Volume 23 Issue 6
Jun.  2025
Turn off MathJax
Article Contents
ZHANG Leyan, SHAO Sufen, XIE Aqun, ZHENG Xuelei, LUO Guogang. Effect of focus solution model combined with internet plus continuing nursing on the function and quality of life of hip fracture in the elderly[J]. Chinese Journal of General Practice, 2025, 23(6): 1071-1075. doi: 10.16766/j.cnki.issn.1674-4152.004067
Citation: ZHANG Leyan, SHAO Sufen, XIE Aqun, ZHENG Xuelei, LUO Guogang. Effect of focus solution model combined with internet plus continuing nursing on the function and quality of life of hip fracture in the elderly[J]. Chinese Journal of General Practice, 2025, 23(6): 1071-1075. doi: 10.16766/j.cnki.issn.1674-4152.004067

Effect of focus solution model combined with internet plus continuing nursing on the function and quality of life of hip fracture in the elderly

doi: 10.16766/j.cnki.issn.1674-4152.004067
Funds:

 2021ZB275

 Y2023881

  • Received Date: 2024-06-05
    Available Online: 2025-09-04
  •   Objective  On the basis of internet plus continuing nursing, this study applies the combined focus solution model to elderly patients with hip fracture, and analyzes the impact of this intervention program on hip function and quality of life of patients, so as to provide reference for improving postoperative rehabilitation effect.  Methods  According to the random number table method, 100 elderly patients with hip fracture in Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine from October 2022 to January 2024 were divided into observation group (n=50) and control group (n=50). The control group received internet plus continuing nursing intervention, and the observation group received the internet plus continuing nursing intervention based on focus solution model. The hip function, pain, quality of life and complications were compared between the two groups.  Results  The total score of Harris hip function score (HHS) and scores of all dimensions in the observation group were higher than those in the control group (P < 0.05). After 1 week, 1 month and 3 months of intervention, the scores of numerical rating scale (NRS) were lower than those of the control group (P < 0.05). After the intervention, the scores of short form health survey (SF-36) in the observation group were higher than those in the control group except social function (P < 0.05). The incidence of postoperative wound infection, dislocation and venous thrombosis complications in the observation group was lower than that in the control group, and the difference was statistically significant [2.00%(1/50) vs.14.00%(7/50), χ2=4.891, P=0.027].  Conclusion  The application of focus solution model combined with internet plus continuous nursing in elderly patients with hip fracture after operation is helpful to improve hip joint function, relieve patients' pain, improve patients' quality of life, and reduce the probability of postoperative complications.

     

  • loading
  • [1]
    PECH-CIAU B A, LIMA-MARTíNEZ E A, ESPINOSA-CRUZ G A, et al. Hip fracture in the elderly: epidemiology and costs of care[J]. Acta Ortop Mex, 2021, 35(4): 341-347. doi: 10.35366/103314
    [2]
    GRIFFITHS R, BABU S, DIXON P, et al. Guideline for the management of hip fractures 2020: guideline by the association of anaesthetists[J]. Anaesthesia, 2021, 76(2): 225-237. doi: 10.1111/anae.15291
    [3]
    PICADO C, SAVARESE A, CARDAMONI V, et al. Clinical, radiographic, and survivorship analysis of a modular fluted tapered stem in revision hip arthroplasty[J]. J Orthop Surg(Hong Kong), 2020, 28(1): 2309499019891638. DOI: 10.1177/2309499019891638.
    [4]
    韦华桐, 邹三明, 张宇博, 等. 研究多学科协作管理模式在老年髋部骨折中的应用[J]. 中国骨与关节杂志, 2023, 12(3): 205-209. doi: 10.3969/j.issn.2095-252X.2023.03.007

    WEI H T, ZOU S M, ZHANG Y B, et al. MDT management model in hip fracture of the elderly[J]. Chinese Journal of Bone and Joint, 2023, 12(3): 205-209. doi: 10.3969/j.issn.2095-252X.2023.03.007
    [5]
    ZINGG M, HANNOUCHE D. Sport participation after hip and knee replacement[J]. Rev Med Suisse, 2019, 15(675): 2278-2283.
    [6]
    徐转妮, 罗洁. 微信视频延续性护理在人工髋关节置换术患者居家护理中的应用效果[J]. 临床医学研究与实践, 2021, 6(19): 172-174.

    XU Z N, LUO J. Application effect of WeChat video continuous nursing in home nursing of patients with hip arthroplasty[J]. Clinical Research and Practice, 2021, 6(19): 172-174.
    [7]
    王春燕, 张学平. 焦点解决模式对老年焦虑障碍共病高血压患者的心理护理作用[J]. 中华全科医学, 2020, 18(10): 1779-1782. doi: 10.16766/j.cnki.issn.1674-4152.001617

    WANG C Y, ZHANG X P. Psychological nursing effect of the solution-focused model on elderly patients with hypertension and generalized anxiety disorder[J]. Chinese Journal of General Practice, 2020, 18(10): 1779-1782. doi: 10.16766/j.cnki.issn.1674-4152.001617
    [8]
    滕立英, 王文文, 周金娜, 等. 焦点解决模式在胫骨高位截骨术后康复护理中的应用研究[J]. 北京医学, 2019, 41(1): 89-91.

