Affiliation:
1. Department of Emergency, Tangshan Second Hospital, Tangshan 063000
2. Department of Spine, The Second Hospital of Tangshan, Tangshan 063000
3. Tangshan Second Hospital Nursing Department
Abstract
Abstract
Background: Fractures often occur in elderly patients. Osteoporosis caused by massive loss of calcium ions in the bones of elderly patients can easily lead to femoral fractures after suffering a low-and medium-energy injury. With the gradual entry of the aging society in China, the incidence of senile fracture is also gradually increasing. However, there is no report on the application of personalized narrative nursing to the mental health, cognitive function and limb function recovery of elderly patients with fracture complicated with cerebrovascular accident, in order to enhance the cognitive level of elderly patients with fracture complicated with cerebrovascular accident. This study was specially conducted with a positive attitude towards the disease and improving the life quality.
Methods: During July 2018 to July 2021, eighty elderly patients with fracture complicated with cerebrovascular accident cured were selected in our hospital. The patients were arbitrarily classified assigned control group (n=40) and study group (n=40). The former received routine nursing and the latter received personalized narrative nursing mode. The nursing satisfaction, functional independence scale (FIM), self-rating anxiety scale (SAS), self-rating depression scale (SDS), cognitive function, fracture healing time, length of hospital stays and hospitalization expenses were compared.
Results: The study group had a satisfaction rate of 100.00%, while the control group had 87.50%. The nursing satisfaction of the study group was higher (P<0.05). After 3 months of nursing, the FIM scores augmented. The FIM scores of upper and lower limbs in the study group were remarkably higher (P<0.05). A decrease in SAS and SDS scores was observed. The SAS and SDS scores of the study group were lower (P<0.05). Three months after discharge, the cognitive function score augmented. At 3 months after discharge, the study group had a higher cognitive function score (P<0.05). The fracture healing time, length of stay and cost of hospitalization in the study group were lower (P<0.05).
Conclusion: Personalized narrative nursing model can successfully enhance the mental health and cognitive function of elderly patients with fracture complicated with cerebrovascular accident, enhance the recovery of limb function, promote patients' nursing satisfaction, and alleviate the economic burden.
Publisher
Research Square Platform LLC
Reference44 articles.
1. Complex Fracture Closure Pressure Analysis During Shut-in: A Numerical Study[J]. Energy Exploration & Exploitation,2022,40(4):312–315.
2. Separando la unión: de huellas digitales a esporas geno-digitales[J];Grove Wouter,Goldin Jacqueline Ann,Breytenbach Johan,Suransky Carolina;Hum Geogr,2022
3. Tropea A, Tisano A, Bruschetta A,Borzelli D,Migliorato. A,Nirta G,Leonardi G,Trimarchi F,Alito A. Comparative FE biomechanical and microbial adhesion analyses on an implanted humerus.[J].Journal of orthopaedics,2022,32(52):194–195.
4. Lo Chun Hin,Tang Yan Ho Bruce. A Case of Subchondral Insufficiency Fracture of the Knee at Lateral Femoral Condyle Treated With Unicompartmental Knee Arthroplasty. [J]. Arthroplasty today,2022,16(52):194–196.
5. Rehm Andreas,Granger Luke,Ngu Albert,Ashby Elizabeth. Does compliance with British Orthopaedic Association Standards for Trauma and Orthopaedics guidelines matter for displaced supracondylar fractures in children?: the experience of a tertiary referral major trauma centre over a 3.5-year period[J].Journal of Pediatric Orthopaedics B,2022,31(4):439–443.