Effect observation of clinical pathway-based cluster care in elderly patients with femoral neck fracture in primary hospitals
基于临床路径的集束化护理在基层医院老年股骨颈骨折患者中的效果观察

摘要

目的 探讨在基层医疗机构对老年股骨颈骨折患者实施临床路径导向的集束化护理的成效。方法 对2024年3月至2024年8月期间于我院接受治疗的60例老年股骨颈骨折患者进行随机分组，使用随机数字表法将患者分为观察组（30例）和对照组（30例）。对照组患者接受标准护理，而观察组患者接受基于临床路径的集束化护理。对比分析两组患者的护理效果。结果 比较结果显示，观察组患者遵医行为显著优于对照组。观察组的患者术后恢复至能够下床活动的时间短于对照组，术后疼痛评分低于对照组，并发症发生率低于对照组。此外，观察组的患者生活活动能力恢复情况和生活质量评分均显著高于对照组,获得的护理满意度明显高于对照组（P<0.05）。结论 在老年股骨颈骨折患者的护理管理中应用基于临床路径的集束化护理，能够有效提升护理服务质量，加速患者术后康复，降低并发症风险，并显著提高患者的生活质量。

Abstract

Objective To explore the effectiveness of clinical pathway-oriented cluster care for elderly patients with femoral neck fractures in primary medical institutions.
Methods 60 elderly patients with femoral neck fracture treated in our hospital from March 2024 to August 2024 were randomized, and the patients were divided into the observation group (30 cases) and the control group (30 patients) using the random number chart. Patients in the control group received standard care, whereas patients in the observation group received clinical pathway-based cluster care. Comparative analysis of the nursing effect of the two patient groups.
Results The comparison results showed that the patients in the observation group were significantly better than those in the control group. Patients in the observation group had less time to recover from surgery than the control group, lower postoperative pain score, and lower complication rate than the control group. In addition, the recovery of life activity ability and quality of life score of the patients in the observation group were significantly higher than that of the control group, and the nursing satisfaction obtained was significantly higher than that of the control group (P <0.05).
Conclusion   The application of clinical pathway-based cluster nursing in the nursing management of elderly patients with femoral neck fracture can effectively improve the quality of nursing services, accelerate postoperative rehabilitation, reduce the risk of complications, and significantly improve the quality of life of patients.