老年髋部骨折患者围手术期的护理

目的总结老年髋部骨折患者围手术期的护理要点。方法 2010年6月~2013年9月对本院收治的95例老年髋部骨折患者进行人工关节置换术或内固定术,护士配合做好术前、术后围手术期护理工作。结果 95例患者术后均康复出院,住院时间11 d~28 d,平均(17.5±2.5)d,术后1例患者发生肺炎,1例患者发生切口感染,经治疗护理后治愈。结论住院期间,护士应积极做好老年患者围手术期护理,根据其心理、生理特点,做好心理护理工作,有针对性地预防和处理术后并发症,指导患者进行康复训练,其可促进患者尽快增强日常生活能力,促进康复。

Perioperative nursing care of the elderly patients with hip fracture

Objective To summarize the perioperative nursing care of the elderly patients with hip fracture.Methods There were 95 elderly patients with hip fractures admitted to hospital and received the fixation of artificial joint replacement and preoperative and postoperative nursing care from June 2010 to September 2013.Results Ninety-five patients were recovered and discharged from the hospital. They had stayed the hospital for 11 to 28 days and the average time was（17.5±2.5）d.One patient had developed pneumonia after surgery and one patient had incision infection.After treatment both patients were cured.Conclusions When the elderly patients with hip fracture stayed in the hospital,the nurses should give them good care.The nurses should provide them with mental care based on their psychological and physiological characteristics,help the patients to prevent the complications,guide the patients through rehabilitation training,enhance daily living and promote the patients’health as soon as possible.