[1]王 琦,周青秀,廖丹平,等.医护患共同决策护理对老年髋部骨折患者骨折愈合及术后并发症的影响[J].医学信息,2025,38(12):158-162.[doi:10.3969/j.issn.1006-1959.2025.12.034]
　WANG Qi,ZHOU Qingxiu,LIAO Danping,et al.Effect of Doctor-nurse-patient Shared Decision-making Nursing on Fracture Healing and Postoperative Complications in Elderly Patients with Hip Fracture[J].Journal of Medical Information,2025,38(12):158-162.[doi:10.3969/j.issn.1006-1959.2025.12.034]
点击复制

医护患共同决策护理对老年髋部骨折患者骨折愈合及术后并发症的影响()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年12期
页码:
158-162
栏目:
护理研究
出版日期:
2025-06-15

文章信息/Info

Title:
Effect of Doctor-nurse-patient Shared Decision-making Nursing on Fracture Healing and Postoperative Complications in Elderly Patients with Hip Fracture
文章编号:
1006-1959（2025）12-0158-05
作者:
王 琦1; 周青秀2; 廖丹平3; 刘 柳2; 娄玉香1
吉水县人民医院骨科1，泌尿外科2，普外科3，江西 吉水 331600
Author(s):
WANG Qi1;  ZHOU Qingxiu2;  LIAO Danping3;  LIU Liu2;  LOU Yuxiang1
Department of Orthopaedics1, Department of Urinary Surgery2, Department of General Surgery3, Jishui County People’s Hospital, Jishui 331600, Jiangxi, China
关键词:
医护患共同决策护理; 髋部骨折; 围术期
Keywords:
Doctor-nurse-patient shared decision-making nursing;  Hip fracture;  Perioperative period
分类号:
R473.6
DOI:
10.3969/j.issn.1006-1959.2025.12.034
文献标志码:
A
摘要:
目的 探讨医护患共同决策护理对老年髋部骨折患者骨折愈合及术后并发症的影响。方法 选取吉水县人民医院2022年1月-2023年8月收治的60例老年髋部骨折患者作为研究对象，按照随机数字表法将所有患者分为对照组和研究组，每组30例。对照组应用常规护理，研究组应用医护患共同决策护理。比较两组临床恢复指标（骨折愈合时间、住院时间、正常行走时间）、依从性、并发症发生情况、康复情况（Harris评分、Barthel指数评分）。结果 研究组骨折愈合时间、住院时间、正常行走时间均短于对照组（P＜0.05）。研究组依从性高于对照组（P＜0.05）。研究组并发症发生率低于对照组（P＜0.05）。研究组Harris评分、Barthel指数评分高于对照组（P＜0.05）。结论 医护患共同决策护理能提高老年髋部骨折患者依从性和骨折愈合速度，改善患者日常生活自理能力、髋关节功能，并发症发生风险明显降低。
Abstract:
Objective To explore the effect of doctor-nurse-patient shared decision-making nursing on fracture healing and postoperative complications in elderly patients with hip fracture. Methods A total of 60 elderly patients with hip fracture admitted to Jishui County People’s Hospital from January 2022 to August 2023 were selected as the research objects. According to the random number table method, all patients were divided into control group and study group, with 30 patients in each group. The control group was given routine nursing, and the study group was given doctor-nurse-patient shared decision-making nursing. The clinical recovery indexes (fracture healing time, hospitalization time, normal walking time), compliance, complications and rehabilitation (Harris score, Barthel index score) were compared between the two groups. Results The fracture healing time, hospitalization time and normal walking time in the study group were shorter than those in the control group (P<0.05). The compliance of the study group was higher than that of the control group (P<0.05). The total incidence of complications in the study group was lower than that in the control group (P<0.05). The Harris score and Barthel index score of the study group were higher than those of the control group (P<0.05). Conclusion Doctor-nurse-patient shared decision-making nursing can improve the compliance and fracture healing speed of elderly patients with hip fracture, improve their daily living ability and hip joint function, and significantly reduce the risk of complications.

