Influence of comprehensive assessment-based targeted nursing intervention on postoperative recovery of advanced-aged patients undergoing hip replacement
Hao Yingying
Wei Ya'nan
Yao Heling
Abstract：Objective To explore the influence of comprehensive assessment-based targeted nursing(CATN)intervention on postoperative recovery of advanced-aged patients with femoral neck fracture(FNF)who undergoing hip replacement.Methods Using the random number table method,90 advanced aged FNF patients who treated by hip replacement in General Hospital of PingCoal Shenma Medical Group from July 2020 to July 2023 were divided into control group and observation group(n=45).Patients in observation group implemented CATN while in control group,regular nursing intervention was carried out.Postoperative hospital stay and postoperative complications of the two groups were recorded,and the functional recovery,psychological state and pain degree of the two groups before and after the intervention were evaluated.Results Before the intervention,Harris function score of hip joint,modified Barthel index(MBI),self-rating anxiety scale(SAS),self-rating depression scale(SDS)and facial expression rating scale(FRS)scores in two groups were similar;After the intervention,the above indicators in observation group were better than those in control group(P<0.05).In observation group,postoperative hospital stay was shorter than that of control group,the differences showed statistically significant(P<0.05).There was no statistical difference of total incidence of postoperative complications between two groups(P>0.05).Conclusion Compared with routine nursing intervention,CATN for advanced-aged FNF patients who undergoing hip replacement could effectively promote the recovery of hip joint function,relieve the anxiety and depression,alleviate pain,shorten the postoperative hospital stay,and as a result,accelerate the rehabilitation process.
Keywords：Femoral neck fracturesArthroplastyreplacementhipAgedComprehensive assessmentTargeted nursingRehabilitationPostoperative complications
Publication Date：2024-06-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 196-201 )