健康教育在降低骨科急诊患者石膏固定折断率中研究.docVIP

健康教育在降低骨科急诊患者石膏固定折断率中研究 　　[摘要] 目的：探讨健康教育在降低骨科急诊患者石膏固定折断率中的作用。方法：选取从2008年1月~2010年12月在我院就诊的急诊骨伤行石膏固定的患者330例，随机分为健康教育组（165例）和对照组（165例）。对照组给予常规护理，健康教育组在常规护理基础上采取多手段的健康教育措施，观察两组石膏固定后的折断率。结果：两组在一般资料方面无统计学差异，健康教育组石膏固定折断率为10.91%，显著低于对照组的22.42%（χ2=7.876，P=0.005）。结论：健康教育可以明显降低骨科下肢损伤患者石膏固定后的折断率，并减轻患者的经济和精神负担。 　　[关键词] 健康教育；石膏固定；折断率 　　[中图分类号] R193 [文献标识码]A[文章编号]1673-7210（2011）08（a）-113-02 　　 　　Study on the role of health education in broken rate of emergency patients with plaster immobilization 　　ZHANG Xiaoshuang, LIU Tingru, JU Baolan 　　Department of Orthopedics, The first Affiliated Hospital of PLA General Hospital, Beijing 100048, China 　　[Abstract] Objective: To investigate the role of health education in broken rate of emergency patients with plaster immobilization. Methods: 330 patients with plaster immobilization were visited in emergency department from January 2008 to December 2010. They were divided randomly into health education group (165 cases) and control group (165 cases). The control group was used traditional nursing when the health education group was given health education besides traditional method. The broken rate was measured between two groups. Results: The general information of two groups has no statistical significance. The broken rate of health education group was significantly lower than than of control group (10.91% vs 22.42%) (χ2=7.876, P=0.005). Conclusion: Health education could not only reduce the broken rate of patients with plaster immobilization, but also relieve their economic and mental burden. 　　[Key words] Health education; Plaster immobilization; Broken rate 　　 　　石膏固定是骨科急诊患者最常用的治疗措施之一，已广泛应用于骨折后、关节损伤复位后的固定[1]。石膏外固定后如果护理不善或未遵从医嘱，则可发生石膏折断，严重影响患者治疗效果。随着医学模式的转变和整体护理理念的全面普及??我院从2008年1月~2010年12月对330例急诊骨科石膏固定患者开展了针对性的健康教育，通过定期 　　随访，来探讨健康教育对骨科急诊患者石膏固定折断率的影响。 　　 　　1 资料与方法 　　1.1 一般资料 　　选取2008年1月~2010年12月在我院就诊的急诊骨伤、行石膏固定患者330例，随机将其分为健康教育组（165例）和对照组（165例）。其中，男210例，女120例；患者年龄18~55岁，平均（40.28±10.60）岁；文化程度：专科及以上125例，初中184例，小学及以下21例；受伤部位均为