参考文献/References:

[3]卢丛兰,陈静,靳晓柳,等.医护一体化模式在老年骨折患者术后护理中的应用[J].临床与病理杂志,2018,38(12):2660-2665.[4]张亚琳,李春燕.医护一体化护理模式预防老年髋部骨折术后深静脉血栓形成的效果观察[J].慢性病学杂志,2018,18(5):564-565.[5]廖淑梅,路星辰,熊雁,等.损害控制在90岁以上超高龄患者髋部骨折围术期护理中的应用[J].重庆医学,2017,46(13):1840-1842.[6]赵媛,彭贵凌.多学科协作下老年髋部骨折围手术期医护一体信息化护理模式的研究[J].中国实用护理杂志,2021,37(7):481-486.[7]张咪,周春兰,吴艳妮,等.老年髋部骨折术后患者家庭康复护理的最佳证据总结[J].中华护理杂志,2022,57(22):2777-2783.[8]张佳莉,苟莉.医护一体化护理在预防髋部骨折术后深静脉血栓中的应用[J].血栓与止血学,2019,25(6):1056-1058.[9]张玉萍,王瑜.医护一体化护理在预防老年髋部骨折术后深静脉血栓形成中的应用[J].血栓与止血学,2020,26(1):163-164.[10]曹虹,梅晓凤,王云云,等.老年髋部骨折患者围手术期谵妄预防及护理的最佳证据总结[J].护士进修杂志,2019,34(11):1032-1039.[11]陈少敏,吕畅,陈珍珍,等.老年髋部骨折独立骨科单元及绿色通道的建立与护理模式研究[J].中华现代护理杂志,2018,24(35):4309-4312.[12]李玉佳,李昊儒,张莉,等.结构-过程-结果三维质量评价模式在老年髋部骨折患者围术期血糖管理中的应用[J].中华现代护理杂志,2018,24(31):3773-3777.[13]林有伟,林勤,俞木林,等.PDCA循环法在手术室接送老年髋部骨折患者中的应用效果[J].福建医药杂志,2021,43(1):153-155.[14]肖多多,严洁敏,曾惠玲,等.早期护理干预联合五心穴穴位按摩对降低高龄髋部骨折患者围术期谵妄发生率的效果[J].国际护理学杂志,2023,42(3):440-443.[15]王琼,于玲玲,韩书环,等.基于医联体的住院-家庭-社区延续护理模式在老年髋部骨折术后患者中的应用[J].护理实践与研究,2023,20(3):400-403.[16]刘微微.多元合作ERAS围术期护理干预对老年髋部骨折患者康复效果的影响[J].国际护理学杂志,2023,42(11):2076-2080.[17]刘巧兰,杨燕凤,谢秀娟,等.奥马哈系统在老年髋部骨折患者出院后延续性护理中的应用[J].齐鲁护理杂志,2021,27(12):90-92.[18]贾英琪,张莹莹.基于Caprini风险评估模型的个性化预防护理对老年髋部骨折术后患者下肢深静脉血栓形成的影响[J].临床与病理杂志,2023,43(5):1033-1040.[19]姜秋平,卢甦.预防老年髋部骨折患者术后谵妄的多学科协作护理模式探讨[J].实用临床医药杂志,2020,24(2):121-124.[20]何淑珍,李淑萍,谭雪芳,等.多举措护理在髋部骨折牵引患者使用足跟垫预防足跟部压疮中的应用效果[J].齐鲁护理杂志,2022,28(24):143-144.

相似文献/References:

