高龄患者人工股骨头置换术整体护理的体会

目的回顾性分析整体护理在高龄患者行人工股骨头置换术的实施效果。方法对本院2010年3月至2012年11月100例高龄（〉70岁）人工股骨头置换术患者实施以术前评估、心理及舒适护理、并发症预防、术后疼痛干预、患肢功能康复等方面的整体护理。结果术后调查患者满意度95．1％，髋关节功能Harris评分平均（83±0．12）分（P〈0．05），无一例临床死亡，无术口感染及半脱位，无褥疮，效果良好。结论对高龄人工股骨头置换术患者实施整体护理并发症少，临床疗效好。

Holistic nursing experience on artificial femoral head replacement in elderly patients

Objective To evaluate the effect of holistic nursing on femoral head replacement in elderly patients. Methods From March 2010 to November 2012, 100 cases （〉70 years） operated by artificial femoral head replacement were treated with holistic nursing such as evaluation before operation, mental and comfortable nursing, prevention of complication, intervention of pain after operation, rehabilitation of limb. Results The satisfactory degree was 95.1%, the average score of Harris on hip was （83 ± 0.12）（P 〈 0.05）, there was no patient dead, no incision infection, no dislocation and no bed sore during the period of the hospital stay, and the nursing effects were good. Conclusion The holistic nursing on femoral replacement in eider patient has good clinical efficacy, and with less complication.