三点支撑预防老年髋部骨折患者术后压疮的效果观察
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摘要
目的探讨三点支撑法对老年髋部骨折患者术后压疮的预防效果。方法选取2013年3月至2015年4月我院收治的60岁髋部骨折患者120例,随机分为观察组和对照组(各60例),根据患者ASA分级情况实施相应的手术治疗。对照组患者术后实施常规护理,观察组患者在此基础上应用三点支撑法进行护理。比较两组术后压疮初期症状的出现率及压疮发生率。结果观察组出现压疮初期症状者显著少于对照组(P<0.05);观察组压疮发生率显著低于对照组(P<0.05)。结论髋部骨折患者术后应用三点支撑法,能明显减少压疮发生,促进患者恢复,安全有效,值得临床推广应用。
Objective To analyze the effect of three-point supporting in preventing postoperative pressure ulcers in elderly patients with hip fracture. Methods A prospective randomized clinical study was performed in 120 cases of patients with hip fracture admitted from March 2013 to April 2015. They were randomly divided into an observation group and a control group(60 cases each), and the corresponding surgical treatment was performed according to the ASA classification. The patients in the control group underwent routine nursing after operation, and the patients in the observation group were treated with three-point support method. The incidence of initial symptoms of postoperative pressure ulcers and the incidence of pressure ulcers were compared between the two groups. Results Appearance of early symptoms of pressure ulcers in the observed group was much fewer than in the control group(P<0.05). Meanwhile, the incidence of pressure ulcers in the observed group was much lower than in the control group(P<0.05). Conclusion The application of three-point support method in patients with hip fracture can significantly reduce the occurrence of pressure sores and promote the recovery of patients. It is safe and effective and worthy of clinical application.
Objective To analyze the effect of three-point supporting in preventing postoperative pressure ulcers in elderly patients with hip fracture. Methods A prospective randomized clinical study was performed in 120 cases of patients with hip fracture admitted from March 2013 to April 2015. They were randomly divided into an observation group and a control group(60 cases each), and the corresponding surgical treatment was performed according to the ASA classification. The patients in the control group underwent routine nursing after operation, and the patients in the observation group were treated with three-point support method. The incidence of initial symptoms of postoperative pressure ulcers and the incidence of pressure ulcers were compared between the two groups. Results Appearance of early symptoms of pressure ulcers in the observed group was much fewer than in the control group(P<0.05). Meanwhile, the incidence of pressure ulcers in the observed group was much lower than in the control group(P<0.05). Conclusion The application of three-point support method in patients with hip fracture can significantly reduce the occurrence of pressure sores and promote the recovery of patients. It is safe and effective and worthy of clinical application.
引文
[1]贺修君,何玉珍,王远清.三点支撑抬臀法在髋部骨折病人翻身护理中的应用[J].护理研究,2014,28(8A):2762,2763.
[2]胡佩芬,张凌.护理干预对预防老年卧床患者院外压疮的效果[J].吉林医学,2014,34(29):6147-6148.
[3]付海霞.预防髋部骨折患者压疮形成的护理[J].中国实用护理杂志,2013,29(1):133-134.
[4]Park KH.A retrospective study using the pressure ulcer scale for healing(PUSH)tool to examine factors affecting stageⅡpressure ulcer healing in a Korean acute care hospital[J].Ostomy/wound Management,2014,60(9):40-51.
[5]王欣国,徐燕.老年人髋部骨折术后早期活动研究进展[J].护理研究,2012,26(8B):2115-2117.
[6]Davina J Gosnell,Nan Bergstrom,陈拱诒.褥疮的评定和预测[J].国际护理学杂志,1988,9(4):164-166.
[7]程秀红,蒋琪霞,刘云,等.压疮预防指南临床应用的效果分析[J].中华护理杂志,2011,46(6):597-599.
[8]付丽华.老年髋部骨折患者实施抬臀运动的护理干预[J].解放军护理杂志,2007,24(9):32-33.
[9]关妙燕.骨科高龄患者压疮风险评估及预防措施[J].中国医药导刊,2012,11(21):356-357.
[10]范锡海,韩瑛光,范克伟,等.三点支撑钢板内固定治疗跟骨关节内骨折[J].中国矫形外科杂志,2012,20(20):1911-1912.
[11]苏树娟,李晓娟.高龄股骨骨折患者预防压疮的护理[J].广东医学,2012,33(2):295-296.
[12]王瑞敏,张静.老年髋部骨折术后谵妄的预防及护理干预[J].河北中医,2014,36(12):1892-1893.
[13]郑晓静.褥疮预防的管理[J].护理管理杂志,2004,4(6):40-41.
