骨折联络服务与延续性生活指导对老年髋关节置换术患者的睡眠影响

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Effects of Fracture Contact Service and Continuous Life Guidance on Sleep Quality in Elderly Patients after Hip Replacement Surgery

LIN Liqing，PAN Dongmei

（Department of Orthopaedics，The First Affiliated Hospital of Xiamen University，Xiamen 3610oo，China）

AbstractObjective：Toinvestigatetheefectsoffracturecontactserviceandcontinuous ife guidanceonsleepqualitynelderly patients dischargedfromhospitalafterhipreplacementsurgery.Methods：Atotalof8Oelderlypatintsunderwenthipreplacement surgery inourhospital wererandomlydivided intoanobservation groupandacontrolgroupwith4Ocases ineach group.Thecontrol groupreceivedroutinenursingduringoperation，andtheoservationgroupreceived fracturecontactserviceandcontiuouslife guidance.TheimprovementofPitsburgh SleepIndex Scale（PSQI）scoresandself-effcacy（Chinese versionof HealthPromotion Strategy Scale）intwo groupsof elderlypatientswerecomparedandanalyzed.Results：The improvementsof sleepqualityand self-efficacy in observation group were significantly better than those in control group（ P<0.05 ）. Conclusion： Fracture contact serviceandcontinuouslifeguidancecaneffectivelyimprovethesleepqualityofelderlypatientsdischargedfromhospitalafterhip replacement.

KeywordsHipreplacementsurgery；Fracture contactservice;Continuous lifeguidance;The elderly； Sleepquality;Follw-up visit

中图分类号：R338.63;R683 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.02.047

随着我国人口老龄化的加剧，老年人群骨折问题也日益严重，尤其是髋部骨折，发生后对患者的生命质量造成了很大的影响，且骨折的疼痛以及引发的不良心理还会对患者的日常睡眠产生影响，而睡眠质量下降会对病情恢复产生不利影响，形成恶性循环，因此积极采取高效的干预方式加强患者的干预至关重要[1]。（剩余5098字）