摘要
目的探讨循证护理在高龄髋部骨折患者围手术期预防误吸中的应用效果。方法选择2014年7月～2016年3月入住我科的200例高龄髋部骨折手术患者，随机分为对照组和实验组，每组各100例，分别给予传统的护理方法和循证的护理方法，观察高龄髋部骨折手术患者发生误吸的情况及护理满意度，对数据进行统计学分析。结果实验组患者的误吸发生率为9％，20例（20％）患者发生反流，没有患者出现窒息；对照组患者的误吸发生率为19％，54例（54％）患者发生反流，共有2例患者出现窒息，循证护理方法的高龄髋部骨折手术患者误吸、反流及窒息发生情况明显低于传统的护理方法，差异有统计学意义（P〈0．05）。实验组患者的满意度为96％，高于对照组的70％，差异有高度统计学意义（X2=23．95，P〈O．01）。结论应用循证的护理方法能有效地预防高龄髋部骨折手术患者误吸，提高护理质量，保证患者的安全。
Objective To investigate the evidence-based nursing in elderly patients undergoing hip fracture prevention aspiration effect. Methods A total of 200 cases of elderly patients who had to undergo hip fracture surgery from July 2014 to March 2016 in Yiwu Central Hospital were selected as study subjects. Participants were allocated randomly to control group（100 cases） using the traditional methods of nursing care, and study group（100 cases） using evidence-based nursing care. Compared the rate of aspiration, regurgitation, and suffocation and nursing satisfaction between the two groups. Results The rate of aspiration in the study group （9%） was significantly lower than that in the control group （19%）; The prevalence of regurgitation in the study group was significantly lower （20% compared with 54%, P〈0.05）; The study group had significantly lower rate of suffocation[0%（0/100） compared with 2%（2/100）, P〈0.05]. The nursing satisfaction of the experimental group was 96%, higher than 70% in the control group, there were significant differ- ences（P〈0.01）. Conclusion The application of evidence-based nursing approach can effectively reduce the rate of aspi- ration, regurgitation, and suffocation in elderly patients undergoing hip fracture surgery. Evidence-based nursing care can improve the quality of care and deserve clinical expansion.
出处
《中国现代医生》
2016年第18期150-153,156,共5页
China Modern Doctor
基金
浙江省科技厅第一批公益性技术应用研究专项资金(2013C33216)
关键词
循证护理
高龄髋部骨折
围手术期患者
预防误吸
Evidence-based nursing
Elderly patients with hip fracture
Perioperative period
Prevention of aspiration
