人性化护理技巧在老年骨科患者中应用.docVIP

人性化护理技巧在老年骨科患者中的应用 　　[摘要] 目的 研究人性化护理技巧在老年骨科患者中的应用。 方法 选择2014年1～12月重庆市綦江区人民医院骨科收治的患者122例，随机分为对照组和干预组，每组各61例。对照组老年患者给予常规的护理干预，干预组在对照组常规护理的基础上结合人性化护理技巧，护理实施3个月。3个月后参考美国疼痛协会制订的患者对术后疼痛满意度的调查表，对术后疼痛程度及疼痛管理的满意情况进行评价。 结果 两组不同疼痛程度下疼痛评分比较，干预组当前疼痛程度、过去24 h的疼痛程度、手术后最严重的疼痛程度、术前的疼痛程度、术前对术后的预期疼痛均明显低于对照组，差异均有统计学意义（Z = -7.940、-7.006、-14.054、-13.253、-16.251，P 0.05或P 0.01）。干预组患者在对疼痛治疗方式、住院期间疼痛照顾、术后止痛效果的满意度方面均明显优于对照组，差异均有统计学意义（Z = 10.076、12.213、12.887，均P 0.05）。 结论 针对护理服务需求的不同，结合老年患者群体自身的特殊性，给予其提供较为优质的护理，不仅有效缓解了其疼痛感觉，而且在很大程度上提高了患者对护理质量的满意程度，从而为有效改善患者的愈后提供了较好的基础。 　　[关键词] 人性化护理；骨科；老年；满意度 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1673-7210（2015）06（b）-0140-04 　　Application of humanized nursing skills in elderly orthopaedic patients 　　DU Xiangqin 　　Department of Orthopedic Ward 2， the Peoples Hospital of Qijiang District in Chongqing City， Chongqing 401420， China 　　[Abstract] Objective To study the application of humanized nursing skills in elderly orthopaedic patients. Methods From January to December 2014， in Department of Orthopedic Ward 2 of the Peoples Hospital of Qijiang District in Chongqing City， 122 hospitalized patients were selected and randomly divided into control group and intervention group， with 61 cases each group. The control group was given routine nursing intervention， the intervention group was combined with humanized nursing skills， on the basis of conventional nursing of the control group， nursing implementation lasted for 3 months. After 3 months， postoperative pain of postoperative pain degree and the satisfaction evaluation of pain management were evaluated by the reference to the American association of pain of patients satisfaction questionnaire. Results The different level of pain variable pain scores in the two groups were compared， the current level of pain， pain degree， in the past 24 h after surgery， the worst pain intensity， degree of pain before the operation， preoperative expectations of postoperative pain in intervention group were significantly lower