围术期护理在老年髋部骨折合并高血压患者中的应用  

Application of Perioperative Nursing in Elderly Patients with Hip Fracture Combined with Hypertension

作　　者：陈春秀 龙素丽 CHEN Chunxiu;LONG Suli(Operating room,Guangdong hospital of integrated traditional Chinese and western medicine,Foshan,Guangdong 528000)

机构地区：[1]广东省中西医结合医院手术室,广东佛山528000

出　　处：《中国伤残医学》2024年第5期127-131,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:研究围术期护理在老年髋部骨折合并高血压患者中的应用效果.方法:选取2019年1月-2021年4月于我院接受手术治疗的50例老年髋部骨折合并高血压患者为研究对象,根据随机数字表法将其分为对照组与观察组,各25例.对照组采用常规护理,观察组采用围术期护理,比较两种护理方法的干预效果.结果:手术开始时,2组收缩压、舒张压水平比较,组间差异无统计学意义(P>0.05).术中,2组收缩压水平均低于手术开始时,且观察组术中收缩压水平高于对照组,差异有统计学意义(P<0.05).观察组术中舒张压水平高于手术开始时,差异有统计学意义(P<0.05).对照组术中的舒张压水平与手术开始时比较,组间差异无统计学意义(P>0.05);观察组术中舒张压水平高于对照组,组间差异有统计学意义(P<0.05).观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05).护理前,2组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,组间差异无统计学意义(P>0.05).护理后,2组SAS、SDS评分均低于护理前,且观察组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05).观察组术后6、12、24、48h疼痛视觉模拟评分均低于对照组,组间差异有统计学意义(P<0.05).观察组术后住院时间为(5.56±1.37)d,短于对照组的(8.67±1.45)d,差异有统计学意义(P<0.05).观察组患者对手术室环境、护理态度、沟通方式和护理及时性的满意度评分均高于对照组,组间差异有统计学意义(P<0.05).结论:老年髋部骨折合并高血压患者接受围术期护理既有利于稳定患者的血压值,又可以减少术后并发症的发生风险,同时有利于减轻患者的负性情绪及术后疼痛程度,且患者满意度更高.Objective:To study the application effect of perioperative nursing in elderly patients with hip fracture combined with hypertension.Methods:50 elderly patients with hip fracture complicated with hypertension who received surgical treatment in our hospital from January 2019 to April 2021 were selected as the study objects,and they were divided into a control group and an observation group according to random number table method,with 25 cases in each group.The control group received routine nursing,the observation group received perioperative nursing,and the intervention effects of the two nursing methods were compared.Results:At the beginning of operation,there were no significant differences in the levels of systolic blood pressure and diastolic blood pressure between the two groups(P>0.05).During the operation,the levels of systolic blood pressure in the two groups were lower than those at the beginning of the operation,and the level of systolic blood pressure in the observation group was higher than that in the control group,with statistical significance(P<0.05).The levels of diastolic blood pressure level in the observation group during the operation was higher than that at the beginning of operation,and the difference was statistically significant(P<0.05).There was no significant difference in the level of diastolic blood pressure in the control group between the beginning of operation and during the operation(P>0.05).The level of diastolic blood pressure in the observation group during the operation was higher than that in the control group,and the difference between groups was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,and the difference between the two group was statistically significant(P<0.05).Before nursing,there was no significant difference in the scores of Self-rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)between the two groups(P>0.05).After nursing,the scores of SAS and SDS in both

关 键 词：围术期护理 老年髋部骨折 高血压 血压波动 并发症 护理效果 

分 类 号：R683.3[医药卫生—骨科学]