探讨护理指引在骨科护理中临床应用.docVIP

探讨护理指引在骨科护理中临床应用 　　[摘要] 目的 探讨护理指引在骨科护理中的临床应用。方法 选取该院从2010年1月―2014年1月期间治疗过的骨折患者180例，随机平均的分成两组即常规组颌治疗组，每组90例，常规组采取常规的临床护理，治疗组则是在常规护理的基础上高度重视病人的心理护理和饮食上的指导，按病人健康条件，在不增加病人的疲劳和疼痛的前提下，对患者进行出院指导。观察患者的治疗时间以及疼痛情况，来对比两组患者的恢复情况。结果 通过护理后发现，常规组的恢复时间为（120.3±2.4）天，长于治疗组的（89.7±1.2） d（P0.05）。疼痛常规组为（78.09±2.2）分也要比治疗组（30.56±1.5）分效果明显。结论 通过细心的观察和耐心的护理，病人的疼痛显著地减少了，达到治疗前预期的效果，促进疾病的康复。 　　[关键词] 护理指导；骨折；骨科；临床应用 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-0742（2015）02（c）-0141-03 　　[Abstract] Objective To investigate the clinical application of the care guidelines in orthopedics. Methods 180 cases with fractures treated in our hospital from January 2010 to January 2014 were selected and randomly and equally divided into the conventional group and the treatment group with 90 cases in each. Conventional clinical nursing was given to the conventional group， and the nursing of highly valuing patients psychology nursing and diet guidance and discharge instructions without increasing the tiredness and pain in accordance with the conditions of the patients as well as conventional nursing were given to the treatment group. And the duration of treatment， the status of pain and recovery of the two groups were observed and compared. Results After nursing， the recovery time of the conventional group was （120.3±2.4） days， longer than （89.7±1.2） days of the treatment group（P0.05）. The pain score of the conventional group was （78.09±2.2） points， much higher than （30.56±1.5） points of the treatment group. Conclusion By close observation and meticulous care， the patients pain was decreased significantly， the desired therapeutic effect was achieved， and the rehabilitation of the disease was promoted. 　　[Key words] Care guidance； Fracture； Orthopedics； Clinical application 　　骨折作为骨伤科常见的多发病常常是因为四肢局部骨的连续性受到直接或间接暴力而遭到破坏，从而引起局部肿胀、疼痛、瘀斑、运动受阻，甚至导致受伤肢体的畸形和异常活动现象的出现，骨擦音可可闻等一系列临床表现[1]。此类病例也常见于临床。如何做好骨折病人的临床护理，直接影响骨折的早期愈合程度。如果骨折后护理方式不当，轻则骨折不愈合，重则会造成股骨头缺血性坏死，因此做好骨折患者的护理工作是十分重要的，该院选取2010年1月―2014年1月期间治疗的180例骨折患者进行研究，现报道如下。