护理干预对股骨颈骨折手术患者的影响

Influence of nursing intervention on patients with femoral neck fracture operation

目的:探讨护理干预对股骨颈骨折手术患者的影响。方法:2013年3月-2014年6月收治股骨颈骨折患者110例,随机分成干预组和对照组,各55例。对照组给予常规护理,干预组在对照组的基础上加强健康教育和心理护理、加强术后康复护理、加强饮食护理指导、做好牵引护理等护理干预措施。结果:干预组发生并发症2例,并发症发生率3.6%,其中泌尿系感染1例,压疮1例;对照组发生并发症22例,并发症发生率40.0%,其中切口感染3例,血栓2例,肺炎4例,泌尿系感染7例,压疮6例,两组比较差异有统计学意义(P<0.05)。干预组优45例,良8例,优良率96.7%;对照组优22例,良17例,优良率70.9%,两组比较差异有统计学意义(P<0.05)。结论:护理干预可以明显提高股骨颈骨折手术患者的临床疗效,降低并发症的发生率,值得临床推广。

Objective:To investigate the influence of nursing intervention on patients with femoral neck fracture operation.Methods:110 patients with femoral neck fracture were selected from March 2013 to June 2014.They were randomly divided into the intervention group and the control group with 55 cases in each.The control group were given routine nursing,while the intervention group strengthening the health education and psychological nursing based on routine nursing,strengthening postoperative rehabilitation nursing,diet nursing,in addation,also strengthening guidance good traction nursing care intervention measures.Results:2 cases of complications occurred in the intervention group,and the complication rate was 3.6%,in which the urinary tract infection in 1 cases,and 1 cases of bedsore,therefore.22 cases occurred complications in the control group,and the complication rate was 40%,in which there were 3 cases with incisional wound infection,2 cases of thrombosis,4 cases of pneumonia,7 cases of urinary tract infection,6 cases of bedsore.The differences were statistically significant between two groups(P<0.05).45 cases were excellent in the intervention group;8 cases were good;the excellent and good rate was 96.7%.In the control group 22 cases were excellent;17 cases were good;the excellent and good rate was 70.9%.The difference was statistically significant between two groups(P<0.05).Conclusion:Nursing intervention can significantly improve the clinical efficacy of surgical patients with femoral neck fracture,and reduce the incidence of complications,so it is worthy of clinical application.