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目的:探讨基于住院老年人生活项目(HELP)的干预模式在髋部骨折术后患者中的应用效果。方法:选取2019年1月—2021年2月于郑州大学第一附属医院接受髋部骨折手术的98例患者,根据入院时间分组,将2019年1月—2020年1月的49例术后患者设为对照组,实施常规骨科护理;将2020年2月—2021年2月的49例术后患者设为观察组,给予基于HELP的干预模式。记录干预后两组患者的离床活动时间、术后并发症、跌倒发生情况,并采用日常生活能力评分(ADL)量表、Harris髋关节功能评分量表(HHS)、自制患者康复锻炼依从性调查问卷评价两组患者ADL、髋关节功能、康复锻炼依从性;于干预前后采用自制早期康复训练的认知度调查问卷评价两组患者早期康复训练的认知度情况。结果:干预后,观察组患者术后离床时间短于对照组,ADL、HHS、依从性评分均高于对照组,差异均有统计学意义(n P<0.05);干预后,观察组患者床上康复训练、正确功能锻炼、预防髋关节脱位、下肢深静脉血栓预防评分均高于对照组,差异均有统计学意义(n P<0.05);观察组便秘、DVT发生率均低于对照组,差异均有统计学意义(n P<0.05)。n 结论:基于HELP的干预模式有利于髋部骨折患者术后早期离床活动,降低术后不良事件发生率,提高患者日常生活自理能力。“,”Objective:To explore the application effect of the intervention model based on hospital elder life program (HELP) in patients after hip fracture surgery.Methods:A total of 98 patients who underwent hip fracture surgery in the First Affiliated Hospital of Zhengzhou University from January 2019 to February 2021 were selected. According to the time of admission, 49 postoperative patients from January 2019 to January 2020 were set as the control group and they were given routine orthopedic nursing. A total of 49 postoperative patients admitted from February 2020 to February 2021 were set as the observation group and they were given the intervention model based on HELP . The out of bed activity time, postoperative complications and falls were recorded in the two groups after the intervention. Activity of Daily Living (ADL) Scale, Harris Hip Score (HHS) and self-made Rehabilitation Exercise Compliance Questionnaire were used to evaluate ADL, hip function and rehabilitation exercise compliance of patients in the two groups. Before and after the intervention, the self-made Early Rehabilitation Training Cognitive Questionnaire was used to evaluate the cognitive status of early rehabilitation training in the two groups.Results:After the intervention, the postoperative ambulation time of the observation group was shorter than that of the control group, and ADL score, HHS score and compliance score were higher than those of the control group, and the differences were statistically significant (n P<0.05) . After intervention, the scores of bed rehabilitation training, correct functional exercise, hip dislocation prevention, and lower extremity deep vein thrombosis prevention scores in the observation group were higher than those in the control group, with statistical significance (n P<0.05) . The incidences of constipation, DVT in the observation group were lower than those in the control group and the differences were statistically significant (n P<0.05) .n Conclusions:The intervention model based on HELP is beneficial to early postoperative ambulation for patients with hip fractures, reducing the incidence of postoperative adverse event, and improving the patients\' ability to take care of themselves in daily life.