CAJ | 학술논문

目的：观察个体化护理对高龄骨科手术患者预后水平的影响。方法选取2013年3月至2014年3月于我院接受治疗的85例高龄骨科手术患者作为研究对象，随机将其分为对照组(40例)与观察组(45例)。对照组给予常规护理，观察组给予个体化护理方案。对比两组患者的手术时间、术中出血量、住院时间以及术后并发症发生情况。结果观察组手术时间、住院时间和术中出血量分别为(70.21±17.12) min、(14.28±2.61) d和(244.11±16.48) mL，均明显少于对照组；观察组并发症发生率为4.44%，显著低于对照组的35.00%；差异均具有统计学意义(P<0.05)。结论对高龄骨科手术患者采取针对性的个体护理方案，对降低术后并发症发生率和提高患者的预后水平有积极的意义，值得推广。
목적：관찰개체화호리대고령골과수술환자예후수평적영향。방법선취2013년3월지2014년3월우아원접수치료적85례고령골과수술환자작위연구대상，수궤장기분위대조조(40례)여관찰조(45례)。대조조급여상규호리，관찰조급여개체화호리방안。대비량조환자적수술시간、술중출혈량、주원시간이급술후병발증발생정황。결과관찰조수술시간、주원시간화술중출혈량분별위(70.21±17.12) min、(14.28±2.61) d화(244.11±16.48) mL，균명현소우대조조；관찰조병발증발생솔위4.44%，현저저우대조조적35.00%；차이균구유통계학의의(P<0.05)。결론대고령골과수술환자채취침대성적개체호리방안，대강저술후병발증발생솔화제고환자적예후수평유적겁적의의，치득추엄。
Objective To observe the effect of individual nursing on the prognosis level of elderly patients with orthopedic operation. Methods 85 elderly patients treated with orthopedic operation in our hospital from March 2013 to March 2014 were selected as research objects and randomly divided into control group (40 cases) and observation group (45 cases). The control group was given conventional nursing, the observation group was given individual nursing scheme. The operation time, bleeding volume during operation, hospitalization time and postoperative complications between the two groups were compared. Results The operation time, hospitalization time and bleeding volume of the observation group was (70.21±17.12) min, (14.28±2.61) d and (244.11±16.48) mL respectively, significantly less than that of the control group;the complications rate of the observation group was 4.44%, significantly lower than 35.00%of the control group; all the difference was statistical (P <0.05). Conclusions For elderly patients with orthopedic surgery, individual nursing plays a positive role in reducing the incidence of complications and improving the prognosis level of patients, which is worthy of promotion.