江燕红

[摘要] 目的 探讨人性化护理在老年股骨粗隆间骨折手术的应用效果。方法 该研究方便选取2015年1—12月在福州市第二医院收治的80例老年股骨粗隆间骨折患者全部采取手术治疗并按照数字表法随机分为对照组和研究组，每组40例，其中对照组给予常规手术护理，而研究组则在常规手术护理基础上实施个性化护理措施，比较焦虑和抑郁评分、术后下床活动时间、住院时间及满意率。结果 研究组患者的SAS（39.10±4.86）分及SDS（38.32±3.10）分，均明显低于对照组（t=5.88、4.36，P<0.05）。研究组患者术后下床活动时间[（2.18±0.62）d]、住院时间均[（12.23±2.79）d]较对照组明显缩短（t=5.67、3.88，P<0.05）。另外，研究组患的满意率（97.50%）明显高于对照组（85.00%）（χ2=3.91，P<0.05）。 结论 对老年股骨粗隆间骨折手术患者实施人性化护理，可以有效缓解患者的焦虑、抑郁心理，有效缩短下床活动时间和住院时间、提高患者满意度，促进患者康复。

[关键词] 人性化护理；老年；股骨粗隆间骨折手术

[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）02（c）-0151-03

Application of Humanistic Nursing in the Aged Patients with Intertrochanteric Fracture Operation

JIANG Yan-hong

Operating Room， Fuzhou Second Hospital， Fuzhou， Fujian Province， 350007 China

[Abstract] Objective To discuss the application effect of humanistic nursing in the aged patients with intertrochanteric fracture operation. Methods Convenient selection 80 cases of aged patients with intertrochanteric fracture admitted and treated in our hospital from January to December 2015 were selected and treated with operation and randomly divided into two groups with 40 cases in each， the control group adopted the routine operation nursing， while the research group adopted the humanistic nursing measures on the basis of the control group， and the anxiety and depression scores， time to get out of bed after operation， length of stay and satisfactory rate of the two groups were compared between the two groups. Results The SAS score and SDS score in the research group were respectively（39.10±4.86）points and （38.32±3.10）points， which were obviously lower than those in the control group（t=5.88、4.36，P<0.05）， and the time to get out of bed after operation and length of stay in the research group after operation were obviously shortened compared with those in the control group[（2.18±0.62）d， （12.23±2.79）d]（t=5.67，3.88，P<0.05）， besides， the satisfactory rate in the research group was obviously higher than that in the control group（97.50% vs 85.00%）（χ2=3.91，P<0.05）. Conclusion The humanistic nursing in the aged patients with intertrochanteric fracture operation can effectively relieve the anxiety and depression of patients， effectively shorten the time to get out of bed and length of stay， improve the satisfactory degree of patients and promote the recovery of patients.

[Key words] Humanistic nursing； Senile； Intertrochanteric Fracture operation

股骨粗隆間骨折是临床常见的骨折之一，是老年人的常见损伤，目前临床多采用手术治疗。由于老年患者对手术耐受差，而且患者多合并其他慢性疾病，可能发生多种并发症。所以对老年股骨粗隆间骨折患者的临床护理和康复指导至关重要。人性化护理作为一种整体的、个性化的护理方式可以有效降低患者的并发症发生率，有效减少患者的痛苦。该研究将2015年1—12月在福州市第二医院收治的80例老年股骨粗隆间骨折患者全部采取手术治疗并按照数字表法随机分为对照组和研究组，每组40例，其中对照组给予常规手术护理，而研究组则在常规手术护理基础上实施个性化护理措施，比较焦虑和抑郁评分、术后下床活动时间、住院时间及满意率，现报道如下。

1 资料与方法

1.1 一般资料

方便选取该院收治的老年股骨粗隆间骨折患者80例作为研究对象，其中男性35例，女性45例；……