YU Xifen,FENG Leling,YING Ying, et al. Application effect of press-needle technique in postoperative nursing of elderly patients with hip fracture[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2024, 54(9): 744-749.
Abstract：Objective: To explore the application effect of press-needle technique in the postoperative nursing of elderly patients with hip fracture. Methods: A total of 236 elderly patients with hip fracture admitted to Ningbo No.6 Hospital from February 2021 to November 2022 were selected as the research subjects, of whom 120 patients were included in the routine nursing group who were given routine nursing measures and 116 were in the press-needle nursing group who were given needling nursing for 5 days based on dialectic nursing for qi deficiency and blood stasis type. The differences in pain degree (VAS score), sleep quality, Harris score and incidence of adverse reactions were compared between the two groups. Binary Logstic regression analysis and multiple linear regression analysis were used to screen the influencing factors affecting the VAS score and Harris score of patients. Results: The press-needle nursing group had lower VAS score than the routine nursing group in postoperative 1 d, 3 d, and 5 d. The press-needle nursing group had better sleep quality scores than the routine nursing group 3 and 5 days after operation (P<0.05). The press-needle nursing group had higher Harris score than that the routine group 1 week after operation (P<0.05). The press-needle nursing group had lower incidence of constipation, nausea and vomiting than the routine nursing group (P<0.05). Binary Logstic regression showed that press-needle nursing was the influencing factor of the severity of VAS score one day after operation (OR=0.249, 95%CI=0.186-0.609, P<0.001). Multiple linear regression analysis showed that intradermal needling nursing was the influencing factor of Harris score at 1 week after operation (β=1.324, 95%CI=1.201-2.668,P<0.001). Conclusion: The application of press-needle in the postoperative nursing of elderly patients with hip fracture can alleviate postoperative pain in early stage, improve hip joint function of patients and reduce the incidence of adverse reactions such as nausea, vomiting and constipation.