[14]刘伯萸.自我体位护理配合协助体位护理模式在髋部骨折患者护理应用研究[J].中国美容医学,2012,21(z1):49.
[15]李相芬,何英,刘晓燕,等.老年患者压疮预防的临床护理措施及对策[J].河北医学,2013,19(11):1755-1757.
[16]吴凤娣.优质护理服务在超高龄髋部骨折患者围术期的应用[J].中华现代护理杂志,2015,21(12):1405-1407.
[17]赵建华,杨雅,曾洁.家庭跟进式健康教育在卧床患者压疮预防中的应用[J].上海护理,2010,10(3):12-14.
[18]赵文雅,林爱仙,关小丽.老年人髋部骨折术后早期并发症的观察与护理[J].全科护理,2011,9(7C):1915-1916.
[19]马杰,邵艳,雷婷婷,等.循证护理预防老年髋部骨折病人发生压疮的效果观察[J].全科护理,2014,12(29):2750-2751.
[20]王艳平,胖艳敏,于海凤.三点支撑抬臀挺腰法预防骨科牵引患者压疮的临床探讨[J].检验医学与临床,2015,12(11):1647,1649.
[21]Kamath AF,Mcauliffe CL,Baldwin KD,et al.Unplanned admission to the intensive care unit after total hip arthroplasty[J].Journal of Arthroplas ty,2012,27(6):1027-1032.
[22]张艳红.髋关节置换术患者围手术期护理[J].中国实用医药,2015,10(12):212-213.
[2]胡佩芬,张凌.护理干预对预防老年卧床患者院外压疮的效果[J].吉林医学,2014,34(29):6147-6148.
[3]付海霞.预防髋部骨折患者压疮形成的护理[J].中国实用护理杂志,2013,29(1):133-134.
[4]Park KH.A retrospective study using the pressure ulcer scale for healing(PUSH)tool to examine factors affecting stageⅡpressure ulcer healing in a Korean acute care hospital[J].Ostomy/wound Management,2014,60(9):40-51.
[5]王欣国,徐燕.老年人髋部骨折术后早期活动研究进展[J].护理研究,2012,26(8B):2115-2117.
[6]Davina J Gosnell,Nan Bergstrom,陈拱诒.褥疮的评定和预测[J].国际护理学杂志,1988,9(4):164-166.
[7]程秀红,蒋琪霞,刘云,等.压疮预防指南临床应用的效果分析[J].中华护理杂志,2011,46(6):597-599.
[8]付丽华.老年髋部骨折患者实施抬臀运动的护理干预[J].解放军护理杂志,2007,24(9):32-33.
[9]关妙燕.骨科高龄患者压疮风险评估及预防措施[J].中国医药导刊,2012,11(21):356-357.
[10]范锡海,韩瑛光,范克伟,等.三点支撑钢板内固定治疗跟骨关节内骨折[J].中国矫形外科杂志,2012,20(20):1911-1912.
[11]苏树娟,李晓娟.高龄股骨骨折患者预防压疮的护理[J].广东医学,2012,33(2):295-296.
[12]王瑞敏,张静.老年髋部骨折术后谵妄的预防及护理干预[J].河北中医,2014,36(12):1892-1893.
[13]郑晓静.褥疮预防的管理[J].护理管理杂志,2004,4(6):40-41.
[14]刘伯萸.自我体位护理配合协助体位护理模式在髋部骨折患者护理应用研究[J].中国美容医学,2012,21(z1):49.
[15]李相芬,何英,刘晓燕,等.老年患者压疮预防的临床护理措施及对策[J].河北医学,2013,19(11):1755-1757.
[16]吴凤娣.优质护理服务在超高龄髋部骨折患者围术期的应用[J].中华现代护理杂志,2015,21(12):1405-1407.
[17]赵建华,杨雅,曾洁.家庭跟进式健康教育在卧床患者压疮预防中的应用[J].上海护理,2010,10(3):12-14.
[18]赵文雅,林爱仙,关小丽.老年人髋部骨折术后早期并发症的观察与护理[J].全科护理,2011,9(7C):1915-1916.
[19]马杰,邵艳,雷婷婷,等.循证护理预防老年髋部骨折病人发生压疮的效果观察[J].全科护理,2014,12(29):2750-2751.
[20]王艳平,胖艳敏,于海凤.三点支撑抬臀挺腰法预防骨科牵引患者压疮的临床探讨[J].检验医学与临床,2015,12(11):1647,1649.
[21]Kamath AF,Mcauliffe CL,Baldwin KD,et al.Unplanned admission to the intensive care unit after total hip arthroplasty[J].Journal of Arthroplas ty,2012,27(6):1027-1032.
[22]张艳红.髋关节置换术患者围手术期护理[J].中国实用医药,2015,10(12):212-213.