老年股骨颈骨折患者术后康复护理

论文编号:HL058  论文字数:8393.页数:23

论文题目：老年股骨颈骨折患者术后康复护理

摘　要
 
 
 目的：探讨老年股骨颈骨折病人术后及出院后的随访和康复指导效果.以预防并发症的发生，减少肢体残疾，提高生活质量。
 方法：将72例老年股骨颈骨折病人随机分为实验组和对照组。实验组36例，护理人员制定出护理计划，并于出院后6个月内通过随访和预约复诊进行患肢锻炼指导、心理护理、预防并发症的健康教育和护理指导等；对照组36例，仅给予出院健康指导。
 结果：实验组和对照组肢体功能康复状况（髋关节功能评定）比较，术后3个月及6个月髋关节功能优良率实验组均高于对照（p<0.05），实验组的健康教育效果及预防并发症方面优于对照组（p<0.01）。
 结论：对术后的老年股骨颈骨折病人进行随访和康复指导，解答和帮助处理存在的问题，能有效地促进肢体功能康复，减少并发症的发生，从而提高病人的生活质量。
 
 关 键 词：老年人；股骨颈骨折；康复护理
 
 论文类型：实验性研究
 
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  录
1 绪论………………………………………………………………………………………...1
 1.1 背景及意义 1
 1.2 研究目的……………………………… …………………………………… …….1
 1.3 关键词定义…………………………………………………………………………1
 1.4文献回顾……………………………………………………………………… ……1
2 对象与方法…………………………………………………………… …..……………... 3
2.1 对象…………………………………………………………………………………3
2.2 方法…………………………………………………………………………………3
2.2.1实验组方法…………………………………………………………………..3
 2.2.1.1确定随访的时间和方式………………………………………………...3
 2.2.1.2评估病人……………………………………………………… … …….3
 2.2.1.3制定康复锻炼计划……………………………………………………...4
 2.2.1.4心理护理………………………………………………………………...4
 2.2.1.5饮食护理………………………………………………………………...5
 2.2.1.6预防并发症……………………………………………………………...5
2.2.2对照组方法…………………………………………………………………..5
2.3评价指标…………………………………………………………………………….6
2.4统计学方法………………………………………………………………………….6
3 结果…………………………………………………………………………………….…..7
3.1两组病人术后功能评定比较……………………………………………………….7
3.2两组病人健康教育效果及并发症发生情况比较………………………………….7
4 讨论 8
4.1术后康复训练能促进肢体功能康复……………………………………………….8
4.2术后康复训练可减少并发症的发生……………………………………………….8
4.3饮食调节对老年股骨颈骨折患者术后康复的辅助作用………………………….9
4.4加强对术后病人康复指导意义的认识…………………………………………….9
5 推论和建议…………………………………………………………………………..…...11
致 谢……………………………………………………………….......……………………13
参考文献…………………………………………………………………………………… 15