Postoperative continuous nursing system based on old hip fracture patients

Abstract

The invention discloses a postoperative continuous nursing system based on an old hip fracture patient, which relates to the field of medical nursing and comprises a health condition evaluation unit, a propaganda and education exercise unit, a return visit unit and an online support unit. The health condition evaluation unit is used for establishing a health file and evaluating the recovery condition to know the basic condition of the patient and formulating a personalized nursing scheme; the propaganda and education exercise unit is used for propagandizing rehabilitation knowledge and guiding rehabilitation exercise for nursing personnel; the return visit unit is used for recording family visit conditions and follow-up visit conditions and updating a nursing scheme; and the online support unit is used for establishing a rehabilitation group chat, answering questions of patients and realizing mutual assistance and communication between nurses and the patients. According to the technical scheme, postoperative hip joint function recovery of the patient can be accelerated, the life self-care ability of the patient is enhanced, the complication risk is reduced, and the prognosis effect is optimized. The nursing mode pays more attention to improvement of the comprehensive living standard of the patient while paying attention to physiological function recovery of the patient.

Description

Technical Field

[0001] The present invention relates to the field of medical care, and in particular to a continuous care system for elderly patients with hip fractures after surgery. Background Art

[0002] Hip fractures in the elderly are common serious injuries after falls and osteoporosis, and they mainly occur in people aged 60 and above. With the development of the aging trend in society, its incidence rate continues to rise, becoming a key issue affecting the living standards and health of the elderly population. This type of fracture not only causes patients to have limited activities in the short term, but also leads to various complications due to long-term bed rest, such as deep vein thrombosis, pressure sores, urinary tract infections, etc., which have a serious impact on the patient's recovery process and living standards. At present, surgical treatment is the preferred method, and the importance of postoperative care cannot be underestimated. Efficient nursing measures can accelerate the improvement of patients' hip joint function, improve their daily living ability, accelerate the recovery process, and improve prognosis. How to carry out effective postoperative care has always been an urgent problem to be solved in the industry. Based on this, a continuity care system based on postoperative care for elderly patients with hip fractures is proposed. Summary of the Invention

[0003] The present invention aims to provide a postoperative continuity care system for elderly patients with hip fractures to solve the problem of how to provide effective postoperative care.

[0004] In order to achieve the above object, the present invention provides the following technical solutions:

[0005] A postoperative continuity care system for elderly patients with hip fractures, including a health status assessment unit, an education and exercise unit, a follow-up unit, and an online support unit;

[0006] The health status assessment unit is used to establish health records and recovery status assessments to understand the patient's basic conditions and develop personalized care plans;

[0007] The education and exercise unit is used by nursing staff to promote rehabilitation knowledge and guide rehabilitation exercises;

[0008] The return visit unit is used to record home visits and follow-up status, provide feedback to the health status assessment unit, update the patient's health record, and readjust the care plan; the online support unit is used to establish rehabilitation group chats, answer patients' questions, and promote mutual assistance and communication between nurses and patients.

[0009] Furthermore, the health record includes the patient's basic information, surgical conditions, current medical history, surgical results, diet, and lifestyle and exercise habits.

[0010] Furthermore, the personalized nursing plan includes medication guidance, limb function training program and postoperative complication prevention measures.

[0011] Furthermore, the education and training unit provides guidance on health knowledge to patients based on their acceptance ability and cultural level;

[0012] For patients with low education levels, we use pictures and videos to explain to them the necessity and importance of postoperative functional exercises and daily life precautions, and introduce similar cases of successful recovery to improve their treatment compliance;

[0013] For patients with higher education, we provide professional knowledge of the disease, the physiological functions of the hip joint and the principles of functional exercise.

[0014] Furthermore, the health training includes physical training and psychological training;

[0015] Physiological exercises include teaching patients the key points of exercise through demonstration by nursing staff, video viewing, and graphic manuals, while recording the frequency and time;

[0016] Psychological construction includes informing patients of psychological self-regulation techniques.

