CAJ | 학술논문

目的：探讨循证护理在预防老年髋部骨折并发肺部感染的临床护理中的应用效果。方法选取我院2013年2月到2014年12月间的126例老年髋部骨折患者为研究对象，将其按照随机数字法分为循证组和对照组，对照组患者给予常规护理，而循证组患者给予循证护理，观察两组的应用效果。结果循证组患者的肺部感染率和呼吸衰竭发生率分别为6.3％，1.6％；对照组患者的肺部感染率和呼吸衰竭发生率分别为17.5％，11.1％；循证组患者的肺部感染率和呼吸衰竭发生率均明显的低于对照组（P＜0.05），统计学有意义；循证组患者护理满意度为95.2％，对照组患者护理满意度为79.4％，循证组患者护理满意度明显高于对照组患者护理满意度，差异有统计学意义（ P＜0.05）。结论临床中对于老年髋部骨折护理中实施循证护理能够预防肺部感染，值得临床中应用与推广。
목적：탐토순증호리재예방노년관부골절병발폐부감염적림상호리중적응용효과。방법선취아원2013년2월도2014년12월간적126례노년관부골절환자위연구대상，장기안조수궤수자법분위순증조화대조조，대조조환자급여상규호리，이순증조환자급여순증호리，관찰량조적응용효과。결과순증조환자적폐부감염솔화호흡쇠갈발생솔분별위6.3％，1.6％；대조조환자적폐부감염솔화호흡쇠갈발생솔분별위17.5％，11.1％；순증조환자적폐부감염솔화호흡쇠갈발생솔균명현적저우대조조（P＜0.05），통계학유의의；순증조환자호리만의도위95.2％，대조조환자호리만의도위79.4％，순증조환자호리만의도명현고우대조조환자호리만의도，차이유통계학의의（ P＜0.05）。결론림상중대우노년관부골절호리중실시순증호리능구예방폐부감염，치득림상중응용여추엄。
Objectives To investigate the effect of the application of evidence-based care in the prevention of hip fractures in elderly pulmonary infection in clinical care.Methods 126 cases in our hospital elderly hip fracture patients in February 2013 to December 2014 between the research object, will be divided into evidence-based group and the control group, the control group were treated with routine care in accordance with the method of random numbers, and Evidence-based group were treated with evidence-based care, observe the effect of the two groups.Results The prevalence of evidence-based group of patients with lung and respira-tory failure rates were 6.3%, 1.6%;lung infection and the incidence of respiratory failure in patients in the control group was 17.5%, 11.1 %, respectively;evidence-based group of patients pulmonary infection and respiratory failure were significantly lower than the control group ( P<0.05 ) , statistically significant; evidence-based nursing satisfaction of patients was 95.2 % in the control group of patients was 79.4%nursing satisfaction, evidence-based patients nursing satisfaction significantly higher satisfaction with patient care, and the difference was statistically significant (P<0.05).Conclusions Clinical care for elderly hip fracture in im-plementing evidence-based care can prevent lung infections, worthy of clinical application and promotion.