    TENG L Y, WANG W W, ZHOU J N, et al. Study on the application of focus solution model in rehabilitation nursing after high tibial osteotomy[J]. Beijing Medical Journal, 2019, 41(1): 89-91.
    [9]
    VARADY N H, GILLINOV S M, YEUNG C M, et al. The Charlson and elixhauser scores outperform the American society of anesthesiologists score in assessing 1-year mortality risk after hip fracture surgery[J]. Clin Orthop Relat Res, 2021, 479(9): 1970-1979. doi: 10.1097/CORR.0000000000001772
    [10]
    邓莹, 潘卫宇, 左珊珊, 等. 基于行动研究法的健康教育对全髋关节置换术患者术后康复的影响[J]. 中华全科医学, 2023, 21(1): 100-103. doi: 10.16766/j.cnki.issn.1674-4152.002822

    DENG Y, PAN W Y, ZUO S S, et al. Effects of health education based on action research method on the postoperative rehabilitation of patients with total hip replacement[J]. Chinese Journal of General Practice, 2023, 21(1): 100-103. doi: 10.16766/j.cnki.issn.1674-4152.002822
    [11]
    MITSUYA H, NAKAZATO K, HAKKAKU T, et al. Hip flexion angle affects longitudinal muscle activity of the rectus femoris in leg extension exercise[J]. Eur J Appl Physiol, 2023, 123(6): 1299-1309. doi: 10.1007/s00421-023-05156-w
    [12]
    陈君兰, 严涌珍. 目标设置结合镜像训练对股骨干骨折康复训练效果的影响[J]. 中国基层医药, 2020, 27(22): 2809-2812.

    CHEN J L, YAN Y Z. Influence of goal setting combined with mirror image training on rehabilitation training effects of femoral shaft fractures[J]. Chinese Journal of Primary Medicine and Pharmacy, 2020, 27(22): 2809-2812.
    [13]
    蒋莹卿, 王洁, 童亚慧, 等. 老年骨质疏松性髋部骨折患者术后互联网+技术联络服务模式的应用研究[J]. 中国实用护理杂志, 2022, 38(22): 1684-1689. doi: 10.3760/cma.j.cn211501-20211217-03470

    JIANG Y Q, WANG J, TONG Y H, et al. Research on the application of internet+ technical liaison service model in elderly osteoporotic hip fractures patients after surgery[J]. Chinese Journal of Practical Nursing, 2022, 38(22): 1684-1689. doi: 10.3760/cma.j.cn211501-20211217-03470
    [14]
    邝妍, 程蕾, 邝远芳, 等. 基于混合方法的老年髋部骨折术后患者的居家照护需求及照护资源整合期望的研究[J]. 中国实用护理杂志, 2023, 39(25): 1972-1978. doi: 10.3760/cma.j.cn211501-20230227-00484

    KUANG Y, CHENG L, KUANG Y F, et al. Study on home care needs and care resource integration expectations of elderly patients after hip fracture surgery: a mixed-method study[J]. Chinese Journal of Practical Nursing, 2023, 39(25): 1972-1978. doi: 10.3760/cma.j.cn211501-20230227-00484
    [15]
    刘小麦, 王菁, 徐海波. 焦点解决疗法对腰椎压缩性骨折术后患者的影响[J]. 心理月刊, 2022, 17(7): 108-110.

    LIU X M, WANG J, XU H B. Effect of solution-focused therapy on postoperative patients with lumbar vertebral compression fractures[J]. Psychologies Magazine, 2022, 17(7): 108-110.
    [16]
    ROGERS A H, FARRIS S G. A meta-analysis of the associations of elements of the fear-avoidance model of chronic pain with negative affect, depression, anxiety, pain-related disability and pain intensity[J]. Eur J Pain, 2022, 26(8): 1611-1635. doi: 10.1002/ejp.1994
    [17]
    俞凤彬, 王春燕, 朱爱锋, 等. 基于焦点解决模式调查与分析人工髋关节置换高龄患者健康教育需求[J]. 检验医学与临床, 2020, 17(12): 1736-1738. doi: 10.3969/j.issn.1672-9455.2020.12.030

    YU F B, WANG C Y, ZHU A F, et al. Investigation and analysis of health education needs of elderly patients undergoing artificial hip replacement based on focus-solving model[J]. Laboratory Medicine and Clinic, 2020, 17(12): 1736-1738. doi: 10.3969/j.issn.1672-9455.2020.12.030
    [18]
    PATIYAL N, KALYANI V, MISHRA R, et al. Effect of music therapy on pain, anxiety, and use of opioids among patients underwent orthopedic surgery: a systematic review and meta-analysis[J]. Cureus, 2021, 13(9): e18377. DOI: 10.7759/cureus.18377.
    [19]
    刘妍妍. 焦点解决模式干预策略联合自我护理训练康复护理对脊髓损伤患者心理状况、康复效果和生活质量的影响[J]. 国际护理学杂志, 2024, 43(11): 2055-2059. doi: 10.3760/cma.j.cn221370-20230207-00483

    LIU Y Y. Effect of intervention strategy of focus-solving mode combined with self-care training on psychological status, rehabilitation effect and quality of life of patients with spinal cord injury[J]. International Journal of Nursing, 2024, 43(11): 2055-2059. doi: 10.3760/cma.j.cn221370-20230207-00483
    [20]
    LIU J, ZHAO Q, WANG J, et al. The effect of continuing care on postoperative life quality and long-term functional recovery in elderly patients with hip fracture[J]. Am J Transl Res, 2021, 13(5): 5512-5518.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(5)

    Article Metrics

    Article views (25) PDF downloads(2) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return