优质护理服务在超高龄髋部骨折患者围术期的应用  

Effects of high quality nursing service on super aging patients with hip fracture during perioperative period

作　　者：吴凤娣[1] 

机构地区：[1]杭州师范大学附属医院骨科,310015

出　　处：《中华现代护理杂志》2015年第12期1405-1407,共3页Chinese Journal of Modern Nursing

摘　　要：目的：研究优质护理服务在超高龄髋部骨折患者围术期中的应用实效性。方法选取2010年12月—2013年12月接受手术治疗的96例超高龄髋部骨折患者,采用随机数字表法分为对照组和观察组各48例,对照组采取常规护理,观察组施行优质护理服务,对两组患者术后并发症及对医院工作的满意度进行对比分析。结果观察组患者并发症发生率为22.9%（11/48）,主要为肺部感染5例、心血管系统并发症4例；对照组患者并发症发生率为43.8%（21/48）,并发症主要为肺部感染11例,压疮7例,心血管系统并发症7例,两组患者并发症差异有统计学意义（χ2=4.688,P〈0.05）。观察组满意率为91.67%（44/48）,对照组满意率为75.00%（36/48）,统计学分析表明,两组患者满意率比较差异有统计学意义（χ2=4.800,P〈0.05）。结论优质护理服务对超高龄髋部骨折患者术后护理效果明显,有助于改善患者的心理状态,降低患者术后并发症发生率。Objective To study the effects of high quality nursing service on the aged patients with hip fracture during perioperative period. Methods There were 96 cases of elderly patients who had acquired hip fracture in our hospital form December 2010 to December 2013. The 48 cases of control group were nursed by routine nursing. The 48 cases of observation group were nursed by high quality nursing service. The satisfaction scores of nursing and complication of all patients were counted and compared between two groups. Results The incidence of complications in observation group was 22. 9% （11/48）, that was mainly for lung infection with 5 cases and cardiovascular system with 4 cases. The incidence of complications in control group was 43. 8%（21/48）, that it was mainly for pulmonary infection with 11 cases, pressure ulcers with 7 cases and cardiovascular system complications with 7 cases. The complications in the two groups had significant difference （χ2 =4. 688, P〈0. 05）. The satisfaction rate of observation group was 91. 67% （44/48） for nursing, which was significantly higher than that of the control group 75. 00%（36/48） （χ2 =4. 800,P〈0. 05）. Conclusions The high quality nursing service has apparent effect on the elderly patients with hip fracture. It could effectively improve psychological status of patients and is helpful to reduce the incidence of complications after operation.

关 键 词：髋 骨折 超高龄 优质护理服务 围术期 

分 类 号：R473.6[医药卫生—护理学]