Observation on nursing effect of locking plate minimally invasive internal fixation in treatment of femoralintertrochanteric fracture in the elderly
锁定钢板微创内固定治疗老年股骨粗隆间骨折的护理效果观察

摘要

目的 探究粗隆间骨折老年患者行锁定钢板内固定术时护理干预的效果。方法 时间 2021 年 1 月到 2022 年 4 月，研究患者均选自院内骨科，共 60 人，将其分成研究组、对照组，每组 30 人，比对护理 效果。结果 干预后，研究组自我概念和责任感逐渐强化，疾病健康知识掌握情况以及自我照护能力均提升， P 值＜0.05；干预前，2 组髋关节功能和活动情况严重受限，干预后，研究组关节功能评分和活动范围显著 优于对照组，P 值＜0.05；研究组各项围术期指标与对照组相比更优异；研究组病人症状、情绪管控、自我 角色认同能力更强，P 值＜0.05。结论 粗隆间老年骨折患者予围术期护理，术后康复速度快、髋关节功能 改善效果佳，病人自我照护能力显著提升。

Abstract

Objective To explore the effect of nursing intervention on the elderly patients with intertrochanteric fracture undergoing locking plate internal fixation.
Methods from January 2021 to April 2022, 60 patients were selected from the Department of orthopaedics in the hospital. They were divided into the study group and the control group, 30 in each group, to compare the nursing effects.
Results after the intervention, the self-concept and sense of responsibility of the study group were gradually strengthened, and the mastery of disease health knowledge and self-care ability were improved (P < 0.05); Before the intervention, the hip joint function and activity of the two groups were severely limited. After the intervention, the joint function score and activity range of the study group were significantly better than that of the control group (P < 0.05); The perioperative indexes of the study group were better than those of the control group; Patients in the study group had stronger ability of symptom, emotion control and self role identification (P < 0.05).
Conclusion   the elderly patients with intertrochanteric fracture receive perioperative nursing, and the recovery speed is fast, the hip joint function is improved, and the self-care ability of the patients is significantly improved.