老年病人的護理

論文編號:HL101  論文字數:8759.頁數:14

論文題目：老年病人的護理
摘 要
 目的：將臨床護理路徑引入本科工作中，使患者從入院到出院都按一定的模式接受護理，制訂標準的護理流程，提供有時間的、有序的、有效的照顧。探討臨床護理路徑用于老年股骨頸骨折患者的康復效果。
 方法：對2008年3月～2010年3月我院骨科收治的76例60歲以上移位性股骨頸骨折患者進行了隨訪研究，將本院76例老年股骨頸骨折患者隨機分為對照組和觀察組各38例，對照組采用傳統護理教育方法；觀察組在對照組的基礎上制訂住院期間臨床護理路徑進行健康教育，比較2組患者的住院天數、滿意度及并發癥發生情況。
 結果：1.觀察患者平均住院時間20天，最短17天，最長23天。觀察組（20±3天）和對照組（14±7天）相比，住院天數明顯減少，具有統計學意義（p<0.05）;
 2. 術后出現并發癥發生情況,對照組15例,觀察組6例,兩組對比,差異具有顯著性(χ2=3.93, P<0.05)。無泌尿系統感染，無術中和術后死亡，無切口感染隨訪期內無翻修病例。按Harris評分標準：手術后一個月平均提高38.2分，手術后三個月平均提高38.6分。觀察組和對照組相比，患者滿意度明顯提升，具有統計學意義（χ2=4.07,p<0.05）。
 結論：臨床護理路徑對于老年股骨頸骨折患者的恢復有積極的影響。臨床護理路徑對對老年移位性股骨頸骨折，特別是活動能力要求較高、期望壽命較長和身體一般狀況好的老年患者，效果較好，值得推廣。

關鍵詞：股骨頸骨折，移位內固定，關節置換

論文類型：類實驗研究

 Title: Nursing care of elderly patients with femoral neck fracture

ABSTRACT
 Objectives：The clinical care path is the late 20th century， 80 developed by the United States standardized clinic care model as the ultimate goal of medical care， it effectively inhibited the growth of medical costs， contributed to raising the level of medical care in recent years， as peoplethe growing demand for health services， on health care quality requirements are increasing， therefore， the clinical care path Yinru undergraduate work， so that patients from admission to discharge were cared for by a certain pattern， the development of standards of care processes，to provide time for orderly and effective care.Clinical care of the path for the rehabilitation of patients with femoral neck fracture effect.    Methods：March 2008 ~ March 2010 in our hospital (Jilin Chinese Medicine Hospital) orthopedic treated over 76 cases of 60-year-old patients with displaced femoral neck fractures were followed up study， 76 cases will the Court of femoral neck fracturespatients were randomly divided into control group and observation group of 38 cases， the control group using traditional methods of nursing education； observation group were hospitalized on the basis of the clinical development path for health care and education， compared two groups of patients hospital stay， satisfaction andcomplications.    Results：The number of days in the hospital group， satisfaction and complications were better than the control group.    Conclusion：The clinical care path is a working model of holistic nursing， holistic nursing care is the depth， by total hip replacement patients in the application， to achieve high-quality， high-performance low-cost care needs and get goodeconomic and social benefits， higher quality of care to meet the health needs of people.Clinical care path for the recovery of patients with femoral neck fracture had a positive impact.Clinical Nursing Route displaced femoral neck fractures in elderly， in particular activity higher， longer life expectancy and general health status of elderly patients with good and effective， and worthy of promotion.

Keywords：femoral neck fracture， displacement fixation， joint replacement

Type of thesis：Application research
 

 目  錄
摘 要 V
ABSTRACT VI
1 緒論 1
1.1背景及意義 1
1.2研究目的及目標 1
1.3關鍵詞及定義 1
1.4文獻回顧 2
2 研究設計 5
2.1研究類型 5
2.2研究對象 5
2.3研究方法 5
2.4研究工具 5
2.5研究步驟 5                                                       
2.6統計方法 6
3.結果 7
3.1 2組患者住院天數比較 7
3.2 2組患者滿意度及并發癥發生情況比較 7
4.討論 8
4.1老年人股骨頸骨折的特點 8
4.2臨床護理路徑提高了護理質量 8
4.3臨床護理路徑提高了患者的滿意度 8
4.4臨床護理路徑提高了醫療質量 9
5.推論與建議 10
5.1結論 10
5.2本文的局限和展望 10
參考文獻 11
致謝 12