中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
12期
1461-1463
,共3页
手术后并发症%疼痛,手术后%提单式翻身法%髋关节置换术
手術後併髮癥%疼痛,手術後%提單式翻身法%髖關節置換術
수술후병발증%동통,수술후%제단식번신법%관관절치환술
Complications%Postoperative pain%L-type turning method%Hip arthroplasty
目的：探讨提单式翻身法对髋关节置换术( THA)患者术后并发症、疼痛及康复效果的影响。方法将2012年1月—2013年12月收治的76例患者按照随机数字表法随机分为观察组及对照组各38例,对照组患者术后行传统翻身护理,观察组患者行提单式翻身护理。观察两组患者术后疼痛、并发症及舒适度。结果观察组疼痛程度0级18例,Ⅰ级14例,Ⅱ级4例,Ⅲ级2例,优于对照组,差异有统计学意义(U=12.799,P<0.05)。观察组患者舒适度高于对照组,护理人员的劳动强度低于对照组,差异有统计学意义(U值分别为33.909,15.867；P<0.05)。观察组患者便秘1例(2.63%)、下肢静脉栓塞0例(0.00%)、肺部感染0例(0.00%)、脱位1例(2.63%)、压疮1例(2.63%),均低于对照组,差异有统计学意义(χ2值分别为6.176,4.222,4.222,3.934,5.352；P<0.05)。观察组患者满意度评分为(95.68±3.48)分,翻身时间为(22.89±10.25)s,与对照组比较差异均有统计学意义(t值分别为3.996,4.125；P<0.05)。结论提单式翻身法不仅能提高护理人员工作效率,减轻护理人员劳动强度及患者疼痛感,增加患者舒适感,还可以降低并发症的发生,提高患者满意度。
目的：探討提單式翻身法對髖關節置換術( THA)患者術後併髮癥、疼痛及康複效果的影響。方法將2012年1月—2013年12月收治的76例患者按照隨機數字錶法隨機分為觀察組及對照組各38例,對照組患者術後行傳統翻身護理,觀察組患者行提單式翻身護理。觀察兩組患者術後疼痛、併髮癥及舒適度。結果觀察組疼痛程度0級18例,Ⅰ級14例,Ⅱ級4例,Ⅲ級2例,優于對照組,差異有統計學意義(U=12.799,P<0.05)。觀察組患者舒適度高于對照組,護理人員的勞動彊度低于對照組,差異有統計學意義(U值分彆為33.909,15.867；P<0.05)。觀察組患者便祕1例(2.63%)、下肢靜脈栓塞0例(0.00%)、肺部感染0例(0.00%)、脫位1例(2.63%)、壓瘡1例(2.63%),均低于對照組,差異有統計學意義(χ2值分彆為6.176,4.222,4.222,3.934,5.352；P<0.05)。觀察組患者滿意度評分為(95.68±3.48)分,翻身時間為(22.89±10.25)s,與對照組比較差異均有統計學意義(t值分彆為3.996,4.125；P<0.05)。結論提單式翻身法不僅能提高護理人員工作效率,減輕護理人員勞動彊度及患者疼痛感,增加患者舒適感,還可以降低併髮癥的髮生,提高患者滿意度。
목적：탐토제단식번신법대관관절치환술( THA)환자술후병발증、동통급강복효과적영향。방법장2012년1월—2013년12월수치적76례환자안조수궤수자표법수궤분위관찰조급대조조각38례,대조조환자술후행전통번신호리,관찰조환자행제단식번신호리。관찰량조환자술후동통、병발증급서괄도。결과관찰조동통정도0급18례,Ⅰ급14례,Ⅱ급4례,Ⅲ급2례,우우대조조,차이유통계학의의(U=12.799,P<0.05)。관찰조환자서괄도고우대조조,호리인원적노동강도저우대조조,차이유통계학의의(U치분별위33.909,15.867；P<0.05)。관찰조환자편비1례(2.63%)、하지정맥전새0례(0.00%)、폐부감염0례(0.00%)、탈위1례(2.63%)、압창1례(2.63%),균저우대조조,차이유통계학의의(χ2치분별위6.176,4.222,4.222,3.934,5.352；P<0.05)。관찰조환자만의도평분위(95.68±3.48)분,번신시간위(22.89±10.25)s,여대조조비교차이균유통계학의의(t치분별위3.996,4.125；P<0.05)。결론제단식번신법불부능제고호리인원공작효솔,감경호리인원노동강도급환자동통감,증가환자서괄감,환가이강저병발증적발생,제고환자만의도。
Objective To investigate the effects of shipment type turning treatment on complications, pain and rehabilitation for hip replacement. Methods A total of 76 cases of replacement surgery ( THA ) patients from January 2012 to December 2013 were randomly divided into the observation group(n=38) and the control group ( n=38 ) . The control group was treated with traditional stand up care. The observation group underwent shipment type turning. Pain, complications and comfort of two groups were compared. Results In the observation group, eighteen patients had level 0 pain, fourteen patients had levelⅠpain, four patients had levelⅡpain, and two patients had levelⅢpain, which were significantly better than those of the control group (U=12. 799, P<0. 05). The patients′ comfort and working labor of nursing staff were significantly better in the observation group than those in the control group (U=33. 909, 15. 867, respectively;P<0. 05). In the observation group, one patient (2. 63%) had constipation, no patient (0. 00%) had lower limb vein infarction, one patient (2. 63%) had luxation, one patient (2. 63%) had pressure ulcer, which were significantly lower than those of the control group (χ2 =6. 176, 4. 222, 4. 222, 3. 934, 5. 352, respectively;P<0. 05). The score of satisfaction in the observation group was (95.68 ±3.48), and time of body-tuning was (22.89 ±10.25)s. There were significant differences between the two groups (t = 3. 996, 4. 125, respectively;P < 0. 05). Conclusions The shipment type turning can not only improve nurses′ work efficiency, reduce labor intensity and pain, but also increase patients′comfort and satisfaction, and reduce complications.
