共查询到19条相似文献,搜索用时 140 毫秒
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目的深入了解老年髋部骨折患者照顾者对延续护理的需求,为提供有效的延续护理提供依据。方法采用质性研究中的现象学研究方法,对10名老年髋部骨折患者的主要照顾者进行半结构访谈,用Colaizzi分析法对访谈内容进行资料分析。结果老年髋部骨折患者照顾者延续护理需求共提炼出4个主题:医院和社区卫生资源需求;疾病相关知识需求;康复护理服务需求;家庭、社会支持需求。社区卫生资源的可及性是照顾者的首要需求;提供上门护理服务是照顾者的最迫切需求。结论构建医院-社区联合医疗模式,发展家庭护理服务,完善社会支持体系,切实满足老年髋部骨折患者及照顾者的延续护理需求。 相似文献
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目的探讨基于加速康复外科(ERAS)理念的信息化延续护理在老年髋部脆性骨折患者中的应用效果。方法采用便利抽样法,选择2018年5—12月北京积水潭医院收治的186例老年髋部脆性骨折患者为对照组,采用ERAS理念下常规延续护理,选择2019年5—12月北京积水潭医院收治的193例老年髋部脆性骨折患者为试验组,采用ERAS理念下信息化延续护理,依托微信多元化、信息化平台,组建ERAS多学科协作团队,实施多元化、精准化、连续性的信息化延续护理。采用t检验、χ2检验和Fisher精确检验比较干预后两组患者延续护理依从性和延续护理效率指标。结果试验组主动寻求建议、康复训练、按时复诊、规范用药及合理饮食依从率均高于对照组,差异均有统计学意义(χ2值分别为50.846、37.408、6.916、14.108、17.111;P<0.01)。出院6个月后试验组患者Harris髋关节功能评分量表得分为(89.3±5.1)分、骨质疏松药物正确使用率为99.0%(191/193)、患者满意度为97.9%(189/193),均高于对照组,差异均有统计学意义(t/χ2值分别为29.598、50.746、11.017;P<0.01);试验组患者二次骨折发生率为1.6%(3/193)、并发症发生率为5.2%(10/193),均低于对照组,差异有统计学意义(χ2值为4.177、9.369;P<0.05)。结论基于ERAS理念的信息化延续护理能提高老年髋部脆性骨折患者居家护理的依从性,利于患者加速康复。 相似文献
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目的:探讨快速康复围术期护理模式在老年髋部骨折患者中的应用方法及效果。方法:将2018年2月1日~12月31日53例老年髋部骨折患者设为对照组,实施常规护理模式;将2019年1月1日~10月31日53例老年髋部骨折患者设为加速康复外科(ERAS)组,实施快速康复围术期护理模式。比较两组护理效果。结果:ERAS组术前等待时间、住院时间短于对照组(P<0.05),术后1、3、5 d疼痛评分低于对照组(P<0.05),术后1个月髋关节功能评分高于对照组(P<0.05),并发症发生率低于对照组(P<0.05)。结论:快速康复围术期护理模式可缩短老年髋部骨折患者的术前等待时间、住院时间,减轻疼痛,改善术后髋关节功能,降低并发症发生率。 相似文献
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目的:探讨基于“互联网+”的延续护理管理在老年髋部骨折病人术后康复中的应用效果。方法:采用便利抽样法选取2020年2月—2021年4月骨科收治的120例老年髋部骨折手术病人为研究对象,采用随机数字表法分为对照组和观察组各60例,对照组术后进行常规护理和康复指导,出院后进行常规随访,观察组在此基础上实施基于“互联网+”的延续护理管理。采用Harris髋关节功能(HHS)评分表、自我护理能力测定量表(ESCA)和健康调查简表(SF-36)评估两组病人干预前后髋关节功能、自护能力和生活质量。结果:观察组病人术后3个月和术后6个月髋关节功能评分均高于对照组(P<0.05);观察组病人术后6个月自护能力各维度评分均高于对照组(P<0.05);观察组病人术后6个月时生活质量各维度评分均高于对照组(P<0.05)。结论:对老年髋部骨折病人进行基于“互联网+”的延续护理管理,可有效提高病人自护能力,促进病人髋关节功能的恢复和生活质量的改善。 相似文献
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目的 研究多元化延续护理对基层医院老年骨折患者生活质量影响。 方法 选取我院2016年9月-2018年12月骨科93例老年骨折患者作为研究对象,采用随机数字表法将其分为对照组和观察组,对照组47例出院前给予常规出院指导,定期电话随访。观察组46例给予多元化延续护理,出院3个月后评价患者生活质量、依从性、自理能力和髋关节恢复情况。 结果 出院3个月后,观察组日常生活活动能力(activities of daily living, ADL)评分明显低于对照组(t=-26.001,P<0.001),治疗康复依从性及髋关节功能均好于对照组(Z=-4.410,P<0.001;Z=-3.132,P=0.002)。 结论 多元化延续护理可提高老年骨折患者居家康复治疗的依从性,促进其生活自理能力提高和髋关节功能恢复,对生活质量的提高有显著的作用。 相似文献
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[目的]探讨对老年髋部骨折病人实施心理护理、功能康复护理的效果。[方法]将83例行手术治疗的老年(年龄≥60岁)髋部骨折病人分为观察组和对照组,对照组行常规护理,观察组在常规护理的基础上给予心理护理、功能康复护理。[结果]出院时两组病人焦虑(SAS)得分比较,差异有统计学意义(P〈0.05)。术后对两组病人随访12个月,观察组显效率明显高于对照组(P〈0.05)。[结论]对老年髋部骨折病人进行心理护理、功能康复护理,病人治疗期间焦虑情绪明显改善、远期疗效好。 相似文献
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股骨近端锁定钢板治疗老年股骨粗隆间骨折 总被引:1,自引:0,他引:1
修海军 《临床和实验医学杂志》2012,11(4):281-282
