[1]史冬立,贺宇,毕丛丛,等.疼痛管理在老年骨折快速康复护理中的应用现状[J].中华老年骨科与康复电子杂志,2017,(05):314-316.[doi:10.3877/cma.j.issn.2096-0263.2017.05.013]
 Shi Dongli,He Yu,Bi Congcong,et al.Research status of pain management of fast-track care in elderly patients with fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(05):314-316.[doi:10.3877/cma.j.issn.2096-0263.2017.05.013]
点击复制

疼痛管理在老年骨折快速康复护理中的应用现状()
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:
314-316
栏目:
综述
出版日期:
2017-09-18

文章信息/Info

Title:
Research status of pain management of fast-track care in elderly patients with fractures
作者:
史冬立贺宇毕丛丛周东生
250021 济南,山东大学附属省立医院骨科
Author(s):
Shi Dongli He Yu Bi Congcong Zhou Dongsheng
Department of Orthopedics, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, China
关键词:
疼痛管理 老年人 骨折
Keywords:
Pain management Aged Fractures bone
DOI:
10.3877/cma.j.issn.2096-0263.2017.05.013
文献标志码:
A
摘要:
随着社会结构逐渐老龄化,老年骨质疏松性骨折发病率日渐增多,并成为威胁老年人生活质量和生命健康的重要原因,与此相关的治疗与护理也引起医护工作者的关注。为了提高患者的生活质量和生存率,快速康复理念已经逐渐在临床上广泛开展。作为快速康复护理的重要组成部分,疼痛管理在老年骨折患者中的应用具有重要意义,因此本文对老年骨折患者的疼痛管理、评估及管理策略等方面进行综述。
Abstract:
With the development of aging society, the incidence of osteoporotic fracture became a major life and health threaten issue of the elderly. Treatment and nursing care for patients with osteoporotic fracture arose the attention of medical workers. In order to improve the life quality and survival rate, fast-track care has been widely applied in clinics. Pain management as an important part of fast-track nursing got great significance in elderly fractures. Therefore, this article reviews the application of pain management, assessment and strategies in elderly fractures.

参考文献/References:

1 Larsson G, Holgers KM. Fast-track care for patients with suspected hip fracture [J]. Injury, 2011, 42(11): 1257-1261.
2 Wainwright TW, Middleton R. An orthopaedic enhanced recovery pathway [J]. Curr Anaesth Crit Care, 2010, 21(3): 114-120.
3 Volpato S, Guralnik JM. Hip fractures: comprehensive geriatric care and recovery [J]. Lancet, 2015, 385(9978): 1594-1595.
4 Wilmore DW, Kehlet H. Management of patients in fast track surgery [J]. BMJ, 2001, 322(7284): 473-476.
5 朱桂玲, 孙丽波, 王江滨, 等. 快速康复外科理念与围手术期护理 [J]. 中华护理杂志, 2008, 43(3): 264-265.
6 Jarvinen TL, Sievanen H, Khan KM, et al. Shifting the focus in fracture prevention from osteoporosis to falls [J]. Br Med J, 2008, 336(7636): 124-126.
7 Ramage-Morin PL. Chronic pain in Canadian seniors [J]. Health Rep, 2008, 19(1): 37-52.
8 Maher AB, Meehan AJ, Hertz K, et al. Acute nursing care of the older adult with fragility hip fracture: An international perspective (Part 1) [J]. Int J Orthop Trauma Nurs, 2012, 16(4): 177-194.
9 赵继军, 崔静. 护士在疼痛管理中的作用 [J]. 中华护理杂志, 2009, 44(4): 383-384.
10 张银芳. 老年病人股骨粗隆间骨折术后护理 [J]. 护理实践与研究, 2009, 6(2): 55-56.
11 李云, 黄妙华, 简美英. 老年股骨粗隆间骨折内固定术后早期康复护理疗效观察 [J]. 齐鲁护理杂志, 2010, 16(14): 10-11.
12 莫柳仙, 林永东, 曾雪群, 等. 人工髋关节置换术后行快速康复护理路径的效果评价 [J]. 中国实用护理杂志, 2012, 28(21): 8-10.
13 张慧琴, 徐春婷. 神经外科健康宣教的优化管理 [J]. 护理学报, 2009, 16(12): 26-27.
14 Warfield CA, Kahn CH. Acute pain management. Programs in U.S. hospitals and experiences and attitudes among U.S. adults [J]. Anesthesiology, 1995, 83(5): 1090-1094.
15 Bijur PE, Latimer CT, Gallagher EJ. Validation of a verbally administered numerical rating scale of acute pain for use in the emergency department [J]. Acad Emerg Med, 2003, 10(4): 390-392.
16 Garra G, Singer AJ, Taira BR, et al. Validation of the Wong-Baker FACES pain rating scale in pediatric emergency department patients [J]. Acad Emerg Med, 2010, 17(1): 50-54.
17 李昂, 张春玲, 孙胜男. 疼痛管理对老年髋部骨折患者术后的影响 [J]. 护理学杂志, 2013, 28(16): 18-20.
18 张春玲, 孙胜男, 张春燕, 等. 创伤骨科以护士为主导的疼痛管理模式研究 [J]. 护理学杂志, 2012, 27(2): 25-27.
19 李宁, 贺良, 龚晓峰, 等. 老年髋部骨折住院患者治疗现状的初步分析 [J]. 中华医学杂志, 2012, 92(35): 2452-2455.
20 Jarzyna D, Jungquist CR, Pasero C, et al. American society for pain management nursing guidelines on monitoring for opioid-induced sedation and respiratory depression [J]. Pain Manag Nurs, 2011, 12(3): 118-145.e10.
21 Mccaffery M, Ferrell BR. Nurses’ knowledge of pain assessment and management: how much progress have we made? [J]. J Pain Symptom Manage, 1997, 14(3): 175-188.
22 高小雁. 老年髋部骨折患者术后谵妄的危险因素及护理对策 [J]. 中华老年骨科与康复电子杂志, 2015, 1(1): 59-61.
23 梅伟, 刘尚昆, 张治国, 等. 非心脏手术患者全麻后早期谵妄的危险因素分析 [J]. 临床外科杂志, 2010, 18(5): 344-347.
24 Rawal N, Berggren L. Organization of acute pain services: a low-cost model [J]. Pain, 1994, 57(1): 117-123.
25 陈润芳, 萧佩多, 徐连芳, 等. 早期离床坐联合踩单车运动对老年髋部骨折术后患者康复的影响 [J]. 护理学报, 2013 (15): 39-42.
26 Eneroth M, Olsson UB, Thorngren KG. Nutritional supplementation decreases hip fracture-related complications [J]. Clin Orthop Relat Res, 2006, 451: 212-217.
27 Sherwood GD, Mcneill JA, Starck PL, et al. Changing acute pain management outcomes in surgical patients [J]. AORN J, 2003, 77(2): 374, 377-80, 384-90 passim.

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]

备注/Memo

备注/Memo:
基金项目:国家自然科学基金(No.81672156)
更新日期/Last Update: 2017-09-15