医护治一体化康复管理模式对股骨颈骨折患者护理效果和术后功能康复影响.docVIP

医护治一体化康复管理模式对股骨颈骨折患者的护理效果及术后功能康复的影响 【摘要】目的：探讨医护治一体化康复管理模式对股骨颈骨折患者的护理效果及术后功能康复的影响。方法：取2016年3月-2017年3月我院收治的股骨颈骨折患者80例作为研究对象，根据随机数字法分为对照组和观察组，每组40例。对照组患者给予骨科常规护理，观察组患者给予医护治一体化康复管理模式下的快速康复外科护理，对所有患者进行为期6个月的随访，比较2组患者护理后的肢体功能锻炼依从性、并发症发生率、日常生活活动能力（ADL）评分及髋关节Harris评分。结果：观察组患者护理后肺部感染、关节僵硬、下肢深静脉血栓及泌尿系感染等并发症发生率为10%，显著低于对照组的25%；观察组患者护理后功能锻炼依从率为97.5%，显著高于对照组的85%；2组患者出院3个月及出院6个月的ADL评分均显著高于护理前，观察组患者的日常生活活动能力改善情况显著优于对照组患者；2组患者出院3个月及出院6个月髋关节Harris评分均显著高于护理前，观察组患者的髋关节功能改善情况显著优于对照组患者。结论：医护治一体化康复管理模式可显著减少股骨颈骨折患者的术后并发症，提高其功能锻炼依从性，改善其日常生活活动能力及髋关节功能，护理效果理想，值得推广应用。 【关键词】医护治一体化康复管理模式；股骨颈骨折；护理效果；功能康复 Effect of Integrative Health Management Model on Nursing Care and Postoperative Functional Recovery in Patients with Femoral Neck Fracture 【Abstract】 Objective: To investigate the effect of integrated medical care and rehabilitation management on patients with femoral neck fracture and the effect of functional rehabilitation. Methods: From March 2016 to March 2017, 80 cases of femoral neck fracture treated in our hospital were divided into control group and observation group according to random number method, 40 cases in each group. The patients in the control group were given routine orthopedic care. The patients in the observation group were given rapid rehabilitation surgical care under the mode of integrated management of medical care and treatment. All patients were followed up for 6 months. The compliance of limb functional exercise after treatment in two groups was compared. Complication rate, ADL score and hip Harris score. Results: The incidence of postoperative complications such as pulmonary infection, joint stiffness, deep venous thrombosis and urinary tract infection in the observation group was 10%, which was significantly lower than that in the control group (25%). The compliance rate of functional exercise in the observation group was 97.5%, significantly higher than 85% of the control group; two groups of patients discharged 3 months and discharged 6 months ADL scores were signi