个体化护理对骨科高龄手术患者预后的影响

目的：分析高龄骨科手术患者并发症的发生情况以及护理措施，以便更好地为患者服务。方法选择高龄骨科手术患者86例，采用简单随机化分组法分成观察组和对照组各43例。对照组采用常规护理方法，观察组针对高龄患者的特点，有针对性地制订护理干预措施，防止术中并发症的发生。比较两组患者手术并发症的发生率及护理满意度。结果对照组患者满意度得分为（82．51±5．06）分，观察组满意度得分为（95．03±4．27）分，两组比较差异有统计学意义（t＝5．505，P＜0．05）。观察组患者术中并发症发生率4．7％，对照组25．6％，两组比较差异有统计学意义（χ2＝12．412，P＜0．05）。结论对高龄患者有针对性的护理可以减少患者发生并发症的危险，使患者安全地度过围术期，是术后患者康复并且恢复肢体功能状态，减少患者病残率的重要手段。

Effect of individualized nursing on the prognosis of elderly patients with orthopedic operation

Objective To analyze the situation of complications and the nursing measures for elderly patients with orthopedic operation in order to better service for patients .Methods Eighty-six elderly patients with orthopedic operation from March 2012 to April 2013 were chosen and divided into the control group and observation group according to the simple randomization method , each with 43 cases.The control group received the routine nursing , and the observation group received the targeted nursing so as to prevent the incidence of complication during operation . The incidence rate of complication and patient satisfaction were compared between the two groups.Results The score of patient satisfaction was （82.51 ±5.06） in the control group, and was （95.03 ±4.27） in the observation group, and the difference was statistically significant （t=5.505, P〈0.05）.The incidence rate of complication was 25.6% （7 cases of low temperature and chills , 1 cases of pulmonary embolism, 2 cases of hypotension, 1 case of arrhythmia） in the control group, and was 4.7%（2 cases of low temperature and chills ） in the observation group , and the difference was statistically significant （χ2 =12.412, P〈0.05）.Conclusions The targeted nursing can greatly reduce the incidence of complication in elderly patients so that the patients can safely get through the operation period , and is an important means of reducing the morbidity and promoting the rehabilitation and restoration of limb function after operation in patients.