目的：通過對預防老年下肢骨折病人便秘的不同方法進行研究，為臨床老年下肢骨折病人便秘的治療提供科學的依據，并期待能在臨床護理中得到推廣。從而進一步減輕病人的痛苦，并對病人的病情的好轉起到推波助瀾的作用。 方法: 2008年2月～2009年1月入院的60例老年下肢骨折患者列為對照組。男40例，女20例，年齡60～82歲，平均67歲。股骨頸骨折12例，股骨粗隆間骨折9例，脛腓骨骨折27例，髕骨骨折12例。2009年2月～2010年1月入院的60例患者列為實驗組。男38例，女22例，年齡60～84歲，平均68歲。股骨頸骨折12例，股骨粗隆間骨折9例，脛腓骨骨折26例，髕骨骨折13例。兩組患者均在受傷后24h內入院，既往飲食正常，無便秘史。兩組患者年齡、性別、受傷部位及病情比較差異無顯著性意義（P＞0.05）。對照組患者采用骨外科常規護理，出現便秘者遵醫囑給與導瀉藥或灌腸。實驗組在骨外科常規護理的基礎上，運用護理程序進行排便的護理。觀察兩組患者便秘發生情況，率的比較采用 x 2檢驗，P＜0.05為差異有統計學意義。 結果: 對照組便秘發生率為35%，實驗組應用護理程序后，便秘發生率為10%，明顯低于對照組（P＜0.05），差異有顯著性意義 結論: 通過運用護理程序對下肢骨折患者進行有針對性的護理，有效降低了便秘發生率，改善了患者生活質量。
關 鍵 詞：護理程序；老年；下肢骨折；便秘 論文類型：應用研究 Abstract
Objective: the treatment of patients with constipation to provide the scientific basis for clinical elderly lower limb fractures through different approaches to the prevention of elderly lower extremity fracture patients with constipation, , and look forward to promotion in clinical nursing. To further reduce the suffering of the patients, and the patient's condition improved play a role in fueling. Methods: admitted 60 cases of elderly patients which from February 2008 to January 2009 with lower extremity fractures as a control group. 40 males and 20 females, aged 60 to 82 years, the average age of 67. 12 cases of femoral neck fracture, intertrochanteric fractures in 9 cases, 27 cases of fracture of the tibia and fibula, patella fracture in 12 cases. 60 cases of hospitalized patients which from February 2009 to January 2010 as the experimental group. 38 males and 22 females, aged 60 to 84 years, the average 68-year-old. 12 cases of femoral neck fracture, intertrochanteric fractures in 9 cases, 26 cases of fracture of the tibia and fibula, patella fracture in 13 cases. All patients were admitted to hospital within 24 hours after the injury, past a normal diet, no history of constipation. Patients age, sex, injury location and the difference was insignificant (P> 0.05). The control group were treated with routine care of Orthopedic Surgery, doctor's advice to give to guide laxative or enema of constipation. Experimental group on the basis of the routine care of Orthopedic Surgery, the use of nursing procedures for bowel care. We observed in patients with constipation, the rate used to compare the x 2 test, P <0.05 was considered statistically significant. Results: the control group constipation was 35%, the experimental group after the application of nursing procedures, the constipation was 10% lower than the control group (P <0.05), significant difference
Conclusion: extremity fractures in patients with targeted care, we can reduce constipation, improve patient quality of life through the use of the nursing procedures of lower.
