| 引用本文: |
张留巧,卢敏,夏梦婷,张月娟.中医特色延续性护理在老年髋部骨折患者中的应用[J].湖南中医药大学学报,2021,41(9):1456-1460[点击复制] |
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| 中医特色延续性护理在老年髋部骨折患者中的应用 |
| 张留巧,卢敏,夏梦婷,张月娟 |
| (湖南中医药大学, 湖南 长沙 410208;河南省中医院, 河南 郑州 450002;湖南中医药大学第一附属医院, 湖南 长沙 410007;河南省人民医院, 河南 郑州 450003) |
| 摘要: |
| 目的 探讨中医特色延续性护理方案对老年髋部骨折内固定患者的应用效果。方法 选取2018年10月至2019年10月在河南省中医院骨伤科住院的77例髋部骨折行内固定手术的老年患者，随机分为对照组（39例）和干预组（38例）。两组患者在住院期间均给予髋部骨折内固定术后常规护理和出院指导，干预组在患者出院后实施中医特色延续性护理。于出院后6个月进行健康调查量表评分；入院时、出院时、出院后1、3、6个月进行Harris髋关节评分量表评分；并比较两组患者再入院率。结果 出院后6个月，两组患者在生理功能、生理职能、躯体疼痛、总体健康、精神健康5个维度比较，干预组得分均高于对照组（P<0.05）；在活力、社会功能和情感职能3个维度，两组比较差异无统计学意义（P>0.05）；生活质量总分评分比较，干预组高于对照组（P<0.05）。两组患者的Harris髋关节评分在入院时至出院后6个月内随时间的推移而逐渐增大，干预组Harris总分高于对照组（P<0.05）。干预组6个月内再入院1例（2.60%），小于对照组的4例（10.25%），两组比较差异有统计学意义（P<0.05）。结论 中医特色延续性护理能促进老年髋部骨折患者髋关节功能恢复，降低再入院率，从而改善患者的生活质量。 |
| 关键词: 老年髋部骨折 内固定术 中医特色延续性护理 生活质量 |
| DOI：10.3969/j.issn.1674-070X.2021.09.026 |
| 投稿时间：2019-11-27 |
| 基金项目:国家自然科学基金项目（81874476）；第六批名老中医药专家学术经验继承指导（rsk-011-14）；河南省教育厅科学技术研究重点项目资助计划（13A360587）；河南省中医药科学研究专项课题（2017ZY3005）。 |
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| Application of Traditional Chinese Medicine Characteristic Continuing Care in Elderly Hip Fracture Patients |
| ZHANG Liuqiao,LU Min,XIA Mengting,ZHANG Yuejuan |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Henan Provincial Hospital of Traditional Chinese Medicine, Zhengzhou, Henan 450002, China;The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;Henan Provincial People's Hospital, Zhengzhou, Henan 450003, China) |
| Abstract: |
| Objective To explore the application effect of the traditional Chinese medicine (TCM) characteristic continuing care program on elderly patients with internal fixation of hip fracture. Methods 77 elderly patients with hip fractures undergoing internal fixation surgery were hospitalized in the Department of Orthopaedic and Traumatic Surgery of Henan Provincial Hospital of Traditional Chinese Medicine from October 2018 to October 2019 were selected and randomly divided into control group (n=39) and intervention group (n=38). Patients in both groups were given routine care and discharge instructions after internal fixation of hip fracture during hospitalization, while the observation group implemented TCM characteristic continuing care after patients were discharged from hospital. Health survey scale score was performed at 6 months after discharge, and Harris hip rating scale score was performed on admission and at the time of discharge and 1, 3 and 6 months after discharge, and the readmission rates of patients in the two groups were compared. Results At 6 months after discharge, the scores in the five dimensions of physiological function, physical function, bodily pain, general health, mental health of the intervention group were higher than that of the control group (P<0.05). There was no significant difference in vitality, social function and emotional function between the two groups (P>0.05). The total quality of life score was higher in the intervention group than in the control group (P<0.05). The Harris hip scores of the two groups increased gradually with the passage of time from admission to 6 months after discharge, and the total Harris score of intervention group was higher than that of control group (P<0.05). One case (2.60%) was readmitted within 6 months in the intervention group, which was smaller than the 4 cases (10.25%) in the control group, and the difference between the two groups was statistically significant (P<0.05). Conclusion TCM characteristic continuing care can promote the recovery of hip function and reduce the re-hospitalisation rate in elderly hip fracture patients, thus improving their quality of life. |
| Key words: senile hip fracture internal fixation characteristics of traditional Chinese medicine characteristic continuing care quality of life |
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