[1]洪丽红,薛丽珍,肖厦厦,等.舒适护理在老年股骨颈骨折患者围手术期的应用[J].中华老年骨科与康复电子杂志,2017,(05):285-289.[doi:10.3877/cma.j.issn.2096-0263.2017.05.007]
　Hong Lihong,Xue Lizhen,Xiao Xiaxia,et al.Application of comfortable nursing in gerontal patients with transcervical fracture during perioperative period[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(05):285-289.[doi:10.3877/cma.j.issn.2096-0263.2017.05.007]
点击复制

舒适护理在老年股骨颈骨折患者围手术期的应用()
分享到：

中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2017年05期
页码:
285-289
栏目:
髋部骨折
出版日期:
2017-09-18

文章信息/Info

Title:
Application of comfortable nursing in gerontal patients with transcervical fracture during perioperative period
作者:
洪丽红1; 薛丽珍1; 肖厦厦2; 张文美1; 沈慧芳1; 陈光美1; 方秀珍1; 张建新1; 周毅强1
361009 厦门市中医院骨三科1，手术室2
Author(s):
Hong Lihong1;  Xue Lizhen1;  Xiao Xiaxia2;  Zhang Wenmei1;  Shen Huifang1;  Chen Guangmei1;  Fang Xiuzhen1;  Zhang Jianxin1;  Zhou Yiqiang1
1The third department of orthopedics, 2Operating room, Xiamen Hospital of Traditional Chinese Medicine, Xiamen 361009, China
关键词:
骨科护理;  老年人;  股骨颈骨折;  疼痛;  关节活动度
Keywords:
Orthopedic nursing;  Aged;  Femoral neck fractures;  Pain;  Range of motion
DOI:
10.3877/cma.j.issn.2096-0263.2017.05.007
文献标志码:
A
摘要:
目的 研究围手术期舒适护理对老年股骨颈骨折患者术后疼痛、关节活动度及护理满意度的影响。方法 前瞻性收集厦门市中医院骨三科行手术治疗的老年股骨颈骨折患者48例，随机分为常规护理组和舒适护理组（各24例），分别实施常规护理及舒适护理。随访并比较两组患者的术后疼痛、髋关节屈曲活动度和护理满意度评分情况。结果 常规护理组有22例患者获得随访，随访率91.67%，随访时间25～48个月，平均（34±7）个月，舒适护理组有23例患者获得随访，随访率95.83%，随访时间22～52个月，平均（35±8）个月。舒适护理组与常规护理组术前VAS评分比较，差异无统计学意义；舒适护理组与常规护理组术后2 d、7 d的VAS评分比较，差异均有统计学意义（t=2.217，t=13.169，P＜0.05）；舒适护理组与常规护理组术后7 d、14 d的髋关节屈曲活动度比较，差异均有统计学意义（t=5.560，t=7.267，P＜0.05）；舒适护理组与常规护理组的护理满意度评分比较，差异有统计学意义（t=-2.564，P＜0.05）。结论 围手术期舒适护理能显著减轻老年股骨颈骨折患者术后疼痛，改善患者髋关节屈曲活动度，并提高护理满意度，值得临床推广运用。
Abstract:
Objective To observe the effects of comfortable nursing on postoperative pain, ROM of hip joint and satisfaction of care in aged patients with femoral neck fractures during perioperative period. Methods A total of 48 aged patients with femoral neck fractures who underwent surgical treatment at the third department of orthopaedic in xiamen hospital of traditional chinese medicine were randomly divided into the routine nursing group and the comfortable nursing group (each group contained 24 cases). The postoperative VAS (visual analogue scale) scores, the flexion ROM (range of motion) of hip joint and the scores on satisfaction of care after operation of the two groups were recorded and compared. Results Twenty-two cases in routine nursing group were followed up for 25-49 months with an average of 34±7 months and the fulfill rate of follow-up was 91.67%. Twenty-three cases in comfortable nursing group were followed up for 22-52 months with an average of 35±8 months and the fulfill rate of follow-up was 95.83%. The VAS scores of baseline had no significant difference between the routine nursing group and the comfortable nursing group, while the VAS scores after operation (2 d, 7 d) had significant difference between the routine nursing group and the comfortable nursing group (t=2.217, t=13.169, P<0.05). The flexion ROM of hip joint after operation (7 d, 14 d) had significant difference between the routine nursing group and the comfortable nursing group (t=5.560, t=7.267, P<0.05). The scores on satisfaction of care had significant difference between the routine nursing group and the comfortable nursing group (t=-2.564, P<0.05). Conclusion Comfortable nursing during perioperative period is worth popularizing because it can not only reduce postoperative pain of aged patients with femoral neck fractures and improve the flexion ROM of hip joint after operation , but also improve the scores on satisfaction of care.

