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目的研究综合优质护理对老年股骨颈骨折患者的临床疗效。方法选择2013年6月至2015年7月在我院接受治疗的老年股骨颈骨折患者164例,随机分为观察组和对照组,每组各82例。观察组采用综合优质护理,对照组采用常规护理。对比两组护理效果以及并发症的发生情况。结果两组护理前焦虑自评量表(SAS)、抑郁自评量表(SDS)评分对比无差异(P>0.05)。护理后两组的SAS和SDS评分较护理前均降低,且观察组SAS、SDS评分均显著低于对照组(P<0.05);两组护理前躯体疼痛、生理功能、情感职能、精神健康等4个维度评分以及总体评分对比均无显著差异(P>0.05),护理后两组患者上述指标评分较护理前均升高,且观察组各项评分均显著高于对照组(P<0.05);观察组护理满意度显著高于对照组(P<0.05);观察组在护理后治疗依从性得分显著高于对照组(P<0.05)。结论综合优质护理能更有效改善老年股骨颈骨折病患焦虑、抑郁情绪,提高病患生活质量、护理满意度以及治疗依从性。
Objective To study the clinical effect of comprehensive quality nursing on elderly patients with femoral neck fracture. Methods A total of 164 elderly patients with femoral neck fracture treated in our hospital from June 2013 to July 2015 were randomly divided into observation group and control group with 82 cases in each group. Observation group using comprehensive quality care, control group using routine care. Compare the two groups of nursing effects and the incidence of complications. Results There was no significant difference in self-rating anxiety scale (SAS) and depression self-rating scale (SDS) between the two groups (P> 0.05). SAS and SDS scores of the two groups were lower than those before nursing, and SAS and SDS scores of the observation group were significantly lower than those of the control group (P <0.05). The pain, physical function, emotional function, mental health and so on There was no significant difference between the four dimensions and the overall score (P> 0.05). After nursing, the scores of the above indexes in both groups were higher than those before nursing, and the scores in the observation group were significantly higher than those in the control group (P <0.05) ; The nursing satisfaction of the observation group was significantly higher than that of the control group (P <0.05); The treatment compliance score of the observation group after nursing was significantly higher than that of the control group (P <0.05). Conclusion Integrated quality nursing can effectively improve anxiety and depression in elderly patients with femoral neck fracture, improve patient quality of life, nursing satisfaction and treatment compliance.