[0017] Furthermore, the follow-up unit includes recording the implementation of the patient's rehabilitation training, evaluating the patient's hip joint function recovery, evaluating the patient's ability to take care of themselves in daily life, evaluating the patient's quality of life index, observing and recording the patient's wound healing, guiding the patient to properly care for the wound, and recording the patient's mental changes.

[0018] Furthermore, the patients' hip function recovery was evaluated using the Harris Hip Function Rating Scale; the patients' daily self-care ability was assessed using the Barthel Index Rating Scale; and the patients' quality of life index was assessed using the General Quality of Life Assessment Questionnaire-74 (GQOLI-74).

[0019] Furthermore, the online support unit regularly conducts lectures on rehabilitation knowledge, psychological adjustment methods and dietary guidance videos after hip fracture surgery, and nursing staff remotely guide and correct patients' rehabilitation exercises through audio and video.

[0020] The principle and beneficial effects of this technical solution:

[0021] 1. This invention emphasizes seamless connection from hospital to home. Through targeted rehabilitation programs, regular communication and home follow-up interventions, it ensures that patients can still receive continuous guidance and care after discharge, effectively making up for the shortcomings of conventional care.

[0022] 2. The technical solution disclosed in this invention can accelerate the recovery of hip joint function after surgery, enhance patients' ability to care for themselves, reduce the risk of complications, and optimize prognosis. This nursing model not only focuses on the recovery of patients' physiological functions, but also places greater emphasis on improving their overall living standards. BRIEF DESCRIPTION OF THE DRAWINGS

[0023] Figure 1 This is an overall schematic diagram of a continuity care system for elderly patients with hip fractures after surgery. DETAILED DESCRIPTION

[0024] The present invention will be further described in detail below with reference to the accompanying drawings and embodiments:

[0025] Example 1

[0026] like Figure 1 As shown in the figure, a continuity care system for elderly patients with hip fracture after surgery includes a health status assessment unit, an education and exercise unit, a follow-up unit, and an online support unit.

[0027] The health assessment unit is used to establish a health record and recovery assessment to understand the patient's basic condition and develop a personalized care plan. The health record includes basic patient information, surgical details, current medical history, surgical results, diet, and exercise habits. The personalized care plan includes medication guidance, limb function training programs, and measures to prevent postoperative complications.

[0028] The education and exercise unit is used by nursing staff to promote rehabilitation knowledge and guide rehabilitation exercises;

[0029] The education and exercise unit provides guidance on health knowledge to patients based on their acceptance ability and cultural level. For patients with low educational level, pictures and videos are used to explain to them the necessity and importance of postoperative functional exercises and daily precautions, and successful recovery cases of similar cases are introduced to improve their treatment compliance. For patients with higher educational level, professional knowledge of the disease, physiological functions of the hip joint and the principles of functional exercises are explained.

[0030] Healthy exercise includes physical exercise and psychological construction;

[0031] Physiological exercise includes teaching patients the key points of exercise through demonstration by nursing staff, video viewing, and graphic manuals, while recording the frequency and time. In addition, nurses also need to guide patients to have a balanced diet and improve their nutritional level based on their daily living habits; psychological construction includes informing patients of psychological self-regulation techniques.

[0032] The return visit unit is used to record the family visit and follow-up status;

[0033] The follow-up unit records the patient's progress in rehabilitation training, assesses the patient's hip joint function recovery, evaluates the patient's ability to care for themselves in daily life, assesses the patient's quality of life index, observes and records the patient's wound healing, provides guidance on proper wound care, and records changes in the patient's mental state. After the follow-up unit records the patient's condition, it provides feedback to the health assessment unit, which updates the patient's health record and readjusts the care plan.

[0034] The patients' hip function recovery was evaluated using the Harris Hip Function Rating Scale.

