老年股骨頸骨折患者術后康復護理

論文編號:HL058  論文字數:8393.頁數:23

論文題目：老年股骨頸骨折患者術后康復護理

摘　要
 
 
 目的：探討老年股骨頸骨折病人術后及出院后的隨訪和康復指導效果.以預防并發癥的發生，減少肢體殘疾，提高生活質量。
 方法：將72例老年股骨頸骨折病人隨機分為實驗組和對照組。實驗組36例，護理人員制定出護理計劃，并于出院后6個月內通過隨訪和預約復診進行患肢鍛煉指導、心理護理、預防并發癥的健康教育和護理指導等；對照組36例，僅給予出院健康指導。
 結果：實驗組和對照組肢體功能康復狀況（髖關節功能評定）比較，術后3個月及6個月髖關節功能優良率實驗組均高于對照（p<0.05），實驗組的健康教育效果及預防并發癥方面優于對照組（p<0.01）。
 結論：對術后的老年股骨頸骨折病人進行隨訪和康復指導，解答和幫助處理存在的問題，能有效地促進肢體功能康復，減少并發癥的發生，從而提高病人的生活質量。
 
 關 鍵 詞：老年人；股骨頸骨折；康復護理
 
 論文類型：實驗性研究
 
ABSTRACT

 Objective: To evaluate the patients after femoral neck fracture and follow-up and rehabilitation after discharge guiding effect. To prevent complications, reduce physical disability and quality of life.
  Methods: 72 patients with femoral neck fractures were randomly divided into experimental and control group. Experimental group, 36 cases, nurses develop care plans, and was within 6 months after discharge and follow-up appointments by referral to limb exercise guidance, psychological care, prevention of complications of health education and care guidance; control group, 36 patients discharged only to give health advice.
  Results: The rehabilitation of limb function and status of the control group (hip function evaluation) compared to after 3 months and 6 months, excellent rate of hip joint function in experimental group were higher than control (p <0.05), the experimental group's health education effects and prevention of complications than the control group (p <0.01).
  Conclusion: The postoperative follow-up of femoral neck fracture patients and rehabilitation guidance, answers and help deal with the problems, can be effective in promoting recovery of limb function, reduce complications, thereby enhancing the quality of life of patients.
 
 KEY WORD: elderly, femoral neck fractures, rehabilitation care
 Paper Type: Experimental Study

 
目  錄
1 緒論………………………………………………………………………………………...1
 1.1 背景及意義 1
 1.2 研究目的……………………………… …………………………………… …….1
 1.3 關鍵詞定義…………………………………………………………………………1
 1.4文獻回顧……………………………………………………………………… ……1
2 對象與方法…………………………………………………………… …..……………... 3
2.1 對象…………………………………………………………………………………3
2.2 方法…………………………………………………………………………………3
2.2.1實驗組方法…………………………………………………………………..3
 2.2.1.1確定隨訪的時間和方式………………………………………………...3
 2.2.1.2評估病人……………………………………………………… … …….3
 2.2.1.3制定康復鍛煉計劃……………………………………………………...4
 2.2.1.4心理護理………………………………………………………………...4
 2.2.1.5飲食護理………………………………………………………………...5
 2.2.1.6預防并發癥……………………………………………………………...5
2.2.2對照組方法…………………………………………………………………..5
2.3評價指標…………………………………………………………………………….6
2.4統計學方法………………………………………………………………………….6
3 結果…………………………………………………………………………………….…..7
3.1兩組病人術后功能評定比較……………………………………………………….7
3.2兩組病人健康教育效果及并發癥發生情況比較………………………………….7
4 討論 8
4.1術后康復訓練能促進肢體功能康復……………………………………………….8
4.2術后康復訓練可減少并發癥的發生……………………………………………….8
4.3飲食調節對老年股骨頸骨折患者術后康復的輔助作用………………………….9
4.4加強對術后病人康復指導意義的認識…………………………………………….9
5 推論和建議…………………………………………………………………………..…...11
致 謝……………………………………………………………….......……………………13
參考文獻…………………………………………………………………………………… 15