The application of evidence-based nursing in the perioperative rapid rehabilitation of hip fractures in the elderly and its influence on the functional recovery of patients
循证护理在老年髋部骨折围术期快速康复中的应用及对患者功能恢复的影响

摘要

目的 将循证护理用于老年髋部骨折围术期快速康复中，探究其对患者功能恢复的影响。方法 选取2024.1~2025.2本院收治的92例老年髋部骨折手术患者，随机分组，对照组46例行常规围术期护理，观察组46例行循证护理，对两组干预结果进行比较。结果 干预前，两组Harris、SF-36评分相比，无显著差异（P>0.05），干预后，两组各评分明显较前升高，且观察组各评分更高（P<0.05）；两组术后并发症发生率比较，观察组4.35%更低（P<0.05）；两组护理满意度比较，观察组97.83%更高（P<0.05）。结论 对老年髋部骨折患者来说，应用循证护理可改善其髋关节功能，提高生活质量，减少术后并发症，还可提高护理满意度，具有推广价值。

Abstract

Objective To apply evidence-based nursing in the perioperative rapid recovery of elderly patients with hip fractures and to investigate its impact on functional recovery.
Methods A total of 92 elderly patients with hip fractures admitted to our hospital from January 2024 to February 2025 were selected. They were randomly divided into two groups: 46 patients in the control group received routine perioperative care, while 46 patients in the observation group received evidence-based nursing. The intervention outcomes of both groups were compared.
Results Before the intervention, there was no significant difference in Harris and SF-36 scores between the two groups (P>0.05). After the intervention, scores in both groups significantly improved, with the observation group showing higher scores (P<0.05). The incidence of postoperative complications in the observation group was significantly lower than in the control group (P<0.05). Additionally, the nursing satisfaction in the observation group was significantly higher than in the control group (P<0.05).
Conclusion   For elderly patients with hip fractures, applying evidence-based nursing can improve hip joint function, enhance quality of life, reduce postoperative complications, and increase nursing satisfaction, making it a valuable practice.