CAJ | 학술논문

目的调查中、老年骨质疏松症(OP)或骨量减少患者跌倒后致伤情况,统计临床各类护理工作量,寻找规律性.方法选择因跌倒就诊患者194例,按有无OP或骨量减少分为观察组118例和对照组76例,比较两组患者的致伤情况和临床各类护理工作量.结果跌倒致伤类型比较中,观察组骨折例数明显高于对照组,软组织损伤例数则明显少于对照组(P均＜0.05).观察组手术治疗例数及ADL评分与对照组比较,有统计学意义(P＜0.05).观察组的卧床总时间、制动总时间、每天基础护理时间、陪护总陪床时间、平均住院花费和平均住院天数等均明显高于对照组(P＜0.05).结论中、老年OP或骨量减少患者跌倒后致伤情况严重,临床各类护理需求明显增加,对这类患者进行健康教育和跌倒护理预防很有必要.
목적 조사중、노년골질소송증(OP)혹골량감소환자질도후치상정황,통계림상각류호리공작량,심조규률성.방법 선택인질도취진환자194례,안유무OP혹골량감소분위관찰조118례화대조조76례,비교량조환자적치상정황화림상각류호리공작량.결과 질도치상류형비교중,관찰조골절례수명현고우대조조,연조직손상례수칙명현소우대조조(P균＜0.05).관찰조수술치료례수급ADL평분여대조조비교,유통계학의의(P＜0.05).관찰조적와상총시간、제동총시간、매천기출호리시간、배호총배상시간、평균주원화비화평균주원천수등균명현고우대조조(P＜0.05).결론 중、노년OP혹골량감소환자질도후치상정황엄중,림상각류호리수구명현증가,대저류환자진행건강교육화질도호리예방흔유필요.
Objective To survey the tumble-induced injuries of middle and old patients with osteoporosis or osteopenia,and to add up the clinical nursing service so as to find out the nursing regularity.Methods A total of 194 patients who suffered from tumble underwent an examination of bone strength,while they were divided into observational group(n=1 18)and control group(n=76)based on history of osteoporosis or osteopenia.Thereafter.injured level and clinical nursing service were compared in the two groups.Results Fracture cases in the observational group were significantly more than control group,but cases with soft tissue injury in the observational group were significantly less than control group(P<0.05).Cases who underwent hospitalization and treatment and sumcal therapy in the observational group were significantly more than control group,while the average ADL scores.in the control group were higher than those in observational group(P<0.05).Clinical nursing indexes,such as cumulative time of lying in bed,cumulative time of braking,ICU residence time,cumulative time of first-class nursing,time of comlnon nursing,time of rehabilitation nursing,time of mental nursing,time of nutrition nursing,time of health education,accumulative time of accompanying nursing,average payment of hospitalization,and average time of hospitalization in the observational group were significantly longer or higher than those in control group(P<0.05).Conclusions Tumble-induced injuries ale severe among middle and old patients with osteoporosis or osteopenia;therefore,more and more patients need variously clinical nursing services,as well as health education and tumble prevention.