Study on the effect of extended nursing in home period after brittle hip fracture
延续护理在脆性髋部骨折术后居家期的应用效果研究

摘要

目的 深入细致地分析和探讨延续护理在脆性髋部骨折术后居家期的应用效果，期待能够为领域研究提供理论与实践依据，更好地促进患者恢复健康。方法 实验以对照形式展开，选取我院收治的70例老年脆性髋部骨折手术患者作为研究依据，遵循“平行序贯”分组原则，采用系统抽样法进行小组划分，每组安排（n=35），分别命名为观察组和对照组，前者实行常规护理服务方案，后者实行延续护理服务方案，而后对相关数据展开收集整理，统计分析，整合比对，比对范围包括：自我管理能力评分、髋关节功能评分。结果 统计学评估后发现，不同干预策略的应用采纳，对两组患者均影响作用积极，但观察组患者在自我管理能力和髋关节功能评分方面表现，均明显高于对照组，组间数据差异体现统计意义P＜0.05，值得探讨。结论 对于老年脆性髋部骨折患者而言，在其临床护理方案的横向选择中，建议优先采纳延续护理服务，不仅能切实提升脆性髋部骨折手术后居家恢复效果，还可显著提高患者的自我管理能力和髋关节功能，应用价值显著，推广意义深远，望采纳。

Abstract

Objective To analyze and discuss the application effect of extended care in the home period after the operation of fragile hip fracture, hoping to provide theoretical and practical basis for the field research and better promote the recovery of patients.
Methods The experiment was carried out in the form of control, and 70 elderly patients with brittle hip fracture surgery treated in our hospital were selected as the research basis. Following the principle of "parallel sequential" grouping, systematic sampling method was used to divide the groups, and each group was arranged (n=35) and named as the observation group and the control group, the former receiving routine nursing service plan and the latter receiving extended nursing service plan. Then, relevant data was collected and collated, analyzed statistically, integrated and compared, and the comparison scope included: self-management ability score and hip joint function score.
Results After statistical evaluation, it was found that the application of different intervention strategies had a positive effect on the two groups of patients, but the self-management ability and hip function scores of patients in the observation group were significantly higher than those in the control group, and the data differences between groups showed statistical significance P < 0.05, which is worth exploring.
Conclusion   For elderly patients with brittle hip fracture, it is recommended to give priority to extended nursing service in the horizontal selection of clinical nursing plan, which can not only effectively improve the effect of home recovery after brittle hip fracture surgery, but also significantly improve patients' self-management ability and hip function. The application value is significant, and the promotion significance is far-reaching. It is expected to be adopted.