髖關節骨折病人手術後功能與症狀之臨床評估與護理

Clinical Evaluation and Nursing Management of Hip Function and Symptom in Patients with Hip Fracture

髖關節骨折病人手術後，產生髖部症狀及功能不良，造成日常生活受限及生活品質下降。本文要目的為探討髖關節骨折簡介、相關導因、手術後關節功能及症狀、髖關節功能不良及症狀對日常生活的影響、髖關節功能及症狀的評估工具及護理照護，常見髖關節功能與症狀評估工具，主觀評估包括骨關節炎指數評分、全髖關節置換術期望調查、髖關節殘疾和骨關節炎結果評分及哈里斯髖關節評分；客觀評估包括髖關節功能性測試、Merle D’Aubignéand Postel評分系統及髖關節測試量表，希望藉此能提供臨床照護髖關節骨折手術後髖關節症狀及功能評估及護理處置。

Patients with hip fractures often experience hip pain and dysfunction during the post-surgery period, which can lead to limitations in daily activities and a decline in quality of life. The purpose of this article is to explore the introduction, etiology, function, and symptoms of hip fractures, the impact of hip dysfunction on daily life, assessment tools, and nursing management for post-surgical hip fracture patients. Common instruments for subjective assessment include the Western Ontario and McMaster Universities Arthritis Index (WOMAC), Hospital for Special Surgery Hip Replacement Expectations Survey (HSS THRES), Hip Disability and Osteoarthritis Outcome Score (HOOS), and Harris Hip Score (HHS). Common instruments for objective assessment include the Functional Testing Protocol-HIP, Merle d'Aubignéand Postel Scoring System, and Hip Range of Motion and Manual Muscle Testing (MMT - Hip Flexion). This article provides clinical references for assessing the symptoms and function of hip fractures and guiding nursing management.