摘要目的:探讨多组分运动干预在老年股骨粗隆间骨折合并衰弱患者康复护理中的应用效果。方法:采用便利抽样法，选取2023年1—12月郑州市骨科医院收治的130例老年股骨粗隆间骨折合并衰弱患者。采用随机数表法分为对照组（ n=65）和观察组（ n=65），对照组实施常规护理干预，观察组实施多组分运动干预，均干预3个月。采用改良Barthel指数（MBI）和功能独立性评定量表（FIM）评价两组患者康复情况；采用Harris髋关节评分（HHS）评价髋关节功能；采用Fried衰弱评估量表评估衰弱情况；采用简明健康调查量表（SF-36）和骨科患者功能锻炼依从性量表评价生活质量和锻炼依从性。 结果:干预后，对照组MBI评分、FIM评分、SF-36评分均低于观察组，Fried衰弱评估量表评分高于观察组，差异有统计学意义（ P<0.05）。干预后1、3个月，观察组HHS评分高于对照组，差异有统计学意义（ P<0.05）。干预期间，观察组患者锻炼依从性高于对照组，差异有统计学意义（ P<0.05）。 结论:多组分运动干预可促进老年股骨粗隆间骨折合并衰弱患者的术后康复，改善患者髋关节功能和生活质量，缓解患者衰弱程度，并提高患者的锻炼依从性。

abstractsObjective:To explore the efficacy of multi-component exercise intervention in the rehabilitation nursing of elderly patients with intertrochanteric femoral fractures and frailty.Methods:Between January and December 2023, 130 elderly patients with intertrochanteric femoral fractures and frailty admitted to Zhengzhou Orthopaedic Hospital were selected by convenience sampling method. The patients were divided into control group ( n=65) and observation group ( n=65) using the random number table method. Control group implemented conventional nursing and observation group was treated with multi-component exercise intervention, both intervening for three months. The rehabilitation status of two groups of patients was evaluated with the Modified Barthel Index (MBI) and Functional Independence Measure (FIM) . Harris Hip Score (HHS) , Physical Frailty Phenotype, Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) and Compliance Scale of Functional Exercise for Orthopedic Patients were used to evaluate the hip function, frailty, quality of life and exercise compliance. Results:After intervention, the MBI score, FIM score and SF-36 score of control group were lower than those of observation group, and the Physical Frailty Phenotype score was higher than that of observation group, and the differences were statistically significant ( P<0.05) . At one and three months after intervention, the HHS scores of observation group were higher than those of control group, and the differences were statistically significant ( P<0.05) . During the intervention period, the exercise compliance of patients in observation group was higher than that of control group, and the difference was statistically significant ( P<0.05) . Conclusions:Multi-component exercise intervention promotes postoperative rehabilitation, improves hip function and quality of life, alleviates the frailty, and enhances exercise compliance in elderly patients with intertrochanteric femoral fractures and frailty.