首页|预警风险护理在预防老年髋部骨折术后下肢静脉血栓形成中的作用

预警风险护理在预防老年髋部骨折术后下肢静脉血栓形成中的作用

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目的 探究预警风险护理在老年患者髋部骨折术后的应用价值.方法 方便选取2023年1月—2023年10月南京市江宁医院收治的102例髋部骨折患者为研究对象,采用密闭信封法分为对照组、研究组,各51例.对照组实施常规护理,研究组结合预警风险护理.护理干预1个月后,评估两组患者下肢静脉血栓发生情况;护理干预前及干预1个月后,对比两组患者自我效能感量表(General Self-efficacy Scale,GSES)及自我护理能力测量量表(Exercise of Self-care Agency Scale,ESCA)评分.结果 研究组下肢静脉血栓发生率(1.96%)低于对照组(13.73%),差异有统计学意义(χ2=4.883,P=0.027).护理干预前,两组GSES、ESCA评分对比,差异无统计学意义(P均>0.05);护理1个月后,研究组GSES、ESCA评分高于对照组,差异有统计学意义(P均<0.05).结论 对髋部骨折术老年患者实施预警风险护理效果显著,能够降低下肢静脉血栓发生率,增强患者自我效能感与自护能力,从而促进患者术后康复.
Role of Early Warning Risk Nursing in the Prevention of Lower Extremity Venous Thrombosis after Hip Fracture in Elderly Patients
Objective To explore the application value of early warning risk nursing in elderly patients after hip frac-ture.Methods A total of one hundred and two patients with hip fracture admitted to Nanjing Jiangning Hospital from January 2023 to October 2023 were conveniently selected as research subjects and divided into control group and study group by sealed envelope method,51 cases in each group.The control group was given routine nursing,and the study group was given early warning risk nursing.After 1 month of nursing intervention,the incidence of venous thrombosis of lower extremity was assessed.Before intervention and 1 month after intervention,the scores of General Self-efficacy Scale(GSES)and Exercise of Self-care Agency Scale(ESCA)were compared between the two groups.Results The incidence of venous thrombosis in the study group(1.96%)was lower than that in the control group(13.73.%),and the difference was statistically significant(χ2=4.883,P=0.027).Before nursing intervention,there was no statistically significant difference in GSES and ESCA scores between the two groups(both P>0.05).After 1 month of nursing,the GSES and ESCA scores of the study group were higher than those of the control group,and the differ-ences were statistically significant(both P<0.05).Conclusion Early warning risk nursing for elderly patients undergo-ing hip fracture surgery has a significant effect,which can reduce the incidence of lower limb vein thrombosis,en-hance patients'self-efficacy and self-care ability,and promote patients'postoperative rehabilitation.

Early warning risk nursingHip fractureLower extremity venous thrombosisSelf-efficacySelf-care abilityPostoperative rehabilitation

薛青梅、胡月、张凤

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南京市江宁医院骨科,江苏南京 211100

预警风险护理 髋部骨折 下肢静脉血栓 自我效能感 自护能力 术后康复

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(3)
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