预见性精细化护理结合心理护理对高龄骨折患者的康复研究  

Study on the rehabilitation of senile patients with fracture by predictive refined nursing combined with psychological nursing

作　　者：魏道华 杨奕妙 郑银芳[2] 黄党生 江学东 WEI Dao-hua;YANG Yi-miao;ZHENG Yin-fang(Jieyang City Rongcheng District Central Hospital, Jieyang 522031, China)

机构地区：[1]广东省揭阳市榕城区中心医院,522031 [2]汕头大学医学院第一附属医院

出　　处：《中国现代药物应用》2017年第18期134-136,共3页Chinese Journal of Modern Drug Application

基　　金：广东省揭阳市科技计划项目(项目编号:2016B01014)

摘　　要：目的探讨预见性精细化护理结合心理护理应用于高龄骨折患者中的临床效果。方法 54例高龄骨折患者,随机分为观察组和对照组,各27例。观察组在常规护理的基础上采用预见性精细化护理结合心理护理,对照组则采用常规护理,详细记录两组相关临床指标并进行比较。结果观察组患者住院时间为(13.5±1.8)d、术中出血量为(253.4±39.2)ml,显著优于对照组患者的(17.5±1.4)d、(372.0±32.4)ml,差异有统计学意义(P<0.05)。观察组出现明显疼痛、跌倒例数均少于对照组,但差异均无统计学意义(P>0.05);观察组便秘例数少于对照组,差异具有统计学意义(P<0.05)。护理前两组患者的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较差异无统计学意义(P>0.05);护理后观察组患者SAS评分为(25.3±5.2)分,SDS评分为(27.4±0.9)分,低于对照组的(37.9±3.7)、(41.0±5.3)分,差异有统计学意义(P<0.05)。结论预见性精细化护理对高龄骨折患者的康复和患者满意度均有较大幅度提升,结合生理以及心理辅助护理后,患者的心理和生理两方面健康水平均有了较大程度改善。Objective To investigate the clinical effect of predictive refined nursing combined withpsychological nursing applied in senile patients with fracture.Methods A total of54senile patients with fracturewere randomly divided into observation group and control group,with27cases in each group.The observationgroup received predictive refined nursing and psychological nursing on the basis of conventional nursing,and thecontrol group received conventional nursing.Clinical indicators in two groups was recorded in detail and compared.Results The observation group had hospitalization time as(13.5±1.8)d and intraoperative bleeding volume as(253.4±39.2)ml,which were significantly better than(17.5±1.4)d and(372.0±32.4)ml in the control group,and their difference was statistically significant(P<0.05).The observation group had less case of obvious pain andfall than the control group,but the difference was not statistically significant(P>0.05).The observation group hadless cases of constipation than the control group,and the difference was statistically significant(P<0.05).Beforenursing,both groups had no statistically significant difference in self-rating anxiety scale(SAS)and self-ratingdepression scale(SDS)score(P>0.05).After nursing,the observation group had SAS score as(25.3±5.2)pointsand SDS score as(27.4±0.9)points,which were all lower than(37.9±3.7)and(41.0±5.3)points in the controlgroup,and their difference was statistically significant(P<0.05).Conclusion Rehabilitation and satisfactionof senile patients with fracture are significantly improved.Combined with the physiological and psychologicalassisted nursing,psychological and physiological health levels in patients have been greatly improved.

关 键 词：骨折 高龄 预见性精细化护理 心理护理 康复 

分 类 号：R473.6[医药卫生—护理学]