四肢骨折患者卧床期间并发症分析及护理对策研究

Complications analysis and nursing countermeasures in patients with limb fractures during bedridden time

目的探讨四肢骨折并发症及护理对策,以提高护理质量和患者满意度。方法选取86例四肢骨折患者为研究对象,其中78例手术治疗,8例保守治疗,总结并发症,观察护理前后相关指标的变化。结果肢体肿胀发生率95.35%,肌肉萎缩、关节僵硬发生率82.56%,失眠发生率77.91%,心理失调发生率70.93%,过敏、感染发生率为59.3%,以上并发症发生率和水电解质、酸碱紊乱、褥疮、栓塞、皮肤压迫性溃疡比较差异有统计学意义(P<0.05);护理后非常满意发生率为70.93%,满意发生率为23.26%,不满意发生率为5.81%;治疗前后在躯体功能、心理功能、社会功能和物质生活评分上比较差异有统计学意义(P<0.05)。结论加强护理有助于降低四肢骨折卧床期的并发症发生率,提高临床效果。

Objective To investigate the complications of limb fractures and its nursing strategies so as to improve the quality of care and patients＇ satisfaction. Methods A total of 86 limb fracture patients were included in this study, of which 78 cases was given surgical treatment, and 8 cases with conservative treatment. And complications and relevant indicators before and after nursing were summarized. Results The incidence rate of limb swelling was 95.35 %, incidence of muscle atrophy and muscle stiffness was 82.56 %, incidence of insomnia was 77.91%, incidence of mental disorders was 70.93 %, allergy and infection rate was 59.3 %. The differences in complica- tion rate and water-electrolytes, acid- base disorders, pressure ulcers, thrombosis, skin pressure ulcers were statistically significant （P 〈 0.05）. The highly satisfaction rate was 70.93 %, satisfac- tion rate was 23.26%, and dissatisfaction rate was 5.81%. The differences in physical function, psychological function, social function and material life scores were statistically significant before and after treatment （P 〈 0.05）. Conclusion Intensive care can help reduce the incidence of complica- tions and improve clinical results of limb fractures patients in bedridden time.