整合式医护团队实施加速康复外科对股骨颈骨折全髋关节置换术患者康复效果的影响

Effect of enhanced recovery after surgery on rehabilitation outcomes of patients with femoral neck fracture undergoing total hip arthroplasty implemented by integrated healthcare team

  • 摘要:
    目的 探讨整合式医护团队加速康复外科(ERAS)配合营养支持对股骨颈骨折全髋关节置换术患者康复效果的影响。
    方法 选取股骨颈骨折全髋关节置换术患者100例,按随机数表法分为观察组和对照组,每组50例。观察组采用整合式医护团队ERAS配合营养支持的康复护理方法,对照组采用传统的治疗与康复护理方法。
    结果 观察组首次下床时间、术后住院时间均短于对照组,住院费用低于对照组,差异有统计学意义(P<0.05)。出院时,观察组微型营养评估(MNA)得分高于对照组,血清指标数值高于对照组,差异有统计学意义(P<0.05)。观察组髋关节分值高于对照组,总并发症发生率低于对照组,体质量高于对照组,差异有统计学意义(P<0.05)。
    结论 整合式医护团队ERAS配合营养支持可以有效促进股骨颈骨折全髋关节置换术患者的康复,患者恢复效果表现良好。

     

    Abstract:
    Objective To investigate the impact of integrated healthcare team-implemented enhanced recovery after surgery (ERAS) protocol combined with nutritional support on rehabilitation outcomes of patients with femoral neck fracture undergoing total hip arthroplasty.
    Methods A total of 100 patients with femoral neck fracture scheduled for total hip arthroplasty were enrolled and randomly divided into observation group and control group, with 50 patients in each group. The observation group received rehabilitation nursing approach integrating ERAS by an integrated healthcare team along with nutritional support, while the control group received conventional treatment and rehabilitation nursing.
    Results The observation group demonstrated a significantly shorter time to first ambulation and postoperative length of hospital stay, as well as lower hospitalization costs compared with the control group (P<0.05). At discharge, the observation group had higher scores on the Mini-nutritional Assessment (MNA) and elevated serum indicator values compared with the control group (P<0.05). Additionally, the observation group achieved higher hip joint scores, a lower total complication rate, and greater body weight compared with the control group (P<0.05).
    Conclusion The implementation of ERAS by integrated healthcare team combined with nutritional support can effectively promote the rehabilitation of patients with femoral neck fracture undergoing total hip arthroplasty, yielding favorable rehabilitation outcomes.

     

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