Contemporary Nursing

Objective To investigate the preventive effect of early warning nursing combined with early rehabilitation training on deep vein thrombosis (DVT) in lower extremities after surgery in patients aged 60–70 with femoral shaft fractures, providing references for reducing postoperative DVT incidence and improving lower limb function. Methods A total of 120 patients with femoral shaft fractures in this age group from October 2024 to October 2025 were selected and randomly divided into a control group and an experimental group, with 60 cases in each group. The control group received routine postoperative care, while the experimental group received early warning nursing combined with early rehabilitation training for 4 weeks. The incidence of lower limb DVT, degree of lower limb swelling, lower limb function scores before and after nursing, and nursing satisfaction were compared between the two groups. Data were analyzed using SPSS 22.0, with P<0.05 indicating statistical significance. Results The incidence of lower limb DVT in the experimental group was 3.33%, lower than that in the control group (16.67%). The difference in lower limb circumference at 4 weeks postoperatively (0.82±0.35) cm was statistically significant compared to the control group (1.76±0.52) cm. There was no difference in lower limb function scores between the two groups before nursing, but both improved after nursing, with the experimental group showing higher scores than the control group. The nursing satisfaction rate in the experimental group was 96.67%, higher than that in the control group (81.67%), with a statistically significant difference. Conclusion Implementing early warning nursing combined with early rehabilitation training for femoral shaft fracture patients in this age group after surgery can reduce DVT incidence, alleviate swelling, improve lower limb function, and enhance nursing satisfaction, making it worthy of promotion.

Femoral shaft fracture; Postoperative care; Deep vein thrombosis (DVT) of lower extremities; Early warning nursing; Early rehabilitation training; Lower limb function