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家庭康复护理指导对老年髋部骨折患者术后康复效果的影响
Effects of family rehabilitation nursing education on postoperative rehabilitation of elderly hip fractures

贾曼 张若 孙优扬 张春梅

Jia Man, Zhang Ruo, Sun Youyang, Zhang Chunmei

【摘要】目的 探讨家庭康复指导在老年髋部骨折术后康复中应用的效果。方法 选取2015 年 1 月—2017 年1 月行髋部骨折手术老年患者90 例,随机分为对照组和干预组,各45 例。对照组患者出 院时进行常规指导,干预组出院后实施家庭康复指导,两组均随访12 个月。采用Harris 髋关节评分、功 能独立性测量量表(FIM)、简明健康状况调查量表(SF-36)评估两组患者术后髋关节功能、日常生活能力 和生活质量,统计两组患者再次髋部骨折发生情况。结果 术后12 个月,干预组患者Harris髋关节评 分(86.53±5.13)分、FIM 量表评分(110.33±5.34)分,SF-36 量表健康总评分(85.14±7.15)分,均高于对 照组,差异有统计学意义(t值分别为6.140 7、11.092 4、3.649 9;P< 0.01)。术后1 年内,干预组1 例患者 发生再次髋部骨折,对照组患者发生5 例。结论 老年髋部骨折患者术后实施出院后家庭康复指导可 减少再次骨折发生,提高髋关节功能康复及日常生活能力,促进患者生活质量提高。
【摘要】Objective To explore the effects of family rehabilitation education on the rehabilitation of elderly hip fracture. Methods A total of 90 elderly patients who received hip fracture surgery from January 2015 to January 2017 were selected and randomly divided into control group and intervention group, with 45 cases in each group. The control group were given routine guidance when discharging, while the intervention group were given family rehabilitation education, and both groups were followed up for 12 months after discharge. Harris Hip Score, Functional Independence Measurement( FIM) and the 36-Item Short-form Health Status Survey( SF-36) were applied to evaluate the hip function, daily living ability and quality of life of the patients, and to compare the reoccurrence of hip fracture status between the two groups. Results The scores of Harris Hip Score, FIM and SF-36 of the intervention group 12 months after surgery were( 86.53±5.13), (110.33±5.34) and( 85.14±7.15) respectively, which were all higher than the control group, and the differences were statistically significant( t=6.140 7, 11.092 4, 3.649 9; P < 0.01). There was 1 case of reoccurrence of hip fracture in the intervention group, and 5 in the control group in the first year after surgery. Conclusions Family rehabilitation education on the rehabilitation of elderly hip fracture can significantly reduce the recurrence of fracture, improve the rehabilitation of hip function and the daily life ability, and promote the improvement of the quality of life of patients.

【关键词】老年人; 髋骨折; 康复护理; 家庭康复
【关键词】Aged; Hip fracture; Rehabilitation nursing; Family rehabilitation