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目的探讨系统化护理模式对老年股骨颈骨折患者消极情感状况及并发症的影响。方法选取88例老年股骨颈骨折患者,利用随机数字表法分为研究组和对照组各44例。对照组开展常规护理干预,研究组在对照组基础上引入系统化护理模式。均于入院当天、手术前1 d及术后2 d接受焦虑自评量表(SAS)和抑郁自评量表(SDS)测评,比较2组住院期间并发症发生率。结果 2组入院时SAS和SDS评分比较差异无统计学意义(P均>0.05);手术前1 d及手术后2 d研究组SAS和SDS评分均显著低于对照组(P均<0.05)。研究组并发症发生率9%(4/44),对照组25%(11/44),2组比较差异有统计学意义(P<0.05)。结论老年股骨颈骨折患者引入系统化护理模式,有助于改善患者围手术期的焦虑、抑郁情感状况,且能降低术后并发症发生率,值得在临床上进一步推广。
Objective To investigate the effect of systematic nursing on negative emotions and complications in elderly patients with femoral neck fracture. Methods 88 cases of elderly patients with femoral neck fracture were divided into study group and control group by random number table method in 44 cases. The control group to carry out routine nursing intervention, the study group in the control group based on the introduction of systematic nursing mode. On the day of admission, 1 d before operation and 2 d after operation were measured by SAS and SDS, and complication rates were compared between two groups. Results There was no significant difference in SAS and SDS scores between the two groups (P> 0.05). The score of SAS and SDS in study group 1 d before operation and 2 d after operation were significantly lower than those in control group (all P <0.05). The incidence of complications was 9% (4/44) in the study group and 25% (11/44) in the control group, with significant difference between the two groups (P <0.05). Conclusions Systematic nursing model is introduced in the elderly patients with femoral neck fracture, which can help to improve anxiety and depression in perioperative patients and reduce the incidence of postoperative complications. It is worth further promotion in clinical practice.