Abstract:

Objective To explore the application of cluster nursing mode in perioperative period of elderly patients with hip fracture. Methods A retrospective cohort study design was used.Through convenience sampling method，50 elderly patients admitted to the hospital for hip fractures from January 2018 to December 2019 were selected as the control group. Meanwhile，47 elderly patients admitted to hospital for hip fractures from January 2020 to December 2021 were selected as the experimental group. The experimental group received cluster nursing，while the control group received routine nursing measures. The outcomes compared between the 2 groups included the effective rate of pain intervention，functional exercise compliance，and the incidence of complications. Results The effective rate of pain intervention（χ²=5.922，P=0.015） and functional exercise compliance（χ²=9.685，P=0.008）in the experimental group were higher than those in the control group. The number of perioperative complications（χ²=7.600，P=0.006） in the experimental group were lower than those in the control group. Conclusion The application of cluster nursing mode in the perioperative period of elderly patients with hip fractures can effectively control pain，improve functional exercise compliance，and reduce complications.

Key words: Cluster Nursing, Hip Fractures, Elderly, Perioperative Nursing

摘要：

目的 探讨集束化护理在高龄髋部骨折患者围手术期护理中的应用效果。 方法 通过便利抽样法，选择2020年1月—2021年12月广州市某三级甲等医院收治的47例高龄髋部骨折患者作为试验组，2018年1月—2019年12月收治的50例高龄髋部骨折患者作为对照组，试验组实施集束化护理，对照组在围手术期接受常规护理，出院时比较两组的疼痛干预有效率、功能锻炼依从性、并发症发生率。 结果 试验组疼痛干预有效率（χ²=5.922，P=0.015）及功能锻炼依从性中完全依从（χ²=9.685，P=0.008）高于对照组，试验组围手术期并发症发生率（χ²=7.600，P=0.006）低于对照组，差异具有统计学意义（P<0.05）。 结论 在围手术期应用集束化护理对高龄髋部骨折患者进行干预，有利于控制疼痛，提高功能锻炼的依从性，减少并发症的发生。

关键词: 集束化护理, 髋部骨折, 高龄, 围手术期护理