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目的:探讨体位干预在股骨骨折术中压疮防治护理效果。方法:选取2013年2月-2014年5月在我院行股骨干骨折切开复位内固定手术的48例患者为研究对象,采用数字随机表法分成常规组和体位干预组,每组各24例。常规组采用常规护理模式评估患者生命体征与皮肤情况,体位干预组采用体位干预模式评估患者基本状况,对比分析两组患者术前Braden scale评分结果,术中出血量、手术时间、手术体位及术后皮肤受压状况等临床资料。结果:1体位干预组患者术前压疮风险评估得分(13.5±1.3)分,手术用时(156.5±26.6)min,术中出血量为(106.1±30.8)ml,与常规组患者的(13.7±1.5)分、(151.3±25.7)min、(106.5±31.2)ml无明显差异,组间对比无统计学意义,P>0.05;2术后常规组护理干预满意度为66.67%,明显低于体位干预组的95.83%,组间对比差异明显,P<0.05;体位干预组术后出现压疮1例,发生率为4.2%,明显低于常规组的75.0%,组间对比具有统计学意义,P<0.05;3体位干预组压疮预防有效率为83.33%,高于常规组的21.5%,组间对比差异明显,具有统计学意义,P<0.05。结论:对行股骨干骨折切开复位内固定手术的股骨骨折患者采用体位干预法,能有效降低术中压疮发生率,对提升护理满意度、减轻患者痛苦、缩短恢复时间等方面具有积极意义,值得临床推广。
Objective: To explore the effect of body position intervention on pressure ulcer prevention and treatment in femoral fracture. Methods: From February 2013 to May 2014, 48 patients undergoing open reduction and internal fixation of femoral shaft fractures in our hospital were selected and divided into two groups according to the random number table: conventional group and position intervention group example. Conventional nursing model was used to evaluate the vital signs and skin conditions of the patients. The body position intervention group was used to assess the basic condition of the patients with the position intervention model. The Braden scale score, the blood loss, the operation time, After skin pressure and other clinical data. Results: The preoperative pressure ulcer risk assessment score was (13.5 ± 1.3) points, the operative time was (156.5 ± 26.6) min, the intraoperative blood loss was (106.1 ± 30.8) ml, compared with the conventional group (13.7 ± 1.51), (151.3 ± 25.7) min and (106.5 ± 31.2) ml respectively. There was no significant difference between the two groups (P> 0.05) .2 The satisfaction rate of routine nursing intervention was 66.67% 95.83% in the intervention group, the difference between the groups was significant, P <0.05; one case of pressure ulcer occurred postoperatively in the position intervention group, the incidence rate was 4.2%, significantly lower than 75.0% of the conventional group, the comparison between the two groups was statistically significant, P <0.05. The effective rate of preventing pressure ulcer in the 3-position intervention group was 83.33%, which was higher than that of the conventional group (21.5%). There was significant difference between the two groups with statistical significance (P <0.05). Conclusion: Interventional therapy can reduce the incidence of intraoperative pressure ulcers and improve the nursing satisfaction, alleviate the suffering of patients and shorten the recovery time, etc. , It is worth clinical promotion.