下肢骨折患者为研究对象，分为两组探讨早期康复护理对提高患者治疗依从性的作用，现报道如下。

1 资料与方法

1.1 一般资料

选取2015年4月7日～2017年3月20日我院收治的老年下肢骨折患者192例为研究对象，所有患者均经影像学确诊，并签署知情同意书，自愿参加本研究。男108例，女84例，年龄60～89岁，平均（70.4±4.5）岁；骨折原因方面，坠落伤、车祸、劳损分别为52、60及80例；下肢骨折类型上，开放性骨折、闭合性骨折分别为105例、87例。按照随机数字表法分为观察组与对照组，每组96例。其中观察组男52例，女44例，年龄60～88岁，平均（71.3±3.6）岁；……