中西医结合护理 (Sep 2023)
Investigate of preoperative hope level and analysis of influencing factors in elderly patients with femoral neck fracture (老年股骨颈骨折患者术前希望水平及影响因素分析)
Abstract
Objective To investigate the preoperative hope level of elderly patients with femoral neck fracture and analyze its influencing factors, so as to provide a practical basis for improving the preoperative hope level of elderly patients with femoral neck fracture and promoting postoperative rehabilitation. Methods A total of 206 cases of elderly patients with femoral neck fractures who were eligible for the surgical treatment were included as the research objects. The general information questionnaire, Herth Hope Index (HHI)Scale, General Self-Efficacy Scale(GSES) were analyzed. Results The total HHI score of 206 elderly patients with femoral neck fractures was (31.73+-9.68) points, and scores of each dimension were: positive attitude towards reality and the future (9.14+-1.10), taking positive actions (11.69+-5.36), maintaining close relationships with others (10.89+-3.22); Among them, 63 cases (30. 6%) were high hope levels, 131 cases (65. 6%) were medium hope levels, and 12 cases (3. 8%) were low hope levels. The results of multiple stepwise regression analysis showed that age, comorbidity index, economic status, housing status, and self-efficacy were significant predictors of the preoperative hope level of elderly patients with femoral neck fractures (p<0. 05). Conclusion Elderly patients with femoral neck fractures may have different levels of hope before surgery. Medical staff should pay attention to the relevant factors that affect the patients’ level of hope before surgery, and focus on influencing factors such as advanced age, multiple complications, financial difficulties, living alone, and low self-efficacy. Targeted nursing strategies should be carried out to enhance the preoperative hope of elderly patients with femoral neck fractures. (目的 调查老年股骨颈骨折患者术前希望水平并分析其影响因素, 为提高老年股骨颈骨折患者术前希望水平及促进术后康复提供实践与理论依据。方法 采用方便抽样法, 选取2020年1月—2021年12月医院骨科收治符合条件的年龄≥65岁206例老年股骨颈骨折术前的患者为研究对象, 采用一般资料调查表、Herth希望量表(HHI)、一般自我效能感量表(GSES)进行问卷调查, 采用非条件Logistic回归分析找出患者术前希望水平的影响因素。结果 206例老年股骨颈骨折患者术前HHI量表总分(31. 73±9. 68)分; 各维度得分情况为: 对现实和未来的积极态度(9. 14±1. 10)分、采取积极的行动(11. 69±5. 36)分、与他人保持亲密的关系(10. 89±3. 22)分; 其中高希望水平63(30. 58%)例, 中等希望水平131(63. 59%)例, 低希望水平12(5. 83%)例。多元逐步回归分析结果显示, 年龄、合并症指数、经济状况、居住情况、自我效能是老年股骨颈骨折患者术前希望水平的显著预测因子(P＜0. 05)。结论 老年股骨颈骨折患者术前会出现不同希望水平, 医护人员应关注影响患者术前希望水平的相关因素, 重点加强对高龄、合并症多、经济困难、独居、自我效能水平低等因素存在的老年股骨颈骨折患者的关爱, 采取针对性的护理策略, 提高患者术前的希望水平。)
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