中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
26期
3336-3338
,共3页
股骨颈骨折%护理%以问题为中心%质量改进
股骨頸骨摺%護理%以問題為中心%質量改進
고골경골절%호리%이문제위중심%질량개진
Femoral neck fracture%Nursing%Problem-based center%Quality improvement
目的：探讨以问题为中心的质量改进护理模式在股骨颈骨折患者中的应用效果。方法选择2011年11月-2013年2月78例股骨颈骨折患者为对照组行常规护理，选择2013年3-9月住院的86例股骨颈骨折患者为观察组，针对影响治疗效果的原因，成立以问题为中心的质量改进护理小组，构建股骨颈骨折患者术后管理模型。比较两组患者术后髋关节功能及并发症情况。结果观察组髋关节功能优良率为86．05％，对照组为71．80％，两组比较差异有统计学意义（χ2＝4．106， P＜0．05）；观察组患者下肢深静脉血栓、压疮、肺部感染、泌尿系统感染及便秘的发生率分别为4．65％，5．81％，3.49％，1.16％，2．33％，均低于对照组（10．26％，17．95％，11．54％，21．79％，12．82％），差异均有统计学意义（χ2值分别为3．722，5．217，4．831，7．205，4．902；P＜0．05）。结论采用以问题为中心的质量改进模式，可改善患者的髋关节功能，降低并发症，值得在临床广泛推广和应用。
目的：探討以問題為中心的質量改進護理模式在股骨頸骨摺患者中的應用效果。方法選擇2011年11月-2013年2月78例股骨頸骨摺患者為對照組行常規護理，選擇2013年3-9月住院的86例股骨頸骨摺患者為觀察組，針對影響治療效果的原因，成立以問題為中心的質量改進護理小組，構建股骨頸骨摺患者術後管理模型。比較兩組患者術後髖關節功能及併髮癥情況。結果觀察組髖關節功能優良率為86．05％，對照組為71．80％，兩組比較差異有統計學意義（χ2＝4．106， P＜0．05）；觀察組患者下肢深靜脈血栓、壓瘡、肺部感染、泌尿繫統感染及便祕的髮生率分彆為4．65％，5．81％，3.49％，1.16％，2．33％，均低于對照組（10．26％，17．95％，11．54％，21．79％，12．82％），差異均有統計學意義（χ2值分彆為3．722，5．217，4．831，7．205，4．902；P＜0．05）。結論採用以問題為中心的質量改進模式，可改善患者的髖關節功能，降低併髮癥，值得在臨床廣汎推廣和應用。
목적：탐토이문제위중심적질량개진호리모식재고골경골절환자중적응용효과。방법선택2011년11월-2013년2월78례고골경골절환자위대조조행상규호리，선택2013년3-9월주원적86례고골경골절환자위관찰조，침대영향치료효과적원인，성립이문제위중심적질량개진호리소조，구건고골경골절환자술후관리모형。비교량조환자술후관관절공능급병발증정황。결과관찰조관관절공능우량솔위86．05％，대조조위71．80％，량조비교차이유통계학의의（χ2＝4．106， P＜0．05）；관찰조환자하지심정맥혈전、압창、폐부감염、비뇨계통감염급편비적발생솔분별위4．65％，5．81％，3.49％，1.16％，2．33％，균저우대조조（10．26％，17．95％，11．54％，21．79％，12．82％），차이균유통계학의의（χ2치분별위3．722，5．217，4．831，7．205，4．902；P＜0．05）。결론채용이문제위중심적질량개진모식，가개선환자적관관절공능，강저병발증，치득재림상엄범추엄화응용。
Objective To investigate the effect of problem-based center quality improvement management model on nursing of patients with femoral neck fractures .Methods From February 2011 to November 2013 , 78 cases of femoral neck fracture patients received routine nursing as control group .Problem-based center quality improvement management team was set up , and the nursing management model of patients with femoral neck fractures was structured , then, 86 patients with femoral neck fractures from March to September in 2013 as observation group received the improved nursing .Results After the study , hip function excellent rates in observation group was higher than that in control group , and the difference was statistically significant (86.05%vs 71.80%;χ2 =4.106,P <0.05).The incidence rates of deep venous thrombosis , pressure sores, pulmonary infection, urinary tract infection and constipation in observation group were 4.65%, 5.81%,3.49%,1.16%,2.33%,respectively,while that in control group were 10.26%,17.95%,11.54%, 21.79%,12.82%, and the differences were statistically significant (χ2 =3.722,5.217,4.831,7.205,4.902, respectively;P<0.05).Conclusions The model of problem-based center quality improvement management can significantly improve the patients'hip function, reduce complications , which is worthy of wider promotion and application .
