Application and evaluation of comprehensive nursing intervention in tran-scervical fracture after operation / 中国现代医生

ABSTRACT

Objective To investigate the effect of comprehensive nursing intervention in transcervical fracture after operation. Methods A total of 64 cases of transcervical fracture were retrospectively analyzed from the ward of depart-ment of orthopedics in our hospital, from February 2010 to February 2014, with thirty-two patients in each group. The control group adopted routine postoperative nursing in department of orthopedics and the intervention group adopted comprehensive nursing intervention. Then the postoperative mental state, joint function, complications and quality of life were compared between the two groups. Results Four weeks after operation, 12 patients happened pressure sores, 13 patients happened constipation, 11 patients happened infection in control group, and 3 patients happened pressure sores, 4 patients happened constipation, 3 patients happened infection in intervention group, there were significantly differences between the two groups (χ2=5.12~6.40, P<0.05). The psychological state of anxiety and depression was compared between the two groups after 4 weeks, in control group, anxiety and depression was (43.69±5.47) and (42.34± 5.24), while in intervention group, anxiety and depression was (37.26 ±6.18) and (36.36 ±4.87), there were significantly difference between two groups (t=4.40, 4.72, P<0.01). The joint function was compared between the two groups after 4 weeks, Harris score in intervention group and control group was (64.35±9.27) and (56.26±8.35) respectively, there was significantly difference between the two groups (t=3.67, P<0.01), and HSS score in intervention group and control group was (88.67±12.26) and (81.33±13.31) respectively, there was significantly difference between the two groups (t=3.67, P<0.01). 4 weeks after operation, activities, sleep, pain, self-care was compared between the two groups, the score was (37.42±4.62), (39.62±3.13), (29.25±3.15), (29.32±3.14) respectively in the control group, while the score was(41.13±6.73), (43.34±4.28), (31.61±3.57), (32.57±4.32) in the intervention group, there were significantly differences between the two groups (t=2.80~3.96, P<0.01). Conclusion Comprehensive nursing intervention can effectively reduce the postoperative complications of femoral neck fracture, improve the psychological state and joint function, and it can also improve the quality of life.