摘要
目的探讨分析系统护理对老年四肢多处骨折卧床患者便秘的临床干预效果和临床价值。方法回顾分析我院骨外科自2007年1月至2013年12月收住院的老年四肢多处骨折卧床便秘患者360例,2007年1月至2010年12月3年内收住院的180例患者为对照组,2011年1月至2013年12月3年内收住院的180例患者为观察组。对照组给予常规的护理,观察组在常规护理的基础上有针对性地给予系统护理干预,对比分析2组老年患者经治疗护理后患者家属对护理的总满意度,老年患者便秘症状缓解的时间、体征消失的时间、各项生活功能和总体生活质量评分、心理状态。结果观察组家属对护理的总满意度和对照组相比更高,差异显著,具有统计学意义(P<0.05);观察组患者便秘症状缓解的时间和体征消失的时间和对照组相比更短,差异显著,具有统计学意义(P<0.05);观察组患者各项生活功能和总体生活质量评分以及心理状态显著优于对照组,差异显著,具有统计学意义(P<0.05)。结论对于四肢多处骨折老年患者给予系统护理干预,能够有效提高临床疗效和家属满意度,提高患者生活质量和改善心理状态,缓解便秘症状,值得在临床中应用推广。
Objective To discuss and analyze the clinical effects and value of systemic nursing intervention on constipation in senile patients with multiple fracture of extremities .Methods Retrospective analysis was made on the 360 cases of constipation in se-nile patients with multiple fracture of extremities admitted into hospital for treatment from January 2007 to December 2013.One hundred and eighty patients admitted into hospital from January 2007 to December 2010 were assigned as the control group , while another 180 patients admitted into hospital from January 2011 to December 2013 were assigned as the observation group .The control group was given routine nursing , while the observation group received systemic nursing intervention in addition to routine nursing .Comparison and anal-ysis were made in total satisfaction of nursing on the part of the family dependants , the time of constipation symptom relief , the time of signs relief , the scores of life function and overall life quality , as well as psychological state , were compared between the 2 groups after treatment and nursing .Results Results indicated that total satisfaction of the observation group on the part of family dependents were higher than that of the control group , and statistical significance could be seen , when comparisons were made between the 2 groups （ P〈0.05）.The time of constipation symptom relief and the time of signs relief of the observation group were shorter , as compared with those of the control group, and there was significant difference, when comparisons were made between the 2 groups （P〈0.05）.The life function and overall quality of life scores and psychological state as well in the patients of the observation group were significantly su -perior to those of the control group , and significant differences could be noted , when comparisons were made between the 2 groups （ P〈0.05）.Conclusion Systemic nursing intervention on senile patients with multiple fracture of extremities could effectively increase the clinic
出处
《海军医学杂志》
2017年第1期70-72,95,共4页
Journal of Navy Medicine
基金
国家自然科学基金青年科学基金项目(81200935)
关键词
系统护理
老年四肢多处骨折
便秘
对照组
观察组
Systemic nursing
Multiple limbs fracture in senile patients
Constipation
Control group
Observation group
