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HELP护理模式在老年骨折患者术后护理中的应用价值OA

The Application Value of HELP Nursing Mode in Elderly Patients after Fracture Operation Nursing

中文摘要英文摘要

目的:探究住院老年人生活项目(HELP)护理模式在提高老年骨科患者术后早期离床活动依从性及自护能力中的价值.方法:选取 2020 年 1月—2022 年12 月我院收治的 75 例老年骨科手术患者为研究对象.按随机数字表法将其分为观察组(n=38)和对照组(n=37).对照组采用常规护理,观察组采用HELP护理模式,比较 2 组患者术后早期离床活动依从性、自护能力、术后并发症.结果:相比于对照组,观察组患者术后离床时间更短、每次活动持续时间更长,组间差异有统计学意义(P<0.05);干预后,2 组自护能力评分均较干预前升高,且观察组高于对照组,差异有统计学意义(P<0.05);相比于对照组,观察组术后便秘、泌尿感染、压疮、下肢血栓并发症总发生率更低,组间差异有统计学意义(P<0.05).结论:相比于常规护理方式,采用HELP护理模式对于老年骨科手术患者而言,更有利于增强术后早期离床活动依从性,更能提升自护能力,减少术后并发症.

Objective:To explore the value of inpatient Elderly Living Project(HELP)nursing mode in improving the compliance and self-care ability of elderly orthopedic patients with early post-operative bed-leaving activities.Methods:75 elderly orthopedic surgery patients admitted to the hospital from January 2020 to December 2022 were selected as the study objects.They were divided into an observation group(n=38)and a control group(n=37)according to random number table method.The control group was treated with routine nursing,and the observation group was treated with HELP nursing mode.The compliance,self-care ability and postoperative complications of patients in the two groups were compared.Results:Compared with the control group,the duration of each activity in the observation group was shorter and the duration of each activity was longer,and the difference between groups was statistically significant(P<0.05).After intervention,the scores of self-care ability in both groups were higher than before intervention,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).Compared with the control group,the total incidence of postoperative constipation,urinary infection,pressure sore and lower extremity thrombosis complications in the observation group was lower,and the difference between groups was statistically significant(P<0.05).Conclusion:Compared with conventional nursing,HELP nursing mode is more conducive to enhancing the compliance of early postoperative bed-leaving activities,improving self-care ability and reducing postoperative complications for elderly orthopedic surgery patients.

韩歆

九江市第三人民医院骨科,江西 九江 332000

临床医学

HELP护理模式老年骨科离床活动自护能力并发症

HELP nursing modelElderly orthopedicsBed-leaving activitiesSelf-care abilityComplication

《中国伤残医学》 2024 (001)

124-128 / 5

10.13214/j.cnki.cjotadm.2024.001.029

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