老年股骨骨折护理中不安全因素分析和防范措施.docVIP

老年股骨骨折护理中不安全因素分析和防范措施 　　[摘要] 目的 研究和探讨老年股骨骨折护理中不安全因素与防范措施。方法 随机选取该院2012年12月1日―2014年12月1日收治的60例老年股骨骨折患者为研究对象，按护理方法不同分为对照组（30例，常规护理），观察组（30例，护理干预），对其护理中不安全因素与防范措施进行回顾性分析。结果 老年股骨骨折护理中不安全因素包括：护理人员的责任心不强、风险评估能力缺陷及业务水平缺陷、护患沟通不良、患者术前心理问题、护理依从性低、住院时间长、病情反复等，其中护理过程中护理人员责任心不强、业务水平缺陷和患者术前心理问题、住院时间长，在护理不安全因素中占主要地位，不安全程度分别占41.7%、35.0%、25.0%、50.0%；观察组患者实施防范措施后的护理总有效率显著高于对照组，差异有统计学意义（P0.05）。 结论 在老年股骨骨折护理过程中，有效分析其不安全因素，并采取有效措施进行防范，能够提高护理有效率，帮助患者取得更佳预后。 　　[关键词] 老年股骨骨折；护理；不安全因素；防范措施 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-0742（2015）05（a）-0156-03 　　Analysis of the Unsafe Factors Related to Femoral Fracture in the Elderly and the Corresponding Preventive Measures 　　LI Jie 　　Guilin Maternity and Child Health Care Hospital， Guilin， Guangxi Zhuang Autonomous Region， 541001 China 　　[Abstract] Objective To investigate the unsafe factors related to femoral fracture in the elderly and the corresponding preventive measures. Methods Sixty elderly patients with femoral fracture admitted to our hospital from December 1st， 2012 to December 1st， 2014 were selected as the subjects and assigned to the control group（30 cases） treated by the usual care and the observation group（30 cases） treated by nursing intervention in accordance with the nursing method. And the unsafe factors existing in the nursing process of the two groups and corresponding preventive measures were analyzed retrospectively. Results The unsafe factors existing in the nursing process for elderly patients with femoral fracture included the following aspects： lacking enough responsibility and sufficient risk assessment ability and professional capacity in the nursing staff； poor nurse-patient communication； preoperative adverse psychology of patients； low compliance of nursing； long length of stay； illness relapse and so on. And lacking enough responsibility and sufficient professional capacity in the nursing staff， preoperative adverse psychology of patients and long length of stay are the main unsafe factors， which accounted