Application of joint decision-making nursing between doctors, nurses and patients in elderly hip fractures
医护患共同决策护理在老年髋部骨折中的应用

摘要

目的 分析医护患共同决策护理在老年髋部骨折中的应用。方法 实验收入样本均为我院2023年12月至2024年12月期间收治老年髋部骨折患者，共计人数80例，以电脑随机分组方式作为标准，将参与者均分为两组，即对照组（常规护理），观察组（医护患共同决策护理），对实施过程中两组患者相关指标数据作整理记录，结合统计学系统进行对比观察，分析医护患共同决策护理干预应用价值。结果 观察组患者的骨折愈合时间、住院时间、正常行走时间短于另一组，疼痛程度评分及跌倒风险评分均低于另一组，生活质量数据及护理满意度数据相比另一组均呈现出较高优势性，组间对比P值﹤0.05，可见统计学意义。结论 老年髋部骨折患者实施医护患共同决策护理干预可明显缩短恢复时间，降低疼痛程度，降低跌倒风险，维护生活质量，整体效果确切，适合推广。

Abstract

Objective To analyze the application of joint decision-making nursing between medical staff and patients in elderly patients with hip fractures.
Methods The experimental income samples were all elderly hip fracture patients admitted to our hospital from December 2023 to December 2024, with a total of 80 cases. The participants were randomly divided into two groups using computer randomization as the standard, namely the control group (conventional nursing) and the observation group (medical and patient shared decision-making nursing). The relevant indicator data of the two groups of patients during the implementation process were sorted and recorded, and compared and observed with the statistical system to analyze the application value of medical and patient shared decision-making nursing intervention.
Results The fracture healing time, hospitalization time, and normal walking time of the observation group were shorter than those of the other group. The pain level score and fall risk score were lower than those of the other group. The quality of life data and nursing satisfaction data showed a higher advantage compared to the other group, and the inter group comparison P value was less than 0.05, indicating statistical significance.
Conclusion   Implementing joint decision-making nursing interventions for elderly patients with hip fractures can significantly shorten recovery time, reduce pain levels, lower the risk of falls, maintain quality of life, and have a definite overall effect, making it suitable for promotion.