Effects of a fast track surgery nursing program in perioperative care of older patients with a hip fracture

Li, Hui; Ying, Liu; Li, Qian; Fan, Jialing; Gan, Lin; Wang, Yixuan

doi:10.1007/s41999-020-00298-y

“…The purpose of fracture surgery is to repair the basic shape of the relevant bone tissue to the greatest extent and rebuild the movement function and lever function of the skeleton. The functional rehabilitation of fracture patients requires early, active, and comprehensive nursing care [ 4 , 5 ]. Traditional rehabilitation care is to let patients take long-term bed rest, but studies have pointed out that if patients stay in bed for too long after fracture surgery, it will lead to osteoporosis, tendon damage, and other conditions, so as to increase the pain.…”

Section: Introductionmentioning

confidence: 99%

“…e functional rehabilitation of fracture patients requires early, active, and comprehensive nursing care [4,5].…”

Section: Introductionmentioning

confidence: 99%

Unsupervised Data Mining and Effect of Fast Rehabilitation Nursing Intervention in Fracture Surgery

Yu

¹

,

Zhou

²

2022

Journal of Healthcare Engineering

1

0

1

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At present, the most commonly used surgical treatment for fractures caused by external force injury is clinical, and unsupervised data mining is more advantageous in the face of the unknown format of perioperative network data. Therefore, this research aims to explore the application effect of unsupervised data mining in the concept of rapid rehabilitation nursing intervention after fracture surgery. 80 patients who underwent fracture surgery in the Department of Orthopedics of XXX Hospital were determined as the subjects, who were rolled into a research group (group R, 40 cases) and a control group (group C, 40 cases) by drawing lots. An unsupervised data mining algorithm based on unsupervised data mining for support vector machines (VDMSVMs) was proposed and applied to two groups of patients undergoing perioperative fracture surgery with the rapid rehabilitation nursing intervention and basic routine nursing. The results showed that the number of important features selected by the VDMSVM algorithm (5) was obviously more than that of the compressed edge fragment sampling (CEFS) algorithm (1) and the multicorrelation forward searching (MCFS) algorithm (2) ( P < 0.05 ). The number of noise features screened by the VDMSVM algorithm (3) was much less in contrast to that of the CEFS algorithm and the MCFS algorithm, which was 8 and 10, respectively (P < 0.05). The Visual Analogue Scale (VAS) scores of the fracture site at the 4th, 8th, 12th, and 16th hour after surgery in group R were all lower than the scores in group C ( P < 0.05 ). The length of hospital stay (LoHS) in group R was greatly shorter than that in group C ( P < 0.05 ). After different nursing methods, the World Health Organization Quality of Life (WHOQOL-BREF) score of patients in group R (89.64 points) was greatly higher than the score in group C (61.45 points) ( P < 0.05 ). The nursing satisfaction score of group R was 92.35 ± 3.65 points, and that in group C was 2.14 ± 1.25 points, respectively ( P < 0.05 ). The test results verified the effectiveness of the feature selection of the VDMSVM algorithm. The rapid rehabilitation nursing intervention was conductive to reducing the postoperative pain of fracture patients, shortening the LoHS of patients, improving the quality of life (QOL) of fracture surgery patients, and increasing the patient’s satisfaction with nursing.

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“…Patients with femoral fracture usually suffer from severe pain and fear, which may aggravate body stress response, increase the risk of complications, and thus affect recovery. Therefore, accurate assessment is the first step in pain management, which can provide effective information for pain control, and also help to evaluate the effect of pain treatment [ 17 – 19 ]. Multimode health education combined with humanistic care can help patients to eliminate fear from multiple dimensions, improve their psychological threshold of pain, and be aware of pain control measures, so that they can better cooperate with the treatment.…”

Section: Discussionmentioning

confidence: 99%

Application of Multimode Health Education Combined with Humanistic Care in Pain Management of Patients with Femoral Fracture and Its Influence on VAS Score

Shi

¹

,

Zhang

²

,

Xia

³

et al. 2021

Journal of Healthcare Engineering

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Objective. To explore the application of multimode health education combined with humanistic care in pain management of patients with femoral fracture and its influence on VAS score. Methods. A total of 120 patients with femoral fracture admitted in our hospital (May 2017–May 2021) were selected as the research objects. The patients who received routine health education were included into the routine group, and the patients who received multimode health education combined with humanistic care were included into the combined group, with 60 cases in each group. The pain management effect of the two groups was compared after nursing intervention. Results. No significant difference was found in age, BMI, fracture sites, gender, education degree, and residence between the two groups ( P > 0.05). The awareness rate of health knowledge of the combined group was as high as 93.33%, which was obviously higher than that of the routine group ( P < 0.05). Compared with the routine group, excellent rates of sitting durability and joint range of motion in the combined group were obviously higher ( P < 0.05), and poor rates of sitting durability and joint range of motion in the combined group were obviously lower ( P < 0.05). Compared with the routine group, VAS scores of the combined group at 1 d, 2 d, and 3 d after admission and at 1 d, 2 d, and 3 d after surgery were remarkably lower ( P < 0.05). Compared with the routine group, compliance of exercise, medical waist belt using, and working posture of the combined group 1 week, 1 month, and 6 months after surgery was obviously higher ( P < 0.05). Compared with the routine group, the scores of Rasmussen and Johner-Wruhs of the combined group 6 months after surgery were conspicuously higher ( P < 0.05). Conclusion. The application of multimode health education combined with humanistic care in pain management of patients with femoral fracture can effectively relieve pain, improve the awareness rate of health knowledge, promote the recovery of lower limb function, and enhance the prognosis of quality of life for patients.

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“…Enhanced recovery after surgery (ERAS), also known as fast track surgery (FTS) or early recovery, was first conceived and practiced by Kehlet in 1997. It involves a series of measures in the perioperative period that are intended to reduce or decrease physiological and psychological stress, and to promote the early recovery of patients (5)(6)(7). It was first applied in gastrointestinal surgery where it achieved Original Article Effects of enhanced recovery after surgery on robotic radical prostatectomy: a systematic review and meta-analysis positive results, and since then it had been extended to hepatobiliary surgery, orthopedics and urology (8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

Effects of enhanced recovery after surgery on robotic radical prostatectomy: a systematic review and meta-analysis

Xing¹,

Wang²,

Liu³

et al. 2021

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Effects of a fast track surgery nursing program in perioperative care of older patients with a hip fracture

Cited by 19 publications

References 31 publications

Unsupervised Data Mining and Effect of Fast Rehabilitation Nursing Intervention in Fracture Surgery

Unsupervised Data Mining and Effect of Fast Rehabilitation Nursing Intervention in Fracture Surgery

Application of Multimode Health Education Combined with Humanistic Care in Pain Management of Patients with Femoral Fracture and Its Influence on VAS Score

Effects of enhanced recovery after surgery on robotic radical prostatectomy: a systematic review and meta-analysis

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