髋部骨折患者不同体位护理方法的效果观察

目的探讨适合髋部骨折患者的体位护理方法，提高患者的舒适度及自护能力。方法将100例髋部骨折患者随机分为改进组和对照组各50例，改进组予指导患者自行体位变换，辅以协助变换体位，尽快让患者掌握自行变换体位的方法；对照组只采取协助变换体位护理方式。结果两组患者在人院当天未进行体位护理前，在变换体位时均表示疼痛明显加剧，不知道在床上如何配合及自行变换体位；进行不同体位护理方式后第3天，改进组患者均为自行变换体位，且两组患者变换体位时疼痛程度经秩和检验，差别有统计学意义（P〈0．01）。结论改进组患者采取的体位护理方式效果优于对照组。进行有计划、有系统的体位护理，让患者学会自我变换体位的方法，既可提高患者的自理能力，又可使患者减轻疼痛，甚至达到无痛，提高了患者治愈疾病的信心。

Effect Observation of Different Body Positions Nursing for Hip Fracture Patients

Objective To explore the body position nursing suitable for hip fracture patients and improve their comfort degree and self care ability. Methods 100 hip fracture patients were divided into improvement group and control group at random. In improvement group, patients changed their body positions by themselves and they were given assistance and guidance. They were asked to learn the methods of changing body positions as quickly as possible. In control group, patients were only assisted to change their body positions. Results Patients in both groups felt painful during changing the body positions and had no idea about how to cooperate and change the body positions themselves on the day when they were admitted. After 3 days of different nursing, patients in improvement group could change their body positions by themselves and there was significant difference in pain feel of patients between two groups （P〈0.01）. Conclusion The body position nursing in improvement group is better than that in control group. The planned, systematic body positions nursing can make patients grasp the methods of changing body positions by themselves, improve their selfcare ability, alleviate pain and improve their confidence on curing diseases.