早期康复护理干预对老年下肢骨折患者治疗依从性影响和并发症预防作用.docVIP

早期康复护理干预对老年下肢骨折患者治疗依从性影响和并发症预防作用 　　[摘要] 目的 探讨早期康复护理干预对老年下肢骨折患者治疗依从性的影响和并发症的预防作用。方法 选择500例老年下肢骨折患者，随机分为常规护理组和康复护理组。两组患者均按下肢骨折一般护理常规进行护理，康复护理组在此基础上予以早期康复护理干预，干预时间均为2周。观察并比较两组患者治疗后的依从性及并发症的发生率。结果 治疗2周后，康复护理组的治疗依从性明显高于常规护理组（χ2=13.68，P＜0.01）；并发症如尿潴留、下肢深静脉血栓、便秘、褥疮、肺部感染和尿路感染等的发生率均明显低于常规护理组（均P＜0.01）。结论 早期康复护理干预能明显提高老年下肢骨折患者治疗的依从性，减少老年下肢骨折患者并发症的发生率。 　　[关键词] 老年；下肢骨折；早期康复护理；治疗依从性；并发症 　　[中图分类号] R683.42 [文献标识码] B [文章编号]1673-9701（2011）32-126-02 　　 　　The Effect of Early Rehabilitation Nursing Intervention on Treatment Compliance and Prevention of Complications in Elderly Patients with Lower Extremity Fractures 　　 ZHANG Xiaoxiao ZHAN Huanle 　　Surgical Department, Wenzhou Traditional Chinese Medical Hospital in Zhejiang Province，Wenzhou 325000，China 　　 　　[Abstract] Objective To investigate the effect of early rehabilitation nursing interventions on treatment compliance and prevention of complications in patients with lower extremity fractures. Methods Five hundred cases of elderly patients with lower limb fractures were randomly divided into conventional care group and rehabilitation care group. Routine nursing care was applied in two groups of patients with lower limb fractures, and early rehabilitation intervention was applied in rehabilitation care group on the basis with 2 weeks of intervention time. Observed and compared the two groups of patients’ compliance and complications. Results The treatment compliance in rehabilitation care group was significantly higher than conventional care group （χ2 = 13.68, P＜0.01） after 2 weeks of intervention. The incidence of complications in rehabilitation care group such as urinary retention, deep vein thrombosis, constipation, pressure sores, pulmonary infection and the incidence of urinary tract infections, was significantly lower than the conventional care group （P＜0.01） . Conclusion The early rehabilitation nursing intervention can significantly improve the treatment compliance and reduce the incidence of complications in elderl