ISSN: 0970-938X (Print) | 0976-1683 (Electronic)

Biomedical Research

An International Journal of Medical Sciences

Abstract

Comprehensive effect of nursing intervention in perioperative elderly patients with femoral neck fracture: role of serum inflammatory mediators

Objective: To study the effect of comprehensive nursing intervention on inflammatory factors level of serum in elderly patients with the surgery for femoral neck fracture.

Methods: A total of 70 elderly patients with the surgery for femoral neck fracture treated in Affiliated Hospital of North Sichuan Medical College from July 2016 to July 2017 were selected as the study objects. According to different nursing methods, they were divided into control group of 40 cases, in which routine nursing was given and experimental group of 30 cases, in which comprehensive nursing intervention was implemented. Clinical effects on nursing satisfaction and psychological condition were compared between the two groups with the comparative analysis on inflammatory factors before and after treatment.

Results: After the nursing intervention, the nursing satisfaction score (93%) and The European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) score (75.70 ± 9.60) of the experimental group were significantly higher than those of the control group, of which were 60% and 53.33 ± 9.70 respectively (P<0.05). Compared with the control group, the experimental group had a lower score in psychological status and a lower level of Interleukin 4 (IL-4) as well as C-Reaction Protein (CRP) in serum (P<0.05).

Conclusion: Comprehensive nursing has significant effects in the elderly patients with the surgery for femoral neck fractures, which can effectively improve the quality of life and satisfaction of nursing, improve the patients’ psychological status and reduce levels of inflammatory factors in serum of a certain value in clinical application and research.

Author(s): Jinlian Wang, Peng Wei, Mengying Yu, Lu Chen, Lin Long
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