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| Effect of Perioperative Comprehensive Nursing Care under the FTS Concept on Hip Joint Function and Quality of Life in Patients with Femoral Neck Fractures |
| GONG Xu |
| Department of Orthopedics, Zhenjiang Fourth People's Hospital, Zhenjiang Jiangsu 212000 |
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Abstract 【Objective】 To explore the effect of perioperative full-course nursing guided by the fast track surgery (FTS) concept on hip joint function and quality of life in patients with femoral neck fractures. 【Methods】 A total of 76 patients with femoral neck fractures who were treated in our hospital from June 2021 to May 2023 were selected and randomly divided into a control group and an observation group, with 38 cases in each group. The control group received routine perioperative care, while the observation group received perioperative full-course care based on the FTS concept in addition to the care provided in the control group. Clinical indicators, Harris hip score (HHS), visual analogue scale (VAS) score, self-perceived burden scale (SPBS) score, Barthel index of activities of daily living (ADL), and 36-Item Short Form Health Survey (SF-36) quality of life scale scores were compared between the two groups. 【Results】 The extubation time, first time out of bed, and hospital stay in the observation group were shorter than those in the control group, and the differences were statistically significant (P<0.05). After the intervention, the HHS, Barthel index, and SF-36 scores in the observation group were higher than those in the control group, while the SPBS score in the observation group was lower than that in the control group, with statistically significant differences (P<0.05). On the 1st, 3rd, and 7th days after surgery, the VAS scores of both groups were lower than those before surgery, and the VAS scores of the observation group were lower than those of the control group, with statistically significant differences (P<0.05). 【Conclusion】 Perioperative full-course care based on the FTS concept can significantly improve hip joint function and quality of life in patients with femoral neck fractures, reduce pain, and shorten the recovery time.
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Received: 15 October 2025
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2026, Vol. 43 
