摘要: |
目的 观察加速康复外科理念(ERAS)在老年髋部骨折围手术期护理中的应用效果。方法 采用临床随机对照实验设计,选择2015-01~2016-10老年髋部骨折患者80例,随机分为干预组(40例)和对照组(40例),对照组实施传统常规护理,干预组在加速康复外科的理念指导下进行护理管理,干预时间从围手术期至出院后6个月。内容包括疼痛管理、感染管理、血栓管理、饮食管理、康复管理、随访管理。结果 术后干预组舒适度评分较对照组均有提高,疼痛评分较对照组降低,治疗后6个月髋关节功能优于对照组,干预组手术后总并发症发生率较对照组明显减少,差异有统计学意义(P < 0.05)。结论 应用ERAS理念可以提高老年髋部骨折患者康复效果及满意度,缓解疼痛,提高髋关节功能。 |
关键词: 加速康复外科 髋部骨折 围手术期 护理 |
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Application of ERAS Concept in Perioperative Nursing of the Geriatric Hip Fracture |
FU Haiqing, XIANG Jie
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1st Affiliated Hospital of South China University
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Abstract: |
S Objective: Apply ERAS concept in perioperative nursing of the geriatric hip Fracture,in order to evaluate the effect of comprehensive intervention. Methods:From January 2015 to October 2016, 80 cases of Geriatric Hip Fracture patients were randomly divided into intervention group (40 cases) and control group (40 cases), which were treated with clinical randomized controlled trials. The control group to implemented the traditional routine nursing, the intervention group underwent nursing management under the concept of ERAS. Intervention time was from the patient"s perioperative period to 6 months after discharge. Interventions included: pain management, infection management, thrombosis management, diet management, rehabilitation management, follow-up management. Results:The comfort level scores of the intervention group were improved compared with the control group, the pain score was lower than the control group, and the hip function score was better than the control group at 6 months, there was significant difference (P <0.05). Conclusion: Application of ERAS concept can improve the rehabilitation effect and satisfaction, relieve pain and improve hip function. |
Key words: Enhanced recovery after surgery ERAS Hip Fracture Perioperative Nursing |