陈晨 于瑞梅

【摘要】目的：探讨手术室整体护理在股骨颈骨折手术中的应用效果。方法：以我院2020年9月—2022年3月收治的63例股骨颈骨折手术患者为研究对象，根据随机数字表法进行分组，对照组31例患者与研究组32例患者分别接受常规围术期护理及手术室整体护理，比较两组患者心理状况改善情况、手术相关指标、并发症发生率及日常生活能力。结果：干预前两组患者的心理状况各指标评分比较无统计学差异（P>0.05），干预后研究组患者心理状况各指标评分均显著低于对照组（P<0.05）；研究组患者各手术相关指标时间均显著短于对照组（P<0.05）；研究组患者并发症发生率与Barthel指数均显著优于对照组（P<0.05）。结论：手术室整体护理可有效缓解患者的负性心理状况，减少术后并发症，加快术后康复速度，促进患者日常生活能力的恢复，在股骨颈骨折手术中具有较高的应用价值。

【关键词】手术室整体护理；股骨颈骨折；心理状况；并发症；Barthel指数

Application of holistic nursing in the operating room in the operation of neck of femur fracture

CHEN Chen， YU Ruimei

Nanjing Central Hospital， Nanjing， Jiangsu 210000， China

【Abstract】Objective： To explore the effect of holistic nursing in the operating room in the operation of neck of femur fracture. Methods： 63 patients with neck of femur fracture who were treated in our hospital from September 2020 to March 2022 were selected as the research objects， and were grouped according to the random number table. 31 patients in the control group received routine perioperative nursing， while 32 patients in the study group received holistic nursing in the operating room. The improvement of psychological status， surgical related indicators， incidence of complications， and daily living ability between the two groups were compared. Results： Before intervention， there was no statistically significant difference in the scores of various indicators of psychological status between the two groups of patients （P>0.05）. After intervention， the scores of various indicators of psychological status in the study group were significantly lower than those in the control group （P<0.05）. The time for various surgical related indicators in the study group was significantly shorter than that in the control group （P<0.05）. The incidence of complications and Barthel index in the study group were significantly higher than those in the control group （P<0.05）. Conclusion： Holistic nursing in the operating room can effectively alleviate the negative psychological status of patients， reduce postoperative complications， speed up postoperative rehabilitation， and promote the recovery of patients ability of daily living. It has a high application value in the operation of neck of femur fracture.

【Key Words】Holistic nursing in the operating room； Neck of femur fracture； Psychological condition； Complication； Barthel index

股骨頸骨是人体大腿骨的一部分，连接髋关节和股骨干。股骨颈骨折是指股骨颈部分断裂或骨折，通常发生在体质虚弱的中老年人、骨质疏松患者身上，也可能由外伤引起。随着人口老龄化的加剧，股骨颈骨折的发生率有所提高。据统计，每年全球有超过150万人因股骨颈骨折住院治疗，其中大多数是65岁以上的老年人。股骨颈骨折发生后，患者会面临较为严重的疼痛、肿胀、行动功能受限，长期卧床还会增加肺炎、血栓形成等并发症的发生率。手术治疗是股骨颈骨折的主要治疗方法，包括内固定和全髋关节置换术等。手术治疗可以减轻疼痛、恢复功能、缩短住院时间，提高生活质量。但手术创伤性较大，常会给机体造成明显的生理及心理应激反应，不利于术后康复，因此，做好股骨颈骨折患者的手术室护理同样非常重要，可以减轻患者的痛苦和降低医疗成本[1-2]。优质……