老年髋部骨折患者肺部感染循证护理的应用研究

Application of evidence-based nursing in lung infection in elderly patients with hip fracture

目的探讨循证护理在老年髋部骨折患者肺部感染中的应用效果。方法选取2015年1月至2017年1月在本院骨科住院治疗的老年髋部骨折患者146例,采取随机数字表法随机分为对照组和观察组,每组73例,两组患者均经手术治疗,其中对照组采取常规护理方式,观察组在常规护理的基础上进行循证护理。术后经护理3周后比较两组患者的肺部感染情况,并探讨患者对护理方式的满意度和舒适度情况。结果经3周护理后,观察组患者术后肺部感染发生率(5.48%)明显低于对照组(16.43%),差异有显著性(P<0.05)。术后观察组患者对护理方式的满意度和舒适度也明显高于对照组,差异有显著性(P<0.05)。结论老年髋部骨折患者围术期应用循证护理不仅可降低肺部感染的发生率,还可提高患者对护理的满意度和舒适度。

Objective To explore the application of evidence-based nursing in pulmonary infection in elderly patients with hip fracture. Method A total of 146 patients with hip fractures were enrolled in the hospital from January 2015 to January 2010, and the patients were divided into control group and observation group by digital randomization. The control group to take conventional care, the observation group in the conventional care based on the use of evidence-based care. Two groups of patients were treated by surgery, after 3 weeks of care after the two groups of patients compared the lung infection, and to explore the patient＇s satisfaction with the care and comfort situation. Result After treatment, the rate of pulmonary infection（5.48%） was lower than that of the control group（16.43%）, the difference was statistically significant（P〈0.05）. The satisfaction and comfort of the nursing group were also significantly higher than those of the control group（P〈0.05）. Conclusion Elderly hip fractures in patients with perioperative application Evidence-based care can not only reduce the incidence of pulmonary infection, but also improve patient satisfaction and comfort care.