[0035] Hip joint function: The Harris Hip Function Scoring Scale is used for evaluation based on the patient's function, pain, deformity, and range of motion. The score is scored on a 100-point scale. A higher score indicates better recovery of hip joint function.

[0036] The patients' ability to take care of themselves in daily life was assessed using the Barthel index scoring scale.

[0037] The Barthel Index Scoring Scale is used to assess patients' daily living abilities such as bathing, eating, dressing, transferring, going to the toilet, climbing stairs, and walking. The scores are scored on a 100-point scale. Higher scores indicate better self-care abilities.

[0038] The quality of life index of patients was assessed using the General Quality of Life Questionnaire-74 (GQOLI-74)

[0039] This indicator is assessed using the Comprehensive Quality of Life Assessment Questionnaire (GQOLI-74), which includes emotional function, social function, physiological function, and mental state. Each item is measured in percentage and the score is proportional to it.

[0040] The online support unit is used to establish rehabilitation group chats, answer patients' questions, and facilitate mutual assistance and communication between nurses and patients;

[0041] The online support unit regularly conducts lectures on rehabilitation knowledge, psychological adjustment methods and dietary guidance videos after hip fracture surgery, and nursing staff remotely guide and correct patients' rehabilitation exercises through audio and video.

[0042] Experimental Verification Example 1

[0043] Eighty patients, all meeting the study criteria and enrolled between January and December 2024, were randomly divided into two groups: a control group of patients receiving routine care and an observation group of patients receiving continuous care. Each group consisted of 40 patients. The overall intervention effects were compared between the different groups.

[0044] Control group: Routine care. Closely monitor the patient's postoperative vital signs and incision status, provide drainage tube care and routine functional guidance, and upon discharge, provide instructions on precautions and advise them and their family to return to the hospital for regular follow-up visits.

[0045] Observation group: Combined with continuity care. (1) Establishing a health record: The responsible nurse actively communicates with the patient and tells him / her the significance and relevant content of continuity care. After obtaining the consent of the patient and his / her family, a health record is established for him / her, which includes the patient's age, contact information, surgical conditions, current medical history, surgical results, diet, and lifestyle and exercise habits. (2) Condition assessment: Preliminary assessment of the patient's nursing needs and development of an individualized continuity care plan, such as medication guidance, limb function training program, and postoperative complication prevention measures. (3) Health education: The patient is given a health knowledge manual on postoperative care and health knowledge is guided according to his / her acceptance ability and educational level. For patients with low education, the necessity and importance of postoperative functional exercise and life precautions can be explained to them through pictures and videos, and similar cases of successful recovery can be introduced to improve their treatment compliance. For patients with higher education, more professional knowledge of the disease can be explained, such as knowledge about hip fractures, physiological functions of the hip joint, and the principles of functional exercise. In addition, nurses need to guide patients to eat a balanced diet and improve their nutritional level based on their daily living habits, and inform them of psychological self-regulation techniques. (4) Functional exercise: Based on the patient's postoperative recovery, targeted rehabilitation training is provided. Through personal demonstration, video viewing, and graphic manuals, the patient is taught the key points of exercise. At the same time, the patient is informed to pay attention to the frequency and time of functional exercise, based on the body's tolerance, and urged to complete it on time during hospitalization, and to help him develop a good habit of daily exercise. (5) Home visit: The first home visit is conducted within 7 days of the patient's discharge, and then once every 30 days, for a total of 3 visits. The visit content includes the implementation of the patient's rehabilitation training, assessment of the patient's hip joint function recovery and daily self-care ability; observation of the patient's wound healing and guidance on the correct wound care; understanding the patient's mental state changes, providing psychological counseling and support; adjusting the patient's nursing plan according to the patient's specific situation, etc. (6) Telephone follow-up: In between the two home visits, follow-up is conducted by telephone every week to understand the patient's rehabilitation training progress, psychological feelings and physical condition, answer their questions in a timely manner, encourage them to persist in rehabilitation training, and enhance their self-confidence. (7) Online support: By establishing a WeChat group, we regularly promote information about hip fracture postoperative rehabilitation, psychological adjustment, and dietary guidance, answer questions raised by patients, and promote mutual assistance and communication between nurses and patients. At the same time, WeChat video can be used to remotely guide and correct patients' rehabilitation exercises to ensure their correctness and effectiveness.