目的 探讨股骨近端锁定钢板治疗老年股骨粗隆间骨折的临床效果.方法 应用股骨近端锁定钢板治疗老年股骨粗隆间骨折48例,根据术前、术后X线片及术后髋关节功能恢复情况评价临床疗效.结果 随访4~15个月,平均10个月,48例患者均获骨性愈合.髋关节功能评分按Harris评分,优35例,良10例,可3例.结论 股骨近端锁定钢板治疗老年股骨粗隆间骨折,能达到良好的骨折复位和牢固坚强的固定,骨折愈合率高,利于早期关节功能锻炼,髋关节功能恢复满意. 相似文献
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高龄髋部骨折围手术期治疗 总被引:1,自引:0,他引:1
目的:探讨高龄髋部骨折患者围手术期处理特点。方法:回顾分析316例高龄髋部骨折手术治疗患者的临床资料,患者年龄70~94岁,平均79岁;左髋151例,右髋165例。根据骨折的类型和患者的健康状况选择手术方式。265例患者存在一种以上并存疾病。术前对并存疾病作积极治疗,术后加强护理,大部分患者康复。结果:本组262例获1年以上随访,疗效评定:优175例,良44例,可23例,差20例。总优良率83.5%。结论:高龄髋部骨折手术治疗是安全的,手术适应证的选择和精心的围手术期治疗是手术治疗成功的关键。 相似文献
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Sherrington C Lord SR Herbert RD 《Archives of physical medicine and rehabilitation》2004,85(5):710-716
OBJECTIVE: To compare the effects of weight-bearing and non-weight-bearing home exercise programs and a control program on physical ability (strength, balance, gait, functional performance) in older people who have had a hip fracture. DESIGN: Randomized controlled trial with 4-month follow-up. SETTING: Australian community-dwellers (82%) and residents of aged care facilities who had completed usual care after a fall-related hip fracture. PARTICIPANTS: One hundred twenty older people entered the trial, 40 per group (average age +/- standard deviation, 79+/-9y) and 90% completed the 4-month retest. INTERVENTION: Home exercise prescribed by a physical therapist. MAIN OUTCOME MEASURES: Strength, balance, gait, and functional performance. RESULTS: At the 4-month retest, there were differences between the groups in the extent of improvement since the initial assessment for balance (F(10,196)=2.82, P<.001) and functional performance (F(6,200)=3.57, P<.001), but not for strength (F(12,190)=1.09, P=.37) or gait (F(8,200)=.39, P=.92). The weight-bearing exercise group showed the greatest improvements in measures of balance and functional performance (between-group differences of 30%-40% of initial values). CONCLUSIONS: A weight-bearing home exercise program can improve balance and functional ability to a greater extent than a non-weight-bearing program or no intervention among older people who have completed usual care after a fall-related hip fracture. 相似文献
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总结56例75岁以上高龄髋部骨折病人行髋关节置换术的围术期康复护理措施,包括心理护理、术前的评估、术后预防感染、体位护理、疼痛护理、并发症预防护理和康复锻炼等,认为加强围术期康复护理可明显提高病人的生存质量. 相似文献
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Stewart A Calder LD Torgerson DJ Seymour DG Ritchie LD Iglesias CP Reid DM 《QJM : monthly journal of the Association of Physicians》2000,93(10):677-680
