| ObjectiveTo understand the nursing status of elderly patients with hip fracture internal fixation in TCM.To establish the TCM method of continuous nursing for elderly patients with internal fixation of hip fracture and to evaluate the influence on the quality of life of elderly patients with internal fixation of hip fracture.To provide clinical reference for improving the quality of life of patients with internal fixation in aged hip fracture Methods1.This research adopts the convenient sampling method.The patients with internal fixation of hip fracture in a department of orthopedics in Henan Province Hospital of TCM(The second affiliated Hospital of Henan University of TCM)from January 2017 to October 2017 were selected as the research objects.With patients over 60 years of age who underwent internal fixation for hip fractures and signed informed consent.The method of SPSS Software for random grouping was used to divide the test group and the control group into two groups: 42 cases each.In the course of the experiment,7 cases were lost,and 38 cases were included in the trial group and 39 cases in the control group.2.Survey of baseline data of patients,The control group was given nursing according to the "TCM Nursing Plan for Hip fracture" in Henan Province Hospital of TCM,while the experimental group was given continuous nursing of TCM characteristics on the basis of the nursing of the control group.The intervention included individualized TCM physiotherapy program and health education.To guide the patients and caregivers in the knowledge of disease and the nursing technology of TCM,The 6-month telephone follow-up includes: health education,psychological support,complication prevention,functional training,Chinese characteristic nursingoperation instruction and so on.3.The general data of the patients were investigated on admission with the SF-36 quality of Life scale(QOL)and Harris Hip scale(Harris hip scale).The Harris hip scale was used again at discharge,one month after discharge and three months after discharge.Six months after discharge,the SF-36 quality of life scale score,Harris hip score scale score and readmission rate statistics.4.In the general data of the elderly,the mean standard deviation(x ±s)was used to express the age,and two independent samples were used for t test,Other data were described by frequency,Pearson-test or Fishers-exact probability test were used;Quality of life score and hip joint score were described by mean standard deviation(x ±s),Statistical analysis of variance using t-test or double-factor repeated measurement;The readmission rate of patients is expressed as a percentage,were used for Chi-square test;The test level is ?=0.05,P < 0.05 the difference was statistically significant.Results1.The patient's social demographic data showed that the age was 60 to 96 years old,with an average age of 74.74±9.02 years,of which the ratio of male to female was1: 2.08.There was no significant difference between the two groups in terms of age,sex,education,marital status,living status,carer,fracture site and so on.2.Comparison of SF-36 quality of life score between the two groups: Two groups of patients were discharged 6 months after intervention,The scores in the 5dimensions of physiological function,physiological function,physical pain,general health and mental health in the experimental group were higher than those in the control group,the difference was statistically significant(P < 0.05),However,there was no significant difference between the experimental group and the control group in the three dimensions of vitality,social function and affective function(P > 0.05).The total score of SF-36 quality of life in the trial group was higher than that in the control group(P < 0.05).3.Two groups of patients Harris hip score comparison: two groups of patients at discharge,1 months after discharge,3 months after discharge,Harris 6 months after discharge,the total hip score showed an upward trend,and the experimental group was higher than the control group(P < 0.05).4.Comparison of readmission rates between the two groups: one patient(2.6%)in the trial group was less than 4 cases(10.25%)in the control group within 6 months.and the experimental group was lower than the control group(P < 0.05).Conclusion1.The traditional Chinese characteristic continuous nursing mode can effectively improve the quality of life and the hip joint function of the elderly patients with hip fracture internal fixation,and reduce the re-hospitalization rate of the patients.2.The traditional Chinese characteristic continuous nursing has the characteristics of innovation and pertinence.The method of telephone follow-up is simp le and easy.To provide clinical basis for the application of TCM characteristic continuous nursing in elderly patients with hip fracture internal fixation. |
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