目的 探讨老年股骨颈骨折(FNF)患者应用家庭成员支持为基础的延伸护理服务的效果。方法 按护理方案不同将我院2020年1月至2022年1月79例老年FNF患者分为两组,对照组39例予以常规延伸护理,观察组40例予以家庭成员支持为基础的延伸护理服务。比较两组干预前后的髋关节功能[Harris髋关节功能量表(HHS)]、日常生活能力[日常生活能力评定量表(ADL)]、生活质量、遵医行为。结果 干预后观察组畸形、疼痛、关节活动度、功能及HHS总分高于对照组(P＜0.05)；干预后观察组ADL评分高于对照组(P＜0.05)；干预后观察组SQOL评分高于对照组(P＜0.05)；观察组遵医率高于对照组(P＜0.05)。结论 家庭成员支持为基础的延伸护理服务能增强老年FNF患者髋关节功能,改善其遵医行为,提升患者日常生活能力,且能提高患者生活质量。

Objective To investigate the effect of applying extended care services based on family member support for elderly patients with femoral neck fracture (FNF). Methods Seventy-nine elderly FNF patients in our hospital from January 2020 to January 2022 were divided into two groups according to different care protocols: 39 cases in the control group were given conventional extended care, and 40 cases in the observation group were given extended care services based on family member support. The hip function [Harris Hip Function Scale (HHS)], ability to perform daily living [Ability to Perform Daily Living (ADL)], quality of life, and compliance behavior were compared between the two groups before and after the intervention. Results After the intervention, deformity, pain, joint mobility, function and total HHS scores were higher in the observation group than in the control group (P < 0.05); ADL scores were higher in the observation group than in the control group after the intervention (P < 0.05); SQOL scores were higher in the observation group than in the control group after the intervention (P < 0.05); compliance rate was higher in the observation group than in the control group (P < 0.05). Conclusion Extended care services based on family member support can enhance hip function, improve compliance behavior, enhance patients" daily living ability, and improve patients" quality of life in elderly FNF patients.