参考文献/References:

1 Maravic M, Taupin P, Landais P, et al. Decrease of inpatient mortality for hip fracture in France [J]. Joint Bone Spine, 2011, 78(5): 506-509.
2 Nagakumar JS, Samarth A, Manohar PV, et al. Surgical management of fracture neck of femur using cannulated cancellous screws in patients aged more than 50 years [J]. Int J Pharm, 2014, 5(4): 980-986.
3 De Landevoisin ES, Bertani A, Candoni P, et al. Proximal femoral nail antirotation (PFN-ATM) fixation of extra-capsular proximal femoral fractures in the elderly: Retrospective study in 102 patients [J]. Orthop Traumatol Surg Res, 2012, 98(3): 288-295.
4 Simunovic N, Devereaux PJ, Sprague S, et al. Effect of early surgery after hip fracture on mortality and complications:systematic review and meta-analysis [J]. CMAJ, 2010, 182(15): 1609-1616.
5 宋强. 舒适护理在提高股骨颈骨折患者围术期舒适度中的应用效果 [J]. 国际护理学杂志, 2014, 33(4): 777-779.
6 肖百香. 个性化舒适护理在老年股骨头置换围术期中的应用 [J]. 齐鲁护理杂志, 2012, 18(9): 36-37.
7 Sayed-Hassan R, Bashour H, Koudsi A. Osteoporosis knowledge and attitudes: a cross-sectional study among female nursing school students in Damascus [J]. Arch Osteoporos, 2013, 8(1/2): 149-153.
8 刘艺敏, 陈睛妮, 范秋娟. 舒适护理在老年股骨颈骨折患者护理中的应用效果 [J]. 护理学杂志, 2014, 33(3): 530-532.
9 余琼, 倪丽, 叶春红. 舒适护理在高龄患者股骨颈骨折闭合复位内固定术中的应用 [J]. 实用临床医学, 2012, 13(6): 109-111.
10 Murray TG, Wetters NG, Moric M, et al. The use of abduction bracing for the prevention of early postoperative dislocation after revision total hip arthroplasty [J]. J Arthroplasty, 2012, 27(8, 1): 126-129.
11 陈蓓蓓. 老年髋部骨折患者的围手术期护理 [J]. 中国实用护理杂志, 2012, 28(3): 25-26.
12 Pitto RP, Koh CK. Flowtron foot-pumps for prevention of venous thromboembolism in total hip and knee replacement [J]. J Orthop, 2014, 12(1): 35-38.
13 萧丰富. 萧氏舒适护理模式 [M]. 第6版. 台湾: 华杏出版股份有限公司, 1998: 7-9.
14 王文英, 张晓翠. 舒适护理在老年股骨颈骨折患者心理应激反应中的应用 [J]. 河北医药, 2009, 31(23): 3320-3321.
15 Salpakoski A, Kallinen M, Kiviranta I, et al. Type of surgery is associated with pain and walking difficulties among older People with previous hip fracture [J]. Geriatr Gerontol Int, 2016, 16(6): 754-761.
16 刘梅, 刘林, 许勤, 等. 持续质量改进在骨创伤患者疼痛管理中的应用 [J]. 中华护理杂志, 2012, 47(10): 872-875.
17 王峻, 陈仲, 侯丽莉, 等. 护士参与的联合疼痛管理在骨折患者中的应用 [J]. 中华护理杂志, 2012, 47(12): 1122-1123.

相似文献/References:

