疼痛管理对老年髋部骨折患者术后的影响  

Postoperative pain management for elderly patients with hip fracture

作　　者：李昂[1] 张春玲[1] 孙胜男[1] 

机构地区：[1]北京积水潭医院创伤骨科,北京100035

出　　处：《护理学杂志》2013年第16期18-20,共3页

摘　　要：目的探讨老年髋部骨折患者规范化疼痛管理的效果。方法将年龄≥60岁、髋部骨折已行手术的40例患者随机分为干预组和对照组各20例。对照组采用常规护理,观察组在此基础上对患者进行规范化疼痛管理,包括健康教育、合理评估、合理应用镇痛药物、个体化管理等措施。结果两组术后第3天及出院时疼痛程度、出院时日常生活能力、住院时间比较,差异有统计学意义(P<0.05,P<0.01)。结论对老年髋部骨折患者实施疼痛管理,能够减轻术后疼痛,提高患者的生活能力,促进其早日康复。Objective To explore effects of standardized pain management for elderly patients with hip fracture.Methods Forty patients aged 60 years and older after hip fracture surgery were randomly divided into two groups of 20.The control group were given routine nursing care,while the observation group received standardized pain management including health education,rational assessment,rational analgesic use and person-centered management,etc.Results Pain severity on 3rd postoperative day and on discharge day,the Activity of Daily Living on discharge day,and hospital stay length had significant differences between the two groups （P＜0.05,P＜0.01）.Conclusion Pain management can relieve postoperative pain in elderly patients after hip fracture surgery,improve their daily living ability,and promote recovery.

关 键 词：老年人 髋部骨折 疼痛管理 护理 

分 类 号：R473.6[医药卫生—护理学]