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时间:2018-12-01
《无痛临床护理路径对老年股骨骨折患者围术期疼痛及术后康复的影响》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、无痛临床护理路径对老年股骨骨折患者围术期疼痛及术后康复的影响意度,术后3个月进行Harris髋关节评分,评价髋关节功能优良率。结果观察组术后第1d、术后第3d、术后第5d、出院时的VAS评分均明显低于对照组,差异具有统计学意义(P<0.05)。观察组术后并发症发生率为0(0/45),低于对照组的20.00%(9/45),差异具有统计学意义(χ2=10.000,P<0.05),观察组和对照组首次功能锻炼时间分别为(30.4±3.5)h和(41.3±6.4)h,首次下床活动时间分别为(7.0±0.4)d和(12.9±0.8)d,两组比较差异均具有统
2、计学意义(t=10.024、44.250,P<0.05)。观察组出院时护理满意率为95.56%高于对照组的80.00%,差异具有统计学意义(χ2=5.075,P<0.05);观察组术后3个月髋关节功能优良率为86.67%高于对照组的68.89%,差异具有统计学意义(χ2=4.114,P<0.05)。结论无痛临床护理路径能有助于减轻老年股骨骨折患者围术期疼痛,减少并发症的发生,提高患者满意度,加快术后康复速度,值得临床推广使用。 【关键词】老年股骨骨折;无痛临床护理路径;疼痛;康复 DOI:10.14163/j.ki.11-5547/r.20
3、17.05.077 InfluenceofpainlessclinicalnursingpathoralfractureYANGHui-chun.HospitalInfectionRoom,GuangzhouCityHuangpuDistrictHospitalofTraditionalChineseMedicine,Guangzhou510000,China 【Abstract】ObjectiveToobservetheinfluenceofpainlessclinicalnursingpathoralfracture.MethodsAt
4、otalof90senilepatientsoralfractureinaccordancelydividedintoobservationgroupandcontrolgroup,ission,surgeryday,postoperative1d,3d,5d,andhospitaldischarge.Recordadeonpostoperativeplications,firstfunctionalexercisetime,firstoff-bedactivitytime.Nursingcaresatisfactionofpatientsof
5、bearersurveyathospitaldischarge,andHarrishipscoreedafter3monthstoevaluategood-excellentrateofhipjointfunction.ResultsTheobservationgrouphadobviouslyloerespectivelyas(30.4±3.5)hand(41.3±6.4)h,firstoff-bedactivitytimerespectivelyas(7.0±0.4)dand(12.9±0.8)d,andtheirdifferencehad
6、statisticalsignificance(t=10.024,44.250,P<0.05).Theobservationgrouphadhighernursingsatisfactiondegreeas95.56%athospitaldischargethan80.00%inthecontrolgroup,andthedifferencehadstatisticalsignificance(χ2=5.075,P<0.05).Theobservationgrouphadhighergood-excellentrateofhipjointfun
7、ctionas86.67%inpostoperative3monthsthan68.89%inthecontrolgroup,andthedifferencehadstatisticalsignificance(χ2=4.114,P<0.05).ConclusionPainlessclinicalnursingpathoralfracture,reducetheoccurrenceofplications,improvepatientsatisfaction,andspeedupthepostoperativerehabilitation.So
8、itisotionanduse.
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