[1]沈鹏程 朱立帆 蒋富贵 鞠文 徐能 李晓林.锁定钢板结合重建肱骨内侧柱治疗老年不稳定型肱骨近端骨折的疗效分析[J].中华老年骨科与康复电子杂志,2015,(02):7.[doi:10.3877/cma.j.issn.2096-0263.2015.02.002]
　Shen Pengcheng,Zhu Lifan,Jiang Fugui,et al.Clinical research of locking plate combined with medial column mechanical support for unstable fractures of the proximal humerus in elderly patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2015,(05):7.[doi:10.3877/cma.j.issn.2096-0263.2015.02.002]
[2]刘文宣　张宇宸　刘文聪　高霞　李涛　张晓琳.CTR 基因多态性与老年男性骨质疏松的相关性研究[J].中华老年骨科与康复电子杂志,2015,(02):19.[doi:10.3877/cma.j.issn.2096-0263.2015.02.004]
　Liu Wenxuan,Zhang Yuchen,Liu Wencong,et al.Association between calcitonin receptor gene polymorphism and osteoporosis in elderly men[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2015,(05):19.[doi:10.3877/cma.j.issn.2096-0263.2015.02.004]
[3]董仁卫　郭琪　王家仲　王连成.老年人群肌力水平与心血管疾病 三大危险因素的相关性研究[J].中华老年骨科与康复电子杂志,2015,(02):29.[doi:10.3877/cma.j.issn.2096-0263.2015.02.006]
　Dong Renwei,Guo Qi,Wang Jiazhong,et al.The association between muscle strength level and three major risk factors of cardiovascular disease in elderly population[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2015,(05):29.[doi:10.3877/cma.j.issn.2096-0263.2015.02.006]
[4]李森磊,孙立,杨先腾,等.老年髋关节置换术后认知功能障碍的危险因素分析[J].中华老年骨科与康复电子杂志,2016,(02):71.[doi:10.3877/cma.j.issn.2096-0263.2016.02.002]
　Li Senlei,Sun Li,Yang Xianteng,et al.Risk factors analysis for postoperative cognitive dysfunction in 　elderly patients undergoing hip arthroplasty[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(05):71.[doi:10.3877/cma.j.issn.2096-0263.2016.02.002]
[5]钟俊青,王连成.快速外科通道理念对老年股骨转子间骨折围手术期康复指导的前瞻性研究[J].中华老年骨科与康复电子杂志,2016,(02):87.[doi:10.3877/cma.j.issn.2096-0263.2016.02.005]
　Zhong Junqing,Wang Liancheng..Prospective study of the effect of fast track surery on peri-operative rehabilitation of elderly intertrochanteric fracture[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(05):87.[doi:10.3877/cma.j.issn.2096-0263.2016.02.005]
[6]赵德伟,马志杰,杨磊,等.多孔钽金属涂层髋关节假体置换治疗老年股骨颈骨折的临床疗效观察[J].中华老年骨科与康复电子杂志,2016,(02):92.[doi:10.3877/cma.j.issn.2096-0263.2016.02.006]
　Zhao Dewei,Ma Zhijie,Yang Lei,et al.Clinical investigation of hip implants by using porous tantalum coating in the treatment of elderly femoral neck fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(05):92.[doi:10.3877/cma.j.issn.2096-0263.2016.02.006]
[7]吴啸波,裴宝瑞.老年髋部骨折围手术期相关问题的研究进展[J].中华老年骨科与康复电子杂志,2016,(02):114.[doi:10.3877/cma.j.issn.2096-0263.2016.02.010]
　Wu Xiaobo,Pei Baorui..Perioperative related problems of surgery in elderly patients with hip fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(05):114.[doi:10.3877/cma.j.issn.2096-0263.2016.02.010]
[8]宋会平,张柳.阿仑膦酸钠治疗老年女性严重骨质疏松症患者的疗效分析[J].中华老年骨科与康复电子杂志,2016,(03):141.[doi:10.3877/cma.j.issn.2096-0263.2016.03.003]
　Song Huiping,Zhang Liu.Effcacy analysis of alendronate in the treatment of severe osteoporosis in senile women[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(05):141.[doi:10.3877/cma.j.issn.2096-0263.2016.03.003]
[9]柴仪,田伟明,温志刚.经皮椎体后凸成形术治疗高龄骨质疏松性椎体压缩骨折的疗效分析[J].中华老年骨科与康复电子杂志,2016,(03):150.[doi:10.3877/cma.j.issn.2096-0263.2016.03.005]
　Chai Yi,Tian Weiming,Wen Zhigang.Curative effective analysis of percutaneous kyphoplasty for osteoporotic vertebral compression fracture in senile patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(05):150.[doi:10.3877/cma.j.issn.2096-0263.2016.03.005]
[10]陈旭光,张天燕,单新１,等.围术期抑郁对老年骨科手术患者单核细胞组织因子表达及血小板功能的影响[J].中华老年骨科与康复电子杂志,2016,(03):155.[doi:10.3877//cma.j.issn2096-2063.2016.03.006]
　Chen Xuguang,Zhang Tianyan,Shan Xin,et al.Effect of depressive disorder on tissue factor expression of monocytes and platelet function in elderly patients undergoing orthopaedic surgery[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(05):155.[doi:10.3877//cma.j.issn2096-2063.2016.03.006]

更新日期/Last Update: 2017-09-15