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目的探讨优质护理在股骨颈骨折患者围术期中的应用效果。方法选取武汉科技大学附属孝感医院2015年3月—2016年12月收治的股骨颈骨折患者50例,随机分A组、B组,各25例。A组患者围术期予以常规护理,B组患者围术期在对照组基础上予以优质护理,比较两组患者股骨颈骨折愈合质量、护理前后患者改良BI指数、SF-36评分、手术全程引流量、出院时间、术中全程失血量、手术时间、SCL-90量表情绪因子评分。结果 B组患者股骨颈骨折愈合质量优于A组(P<0.05)。护理前两组患者改良BI指数、SF-36评分比较,差异无统计学意义(P>0.05);护理后B组患者改良BI指数、SF-36评分高于A组(P<0.05)。B组患者手术全程引流量、术中全程失血量少于A组,出院时间、手术时间短于A组(P<0.05)。护理前两组患者SCL-90量表情绪因子评分比较,差异无统计学意义(P>0.05);护理后B组患者SCL-90量表情绪因子评分低于A组(P<0.05)。结论优质护理在股骨颈骨折患者围术期中的应用效果确切,可有效提高骨折愈合质量和患者生活质量。
Objective To explore the effect of high quality nursing in the perioperative period of patients with femoral neck fracture. Methods Fifty patients with femoral neck fracture who were treated in Xiaogan Hospital Affiliated to Wuhan University of Science and Technology from March 2015 to December 2016 were randomly divided into A group and B group, with 25 cases in each group. The patients in group A were given routine care during perioperative period. Patients in group B were treated with high quality nursing on the basis of control group. The quality of femoral neck fracture healing, the modified BI index, SF-36 score before and after nursing were compared between the two groups. Flow rate, discharge time, intraoperative total blood loss, operation time, SCL-90 scale emotion score. Results The quality of femoral neck fracture healing in group B was better than that in group A (P <0.05). The improvement of BI index and SF-36 score in the two groups before nursing showed no significant difference (P> 0.05). After the nursing, the improved BI index and SF-36 score in group B were higher than that of group A (P <0.05). In group B, the drainage volume during operation was less than that in group A, and the discharge time and operation time in group B were shorter than that in group A (P <0.05). There was no significant difference in scores of emotional factors between the two groups before nursing (P> 0.05). The score of emotion index of SCL-90 in group B after nursing was lower than that of group A (P <0.05). Conclusion The application of quality nursing in the perioperative period of patients with femoral neck fracture is effective and can effectively improve the quality of fracture healing and quality of life of patients.