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.