[0046] Observation indicators

[0047] Hip joint function: The Harris Hip Function Scoring Scale is used for evaluation based on the patient's function, pain, deformity, and range of motion. The score is scored on a 100-point scale. A higher score indicates better recovery of hip joint function.

[0048] Activities of daily living: The Barthel Index Scoring Scale is used to assess the patient's daily living abilities such as bathing, eating, dressing, transferring, going to the toilet, climbing stairs, and walking. The score is scored on a 100-point scale. A higher score indicates a better ability to take care of oneself.

[0049] Quality of life: This indicator is assessed using the Comprehensive Quality of Life Questionnaire (GQOLI-74), which includes emotional function, social function, physiological function, and mental state. Each item is measured in percentage, and the score is proportional to the percentage.

[0050] Complications: deep vein thrombosis, pressure sores and urinary tract infections.

[0051] Statistical methods

[0052] The data in this study were processed using SPSS 26.0. Hip joint function, daily living ability, and quality of life scores were tested using t-tests and expressed as (±s). The probability of complications was expressed as x 2 Test, expressed as [n(%)], when there is a difference, P < 0.05.

[0053] result

[0054] Improve hip joint function

[0055] Table 1 shows the recovery of hip joint function in the two groups 1 month and 3 months after surgery. The score in the observation group was higher than that in the control group (P < 0.05).

[0056] Table 1: Summary of hip joint function scores ( point)

[0057]

[0058] Statistics of daily living activities

[0059] As shown in Table 2, the daily living ability of the two groups was evaluated at 1 month and 3 months after surgery. The index levels of the observation group showed a significant upward trend, which was different from that of the control group (P < 0.05).

[0060] Table 2: Statistics of daily living activities ( point)

[0061]

[0062]

[0063] Quality of life statistics

[0064] See Table 3 for the data on quality of life. Before the intervention, there was no difference between the two groups (P>0.05). After the intervention, the overall living standard of the observation group was better than that of the control group receiving routine care (P<0.05).

[0065] Table 3: Statistical data on quality of life ( point)

[0066]

[0067] Note: Before and after comparison of the same group, P < 0.05 * .

[0068] Statistical complication probability

[0069] As shown in Table 4, the total probability of complications in the observation group was 2.50%, which was lower than 17.50% in the control group (P < 0.05).

[0070] Table 4: Statistical Complication Probability [n(%)]

[0071]

[0072]

[0073] Analysis of the hip joint function and daily living ability scores in Tables 1 and 2 revealed that the observation group had higher scores than the control group at one and three months after surgery. This suggests that the implementation of continuous care significantly improves functional recovery and self-care ability in elderly patients with hip fractures. This is because continuous care, through comprehensive pre-discharge assessments and the development of targeted care plans, provides a good foundation for postoperative recovery.

[0074] Analysis of the quality of life data in Table 3 reveals that after the intervention, the observation group achieved a significantly better overall standard of living compared to the control group, which received conventional care. This demonstrates that continuity care can positively improve patients' quality of life. This is because continuity care not only focuses on the patient's physical health but also emphasizes psychological counseling and social support. Through close communication with patients and their families, patients' emotional changes are promptly understood, and targeted psychological support and counseling are provided to alleviate anxiety and other negative emotions. Furthermore, patients are provided with appropriate and scientific dietary and rehabilitation exercise guidance to help them better adapt to postoperative life and improve their sense of well-being and satisfaction. Finally, an analysis of complications in Table 4 shows that the overall complication rate in the observation group was 2.50%, lower than the 17.50% in the control group. This is due to the fact that the continuity care team conducted a comprehensive pre-discharge assessment, identified potential complications, and implemented effective preventive measures. During follow-up visits after discharge, potential complications, such as wound fever, redness, swelling, and pain, were promptly identified and effectively addressed to prevent further complications. In addition, this nursing model improves patients' self-management ability and confidence in recovery through health education and psychological support, strengthens patients' attention to postoperative rehabilitation, and thus reduces the occurrence of complications.

