识别高危风险因素在老年髋部损伤围手术期护理中的作用.doc

识别高危风险因素在老年髋部损伤围手术期护理中的作用 696 [10] (MedicalJournaloftheChinesePeople’sArmedPoliceForces)Vo1.19No.082008—08出版 TSH,T4andthyroidantibodiesintheUnitedStatespoptda— tion(1988to1994):NationalHealthandNutritionExami— nationSurvey(NHANESI]/).JainEndocfinolMetab,’ 2002,87(2):489 VolzkeH,IXMemannJ,RobinsonDMeta1.Theprevalence ofundiagnosedthyroiddisordersinapreviouslyiodine——de?- ficientarea.Thyroid,2003,13(8):803 单忠艳,滕卫平,金迎等.碘致甲状腺功能减退症 的流行病学对比研究.中华内分泌代谢杂志,2001,17 [12] [13] (2):71 FlynnRWV,MacdonaldTM,MorrisADeta1.Thethyroid epidemiology,audit,andresearchstudy:thyroiddysfunction inthegenellalpopulation.JClinEndocfinolMetab,2004,89 (8):3879 戴红,单忠艳,滕晓春等.不同碘摄人量社区甲状 腺功能减退症的五年随访研究.中华内分泌代谢杂 志,2006,22(6):528 (2008—05—22收稿,责任编辑岳建华) 识别高危风险因素在老年髋部损伤围手术期护理中的作用 池迎春焦卫红陈娜(解放军总医院第二附属医院:肿瘤特需病区;护理部,北京100091) 【摘要】目的探讨老年髋部损伤患者围手术期的高危风险因素,做好围手术期护理工作.方法对我院自1991～ 1999年收治的172例髋部损伤的患者进行回顾性调查,对调查结果进行多元回归分析比较,并进行统计检查.结果老年髋 部损伤患者发生并发症的患者中,伤前活动能力差,血红蛋白及总蛋白较低,有较大的手术风险,围手术期针对性预防护理有 意义.结论在老年髋部损伤的围手术期护理中,注意识别高危风险因素,有效预防并发症的发生,提高护理质量. 【关键词】风险因素髋部损伤困手术期护理【中国图书分类号】R473.6 Riskanalysisandnursingcareofelderlypatientswithhipinjurieswithinperioperativeperiod CHIYingchun,JIAOWeihong,andCHENNa.DepartmentofOrthopaedics,The2ndAffiliatedHospitalofGeneralHospitalofPLA,Bei— jing100091,China 【Abstract】ObjectiveTostudythecorrelativefactorscontributingtotheperioperativeriskofelderlypatientswithhipinjuries,inor— dertoimprovethenursingcarewithinperioperativeperiod.Methods172elderlypatientswit}lhipinjurieshospitalizedin1991—1999we retrospectivelyinvestigatedandanalyzed.Theresultswereanalyzedbymultipleregression.ResultsInmostpatientswithpostoperativecorn— plications,theiractivitycapacitywasobviouslypoorandthecontentsofhaemoglobinandtotalserumproteinsweresignificandylowthanthoseof theothers.Thepreventivenursingcareagainstthesecomplicationshadsignificantbenefit.ConclusionsToimprovethenursingcareofelderly patientswithhipinjurieswithinperioperativeperiod,riskforecastingandpreventingthecomplicationsareveryimportant. 【KeywordsJRiskana