We estimated the prevalence of common risk factors for hip fracture and the numbers needed to treat (NNT) to prevent a hip fracture in various high-risk population groups, using a postal risk factor survey of women aged 70 years and above from General Practices in Grampian and Yorkshire. Recorded risk factors included prior fracture of any type; low body weight; smoking; and family history of fracture. The prevalence rates of hip fracture risk factors were 34%, 7% and 11% for previous fracture, maternal hip fracture and smoking, respectively for the Grampian practices (low body weight being defined as falling in the lowest quartile) and 34%, 7% and 7% for a single practice in the York area. Applying previously published estimates of risk, NNT analysis produced a value of about 300 for women with no risk factors, whilst for women with three risk factors it was between 32 and 71, depending on which risk factors were present and assuming intervention reduced fracture rates by 30% or 50%. Groups of women at high risk of hip fracture can easily be identified in primary care and offered treatment, with realistic prospects of hip fracture prevention. 相似文献
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van Staa TP Geusens P Kanis JA Leufkens HG Gehlbach S Cooper C 《QJM : monthly journal of the Association of Physicians》2006,99(10):673-682
BACKGROUND: Simple tools are needed to identify patients at high risk of fracture. AIM: To develop a simple clinical tool for assessing 5-year risk of fracture. DESIGN: Cohort study. METHODS: The study population consisted of all women aged 50+ included in the THIN Research Database (containing computerized medical records of UK general practices). Using Cox proportional hazards models, a risk score was initially estimated from age, body mass index, and clinical risk factors. The 5-year risk of fracture (survival function) was estimated for each score. RESULTS: The study population included 366 104 women aged > or = 50 years (mean follow-up 5.8 years). Of these, 6453 suffered a hip fracture. Several characteristics independently contributed to the fracture risk score (age, body mass index, fracture and fall history, previous diagnoses and use of medication). The 5-year risks for hip fracture for patients with total scores of 10, 30 and 50 were 0.3% (95%CI 0.3-0.4%), 2.2% (95%CI 2.1-2.2%), and 13.1% (95%CI 12.5-13.7%), respectively. A woman aged 65 years with low BMI and a history of both fracture and falling would have a hip fracture risk score of 37, with a corresponding 5-year risk for a hip fracture of 4.1% (4.0-4.2%). The risk score was validated and tested in another population (from GPRD), with a good concurrence between predicted and observed risks of fracture. DISCUSSION: This risk score predicts the long-term risk of fracture, and could be used for targeting patients for further investigation, such as bone densitometry. 相似文献