郭丽萍+史晓丽+顾英

[摘要] 目的 探讨“医护一体化”模式在老年髋部骨折患者中的应用效果。 方法 选择2012年8月～2016年8月四川省眉山市中医医院收治的老年髋部骨折患者1200例作为研究对象，依据干预模式不同分为对照组和观察组，每组各600例。比较两组患者护理工作质量评分、髋关节功能恢复优良率、临床治疗效果及术后并发症发生率。 结果 观察组诊疗信息掌握、护理操作、护理专业知识、医护措施落实评分均高于对照组，差异有统计学意义（P < 0.05）。观察组髋关节功能恢复优良率高于对照组，差异有统计学意义（P < 0.05）。观察组蛋白达到正常值时间、留置尿管时间、术后首次下地活动时间、住院时间均低于对照组，差异有统计学意义（P < 0.05）。观察组无一例并发症发生，对照组并发症发生率为6.1%。 结论 “医护一体化”模式可以提高老年髋部骨折患者的髋关节功能恢复水平和临床治疗效果，改善护理工作质量，降低术后并发症，值得临床推广应用。

[关键词] “医护一体化”模式；老年；髋部骨折

[中图分类号] R47 [文献标识码] A [文章编号] 1673-7210（2017）12（b）-0159-04

[Abstract] Objective To explore the effects of medical care integration in elderly patients with hip fracture. Methods From August 2012 to August 2016， 1200 cases of elderly patients with hip fracture in Traditional Chinese Medicine Hospital of Meishan City were selected as research objects and divided into the control group and the observation group by different intervention model， with 600 cases in each group. The scores of nursing quality， the excellent and good rate of hip function， the clinical treatment effects and the incidence of postoperative complications were compared between the two groups. Results The scores of diagnostic information mastery， nursing operation， professional nursing knowledge， medical and nursing measures implementation in the observation group were higher than those of control group， with statistically significant differences （P < 0.05）. The excellent and good rate of hip function in the observation group was higher than that of control group， with statistically significant differences （P < 0.05）. The protein reached the normal value time， indwelling catheter time， hospitalization time， the leaving bed time were all shorter than those of control group， with statistically significant differences （P < 0.05）. There was no complication occurred in the observation group and the incidence of complications in the control group was 6.1%. Conclusion The medical care integration can promote the recovery of hip function and the clinical treatment effects in elderly patients with hip fracture， improve the nursing quality， reduce the incidence of complications. It is worthy of promotion and application.

[Key words] Medical care integration； Elderly； Hip fracture

髖部骨折作为老年常见的骨折类型，给患者生活带来了严重影响，加之老年患者生理年龄超过60岁后，骨质疏松比较多见，髋部一旦发生骨折，可能诱发死亡，因此，髋部骨折又被称为“死亡骨折”[1-2]。老年髋部骨折患者多采取手术治疗，既可以改善骨折患者的临床症状，使其尽早下床适应活动，还可降低并发症。但是仍有部分患者在术后1年内日常生活受到影响、髋关节活动受限和术后肢体功能障碍等，严重损害了患者的身心健康[3-4]。本研究选择四川省眉山市中医医院（以下简称“我院”）1200例老年髋部骨折患者为研究对象，拟探讨“医护一体化”模式在老年髋部骨折患者中的应用效果。现报道如下：endprint

1 资料与方法

1.1一般资料

选择2012年8月～2016年8月我院收治的老年髋部骨折患者1200例作为研究对象，依据干预模式不同为对照组和观察组，每组各600例。对照组给予常规护理干预模式，观察组在对照组基础上给予“医护一体化”干预模式。……