[0075] The above is only an embodiment of the present invention, and the common knowledge such as the specific technical solutions and / or characteristics in the solution are not described in detail here. It should be pointed out that for those skilled in the art, without departing from the technical solution of the present invention, several variations and improvements can be made, which should also be regarded as the scope of protection of the present invention, and these will not affect the effect of the implementation of the present invention and the practicality of the patent. The scope of protection required by this application shall be based on the content of its claims, and the specific implementation methods and other records in the description can be used to interpret the content of the claims.

Claims

1. A postoperative continuing care system for elderly patients with hip fractures, characterized by: It includes health status assessment unit, education and exercise unit, follow-up unit and online support unit; The health status assessment unit is used to establish health records and recovery status assessments to understand the patient's basic conditions and develop personalized care plans; The education and exercise unit is used by nursing staff to promote rehabilitation knowledge and guide rehabilitation exercises; The return visit unit is used to record the status of home visits and follow-up, and provide feedback to the health status assessment unit to update the patient's health record and readjust the nursing plan; The online support unit is used to establish rehabilitation group chats, answer patients' questions, and provide mutual assistance and communication between nurses and patients.

2. The postoperative continuing care system for elderly patients with hip fractures according to claim 1 is characterized by: The health record includes the patient's basic information, surgical conditions, current medical history, surgical results, diet, and lifestyle and exercise habits.

3. The postoperative continuing care system for elderly patients with hip fractures according to claim 1 is characterized by: The personalized nursing plan includes medication guidance, limb function training plan and postoperative complication prevention measures.

4. The postoperative continuing care system for elderly patients with hip fractures according to claim 1 is characterized by: The education and training unit provides guidance on health knowledge to patients based on their acceptance ability and cultural level; For patients with low education levels, we use pictures and videos to explain to them the necessity and importance of postoperative functional exercises and daily life precautions, and introduce similar cases of successful recovery to improve their treatment compliance; For patients with higher education, we provide professional knowledge of the disease, the physiological functions of the hip joint and the principles of functional exercise.

5. The postoperative continuing care system for elderly patients with hip fractures according to claim 1 is characterized by: The health training includes physical training and psychological training; Physiological exercises include teaching patients the key points of exercise through demonstration by nursing staff, video viewing, and graphic manuals, while recording the frequency and time; Psychological construction includes informing patients of psychological self-regulation techniques.

6. The postoperative continuing care system for elderly patients with hip fractures according to claim 1 is characterized by: The follow-up unit includes recording the implementation of the patient's rehabilitation training, evaluating the patient's hip joint function recovery, evaluating the patient's ability to take care of themselves in daily life, evaluating the patient's quality of life index, observing and recording the patient's wound healing, guiding the patient to properly care for the wound, and recording the patient's mental changes.

7. The postoperative continuing care system for elderly patients with hip fractures according to claim 6 is characterized by: The Harris Hip Function Rating Scale was used to evaluate the recovery of patients' hip joint function; the Barthel Index Rating Scale was used to evaluate patients' ability to take care of themselves in daily life; and the General Quality of Life Questionnaire-74 (GQOLI-74) was used to evaluate patients' quality of life index.

8. The postoperative continuing care system for elderly patients with hip fractures according to claim 1 is characterized by: The online support unit regularly conducts lectures on rehabilitation knowledge, psychological adjustment methods and dietary guidance videos after hip fracture surgery, and nursing staff remotely guide and correct patients' rehabilitation exercises through audio and video.

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