系统化护理干预对老年股骨颈骨折患者的影响(1)
 |
| 第1页 |
参见附件(2216KB，3页)。
[摘要] 目的:探讨系统化护理干预对老年股骨颈骨折患者的影响。方法:将80例老年股骨颈骨折患者随机分为对照组和观察组,各40例。对照组接受骨科常规护理,观察组在此基础上实施系统化护理干预。结果:出院后3个月观察组的Harris髋关节总评分和Barthel指数明显高于对照组,而GDS评分明显低于对照组,差异有统计学意义,均P<0.01。观察组切口感染、肺部感染、尿路感染、压疮和血管栓塞等并发症的发生率明显低于对照组,差异有统计学意义,均P<0.01。结论:系统化护理干预有助于改善老年股骨颈骨折患者的髋关节功能,提高其日常生活能力,缓解其抑郁程度,减少其并发症的发生。
[关键词] 股骨颈骨折;髋关节功能;日常生活能力;抑郁;并发症;护理
[中图分类号] R473.6[文献标识码]C [文章编号]1673-7210(2010)06(c)-097-03
Effect of systematic nursing intervention on elderly femoral neck fracture patients
XIE Liyun
(Yiyang City People's Hospital in Hu'nan Province, Yiyang413001, China)
[Abstract] Objective: To explore the effect of systematic nursing intervention on elderly femoral neck fracture patients. Methods: 80 cases of elderly femoral neck fracture patients were randomly divided into the control and observation group each comprising 40 cases. The control group received the routine nursing care in orthopedics, while the observation group was treated with the systematic nursing intervention in addition. Results: The overall Harris hip joint function score and Barthel index 3 months after discharge were markedly higher in the observation group than in the control group, while the GDS score was considerably reduced, with significant differences, all P<0.01. The incidence rates for incision, pulmonary, urinary infections, bedsore and vascular embolization were considerably lower in the observation group than in the control group, showing significant differences, all P<0.01. Conclusion: Systematic nursing intervention can assist in improving the hip joint function, elevating the ability of daily living, alleviating the depression severity and reducing the complication incidence.
[Key words] Femoral neck fracture; Hip joint function; Ability of daily living; Depression; Complication; Nursing
股骨颈骨折是创伤骨科的常见病,易导致患者行动障碍,严重影响其生活质量。股骨颈骨折多发生于老年人群,且随着年龄的增加,患者出院时的行走能力和生存预后越差[1]。老年股骨颈骨折患者发病后易出现不同程度的情绪障碍[2],且需长期卧床,并发症较多,严重影响患者的治疗效果。笔者通过对40例老年股骨颈骨折患者实施包括心理护理、阶段性功能锻炼、并发症护理和出院后指导等在内的系统化护理干预,旨在探讨系统化护理干预对老年股骨颈骨折患者的髋关节功能、日常生活能力、抑郁情绪和并发症发生率的影响,为老年股骨颈骨折的临床护理干预提供理论依据。
1对象与方法
1.1研究对象
选取2008年7月～2009年7月入住我院骨外科拟行手术的老年股骨颈骨折患者80例。除外标准:偏瘫、心肺疾病和帕金森病等影响活动的疾病;有理解力、记忆力等认知障碍者;骨髓炎或骨肿瘤;术前即不能行走或不能耐受功能锻炼;既往有对侧髋部或下肢骨折手术史者。其中男34例,女46例,年龄61～85(72.4±8.2)岁。所有患者均为闭合性骨折,骨折位于左侧35例,右侧45例。骨折前合并心脏病4例,糖尿病5例,慢性支气管炎6例 ......
您现在查看是摘要介绍页，详见PDF附件(2216KB，3页)。