系统护理措施对高龄患者髋关节置换术后生活质量的影响分析.docVIP

精品论文 参考文献 系统护理措施对高龄患者髋关节置换术后生活质量的影响分析 长沙市中医医院（长沙市八医院）南院八病室 410002 摘要：目的：探讨分析系统护理措施对高龄患者髋关节置换术后生活质量的影响。方法：随机抽取在2013年4月至2015年4月间我科收治的80例接受髋关节置换术的老年患者，其中40例患者单纯接受常规化的治疗，设为对照组，另外40例患者在此基础上进行系统护理措施，设为研究组，比较两组患者的临床疗效以及护理前后生活质量改善情况。结果：研究组总有效率为92.5%，对照组总有效率为65%。研究组患者中发生并发症的有5例，占12.5％，对照组患者中发生并发症的有20例，占50％，差异具有统计学意义（p＜0.05）。两组患者护理后的生活质量评分较护理前均有所提高，研究组患者的提升幅度显著大于对照组，差异具有统计学意义（p＜0.05）。结论：加强患者手术期的护理干预措施对于提高患者的手术疗效以及减少并发症的发生有重要的作用，值得在临床上推广应用。 关键词：髋关节置换术；系统护理；生活质量 Abstract：Objective：To investigate the effect of nursing care on the quality of life in elderly patients after hip replacement surgery.Methods：from April 2015 to April 2013，80 elderly patients with hip replacement surgery were randomly selected.40 patients were treated with conventional therapy，and the control group was treated with 40 cases.The clinical curative effect of the two groups were compared.Results：the total effective rate of the study group was 92.5%，and the total effective rate was 65% in the control group.There were 5 cases of complications in the study group，accounting for 12.5%，the control group of patients with complications occurred in 20 cases，accounting for 50%，the difference was statistically significant（P lt; 0.05）.The quality of life of the two groups of patients after nursing were improved，and the improvement of the study group was significantly higher than that of the control group，the difference was statistically significant（P lt; 0.05）.Conclusion：it is important to strengthen the nursing intervention measures in patients with surgical treatment and reduce the incidence of complications.It is worth to be popularized in clinic. [Key words]：hip replacement；systematic nursing；quality of life 髋关节置换术在目前临床治疗髋关节疾患的应用越来越广泛，它的主要作用在于通过生物相溶性和机械性能良好的金属材料制成类似于人体骨关节的假体，利用置换术把损伤部位或者是存在疾患的关节面置换成人工假体，目的在于切除病灶、减轻患者疼痛，并且尽可能的恢复患者关节处的功能及活动能力[1]。髋关节置换术的临床效果明显，但是由于老年患者比较多，身体关键的免疫机制下降，关节处的负重能力及平衡性降低，骨质疏松，容易造成较大损伤，所以，对老年患者髋关节置换术后的系统护理措施则显得至关重要。我就系统护理措施对高龄患者髋关节置换术后生活质量的影响这个问题展开了研究分析，取得了令人满意的成果，现报