丁丽英 李恒

[摘要] 目的 分析综合延续性护理干预对老年股骨颈骨折患者康复效果及并发症预防效果。 方法 选择2015年1月～2016年6月于我院就诊的90例老年股骨颈骨折患者作为研究对象，所选患者被随机分成观察组和对照组，各45例。观察组患者给予综合延续性护理干预，对照组患者给予常规护理干预。比较两组患者接受护理后临床疗效、关节功能恢复情况及并发症发生率。 结果 观察组患者经护理干预后的总愈合率（97.78%）显著高于对照组患者（86.67%），两组比较差异有统计学意义（P<0.05）；两组患者经护理干预后的髋关节功能评分，观察组（70.64±10.19）高于对照组（61.62±10.90）分，差异有统计学意义（P<0.05）；观察组经护理干预后的并发症发生率（8.89%）显著低于对照组患者（28.89%），差异有统计学意义（P<0.05）。 结论 综合延续性护理干预有利于提高老年股骨頸骨折患者的愈合率，促进髋关节康复，且可减少并发症的发生，值得在临床进行推广应用。

[关键词] 综合延续性护理；老年；股骨颈骨折；康复效果；并发症

[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701（2018）02-0160-04

[Abstract] Objective To analyze the rehabilitation effect of comprehensive and continuous nursing intervention in elderly patients with femoral neck fracture and complications prevention analysis. Methods 90 elderly patients with femoral neck fractures from January 2015 to June 2016 were selected as the subjects and were randomly divided into observation group（n=45） and control group（n=45）. Patients in the observation group were given comprehensive and continuous nursing intervention， and the control group received routine nursing intervention. The clinical efficacy， the recovery of joint function and the incidence of complications after receiving nursing were compared between the two groups. Results The total healing rate（97.78%） in the observation group was significantly higher than that in the control group（86.67%） after nursing intervention， and the difference between the two groups was statistically significant（P<0.05）. The score of hip function in the observation group（70.64±10.19） was higher than that in the control group（61.62±10.90） after nursing intervention， and the difference was statistically significant（P<0.05）. The incidence of complications in the observation group（8.89%） was significantly lower than that of the control group（28.89%） after nursing intervention， and the difference was statistically significant（P<0.05）. Conclusion Comprehensive and continuous nursing intervention is helpful to improve the healing rate of elderly patients with femoral neck fracture， promote the rehabilitation of hip joint， and reduce the incidence of complications， which is worthy of promotion in clinical practice.

[Key words] Comprehensive and continuous nursing； Elderly； Femoral neck fracture； Rehabilitation effect； Complications

股骨颈骨折是一种常见于65岁以上老年人群的骨科疾病，主要是由于老年人机体功能减退，反应能力较差，且多伴有骨质疏松现象，骨质脆弱，因此在遭受外力时易发生骨折[1-2]。随着我国人口老龄化加剧，该疾病的发病率也随之上升。据相关研究统计，股骨颈骨折约占全身骨折疾病的3.6%[3]。目前，股骨颈骨折多采用手术治疗。由于股骨颈骨折患者治疗和康复周期较长，并发症较多，加之老年患者认知能力和康复意识较差，易造成康复效果不佳[4-6]。因此，对股骨颈骨折患者提供长期、高质量的护理干预对其康复具有重要意义。本研究分析综合延续性护理干预对老年股骨颈骨折患者康复效果及并发症预防的效果，现报道如下。

1 资料与方法

1.1 一般资料

选择2015年1月～2016年6月在我院骨科就诊的90例老年股骨颈骨折患者为研究对象，随机将患者分成观察组（n=45）与对照组（n=45）。……