Volume 21 Issue 12
Dec.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(12): 2165-2168
YANG Chang, LUO Guogang, ZHOU Minjie. Application of nursing model based on enhanced recovery after surgery concept combined with ear point embedding in the perioperative period of elderly hip fractures[J]. Chinese Journal of General Practice, 2023, 21(12): 2165-2168. doi: 10.16766/j.cnki.issn.1674-4152.003314
Citation: YANG Chang, LUO Guogang, ZHOU Minjie. Application of nursing model based on enhanced recovery after surgery concept combined with ear point embedding in the perioperative period of elderly hip fractures[J]. Chinese Journal of General Practice, 2023, 21(12): 2165-2168. doi: 10.16766/j.cnki.issn.1674-4152.003314
shu

Application of nursing model based on enhanced recovery after surgery concept combined with ear point embedding in the perioperative period of elderly hip fractures

doi: 10.16766/j.cnki.issn.1674-4152.003314

  • Orthopaedic Trauma Ⅱ Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine, Wenzhou, Zhejiang 325000, China

Funds:

 Y20220526

 2021ZB275

  • Received Date: 2023-07-28
    Available Online: 2024-01-29
    Abstract
  •   Objective  To investigate the effects of a medical care model based on the concept of enhanced recovery after surgery (ERAS) combined with ear point embedding on postoperative pain, negative emotions and sleep quality in elderly hip fracture patients.  Methods  Selected 200 elderly hip fracture patients who admitted to Wenzhou Integrated Traditional Chinese and Western Medicine Hospital from November 2022 to May 2023, and divided into control group (100 cases) and observation group (100 cases) by digital table method, the control group received perioperative routine care based on ERAS concept, and the observation group received ear point embedding intervention on this basis. Pain severity [visual analogue scale (VAS)], pain mediators [prostaglandin E2 (PGE2), beta-endorphin (β-EP)], anxiety status [self-rating anxiety scale (SAS)] and sleep quality [Pittsburgh sleep quality index (PSQI)] were compared between the two groups.  Results  The VAS scores of the observation group at 24 h, 48 h and 72 h were lower than those of the control group (P < 0.05); the levels of PGE2 and β-EP at 24 h, 48 h and 72 h after surgery were lower than those in the control group (P < 0.05). The SAS score after surgery was (33.45±4.78)points, which was lower than that in the control group[(38.90±6.09) points, t=7.040, P < 0.05]. The PSQI score after the intervention was (9.10±1.23) points, which was lower than that in the control group[(12.45±3.02) points, t=10.273, P < 0.05].  Conclusion  The care model based on the ERAS concept, combined with ear point embedding, can effectively reduce postoperative pain in elderly hip fracture patients, eliminate anxiety, improve sleep quality and have a positive impact on early patient recovery.

     

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