骨科术后应激性溃疡的预防及护理体会

Prevention and Nursing Experience of Postoperative Stress Ulcer after Orthopedic Surgery

目的探讨骨科术后应激性溃疡的预防及护理措施,观察临床效果。方法随机选取院2011年3月至2015年4月期间我院收治的76例骨折术后应激性溃疡患者做为观察对象,随机分为两组,观察组38例,对照组38例,对照组患者按照骨科常规护理措施进行护理,观察组在对照组的基础上加强应激性溃疡的护理干预,观察两组患者治疗的总有效率及护理满意度。结果观察组治疗的总有效率为100%,对照组为86.8%,观察组治疗总有效率明显高于对照组,P<0.05;观察组患者的满意度为97.4%,对照组患者的满意度为78.9%,两者相比差异显著,P<0.05。结论对骨科术后应激性溃疡的患者加强应激性溃疡的护理干预,可提高临床治疗效果,提高护理满意度,有利于护理质量的提升,值得临床推广。

Objective To investigate the postoperative stress ulcer prevention and care measures after orthopedic surgery, and to observe the clinical effects. Methods 76 patients admitted to hospital from March 2011 to April 2015 after fracture were selected as objects, who were randomly divided into two groups, namely, the observation group and the control group, with 38 cases in each group. Patients in the control group were treated with routine orthopedic nursing measures, while patients in the observation group were provided with nursing intervention against stress ulcer on the basis of routine orthopedic nursing measures, the total efficacy rate and satisfaction degree of patients in the two groups were observed.ResultsThe total efficacy rate of patients in the observation group was 100%, while that of the control group was 86.8%. The total efficacy rate of the observation group was significantly higher than that of the control group,P〈 0.05; the satisfaction degree of patients in the observation group was 97.4%, while that of the control group was 78.9%. The difference in between was significant, P〈 0.05. Conclusion Nursing intervention shall be enhanced in patients with postoperative orthopedic stress ulcer so as to improve clinical treatment effects and promote patients’ satisfaction toward nursing. Nursing intervention against stress ulcer is conducive to the improvement of nursing quality, and is worth promoting.