[1]赵淑芳.老年髋部骨折术后下肢深静脉血栓形成的预防及护理干预效果分析[J].医学信息,2018,31(02):172.[doi:10.3969/j.issn.1006-1959.2018.02.067]
　ZHAO Shu-fang.Prevention of Lower Extremity Deep Venous Thrombosis in Aged Patients with Hip Fracture and the Effect of Nursing Intervention[J].Journal of Medical Information,2018,31(12):172.[doi:10.3969/j.issn.1006-1959.2018.02.067]
[2]钱 庆,王 亮,夏书江,等.超声引导下髋关节囊周神经阻滞对老年髋部骨折患者术后睡眠质量的影响[J].医学信息,2022,35(12):149.[doi:10.3969/j.issn.1006-1959.2022.12.036]
　QIAN Qing,WANG Liang,XIA Shu-jiang,et al.Effect of Ultrasound-guided Pericystic Nerve Block on Postoperative Sleep Quality in Elderly Patients with Hip Fracture[J].Journal of Medical Information,2022,35(12):149.[doi:10.3969/j.issn.1006-1959.2022.12.036]
[3]魏 韡,毕义琴.系统化康复护理在老年髋部骨折患者围手术期中的应用[J].医学信息,2019,32(12):185.[doi:10.3969/j.issn.1006-1959.2019.12.063]
　WEI Wei,BI Yi-qin.Application of Systematic Rehabilitation Nursing in Perioperative Period of Elderly Patients with Hip Fracture[J].Journal of Medical Information,2019,32(12):185.[doi:10.3969/j.issn.1006-1959.2019.12.063]
[4]张怡群,崔腾云,刘 婷.康复护理干预对髋部骨折患者康复锻炼依从性与功能恢复的影响[J].医学信息,2022,35(16):181.[doi:10.3969/j.issn.1006-1959.2022.16.046]
　ZHANG Yi-qun,CUI Teng-yun,LIU Ting.Effect of Rehabilitation Nursing Intervention on Rehabilitation Exercise Compliance and Functional Recovery in Patients with Hip Fracture[J].Journal of Medical Information,2022,35(12):181.[doi:10.3969/j.issn.1006-1959.2022.16.046]
[5]阿布都艾尼江·阿不力米提,袁 宏.老年髋部骨折术后功能恢复的影响因素研究[J].医学信息,2020,33(01):39.[doi:10.3969/j.issn.1006-1959.2020.01.014]
　Abuduainijiang·Abulimiti,YUAN Hong.Study on Influencing Factors of Functional Recovery in Elderly Hip Fracture Patients[J].Journal of Medical Information,2020,33(12):39.[doi:10.3969/j.issn.1006-1959.2020.01.014]
[6]刘 璐.瑞马唑仑联合气管插管全身麻醉在老年髋部骨折内固定术中的应用[J].医学信息,2023,36(19):97.[doi:10.3969/j.issn.1006-1959.2023.19.020]
　LIU Lu.Application of Remimazolam Combined with Tracheal Intubation General Anesthesia in Elderly Patients with Hip Fracture Internal Fixation[J].Journal of Medical Information,2023,36(12):97.[doi:10.3969/j.issn.1006-1959.2023.19.020]
[7]刘月星,杨朝昕,万 乾,等.老年髋部骨折术前健侧肢体深静脉血栓形成的危险因素分析[J].医学信息,2020,33(10):108.[doi:10.3969/j.issn.1006-1959.2020.10.028]
　LIU Yue-xing,YANG Zhao-xin,WAN Qian,et al.Analysis of Risk Factors for Deep Venous Thrombosis in the Healthy Limbs of the Elderly before Hip Fracture[J].Journal of Medical Information,2020,33(12):108.[doi:10.3969/j.issn.1006-1959.2020.10.028]
[8]岳洪武,黄德清.骨康胶囊对老年骨质疏松性髋部骨折内固定患者术后恢复、骨代谢及骨密度的影响[J].医学信息,2021,34(24):73.[doi:10.3969/j.issn.1006-1959.2021.24.015]
　YUE Hong-wu,HUANG De-qing.Effects of Gukang Capsule on Postoperative Recovery, Bone Metabolism and Bone Mineral Density in Elderly Patients with Osteoporotic Hip Fracture[J].Journal of Medical Information,2021,34(12):73.[doi:10.3969/j.issn.1006-1959.2021.24.015]
[9]吴铭洲,顾 磊,远理娟,等.老年髋部骨折患者术后谵妄研究现状[J].医学信息,2020,33(17):30.[doi:10.3969/j.issn.1006-1959.2020.17.009]
　WU Ming-zhou,GU Lei,YUAN Li-juan,et al.Research Status of Postoperative Delirium in Elderly Patients with Hip Fracture[J].Journal of Medical Information,2020,33(12):30.[doi:10.3969/j.issn.1006-1959.2020.17.009]
[10]黄伟华,张 杰,丁声双,等.椎管内麻醉与全身麻醉对髋部骨折患者术后谵妄影响的Meta分析[J].医学信息,2022,35(23):50.[doi:10.3969/j.issn.1006-1959.2022.23.008]
　HUANG Wei-hua,ZHANG Jie,DING Sheng-shuang,et al.Meta-analysis of the Effects of Spinal Anesthesia and General Anesthesia on Postoperative Delirium in Patients with Hip Fracture[J].Journal of Medical Information,2022,35(12):50.[doi:10.3969/j.issn.1006-1959.2022.23.008]

更新日期/Last Update: 1900-01-01