杨琳+梁雁玲+罗碧茹

[摘要]目的 探讨循证护理在提高老年髋部骨折术后患者早期离床坐依从性中的作用。方法 选取2014年6月～2016年12月在我院骨科就诊的124例髋部骨折老年患者，随机分为对照组和观察组，各62例，对照组患者采取常规护理，观察组患者采取循证护理，比较两组患者依从性，并发症发生情况及护理满意度。结果 观察组患者依从性（95.16%）高于对照组（80.65%），观察组患者并发症发生率（3.23%）低于对照组（12.90%），观察组患者护理满意度[（83.31±8.13）分]高于对照组[（60.15±7.30）分]，差异有统计学意义（P<0.05）。结论 给予髋部骨折老年患者循证护理能够明显降低术后并发症发生率，提高患者早期离床坐依从性及对护理的满意度，值得临床推广应用。

[关键词]循证护理；老年；髋部骨折；早期离床坐；护理满意度

[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721（2017）05（c）-0194-03

[Abstract]Objective To explore the efficacy of evidence-based nursing in improving early compliance of bed-sitting seat in elderly patients with hip fracture.Methods 124 cases of elderly patients with hip fracture in our hospital from June 2014 to December 2016 were selected and randomly divided into the control group and the observation group，with 62 cases in each group.The control group was given routine nursing，while the observation group was given evidence-based nursing.The compliance，the incidence of complication and nursing satisfaction were compared between two groups.Results The postoperative compliance rate in the observation group （95.16%） was higher than that in the control group （80.65%），the incidence of complications （3.23%） was lower than that in the control group （12.90%），the nursing satisfaction [（83.31±8.13） points] was higher than that in the control group [（60.15±7.30） points]，and the differences were statistically significant （P<0.05）.Conclusion Evidence-based nursing care of elderly patients with hip fractures can significantly reduce the incidence of postoperative complications and improve the early compliance of bed-sitting and patient satisfaction，which is worthy of clinical application.

[Key words]Evidence-based nursing；Elderly patients；Hip fracture；Early bed-sitting seat；Nursing satisfaction

髋部骨折的高发人群为老年人，由其骨质疏松、容易意外摔倒或磕碰等因素所致[1]。老年患者由于机体本身组织修复能力差，骨折愈合所需时间长，术后长期卧床与制动不仅容易导致压疮、肺部感染、深静脉血栓形成等并发症，还不利于患者骨折愈合及功能康复[2-3]。老年患者也常常因为疼痛、躯体不适和恐惧、焦虑等精神因素拒绝术后进行早期离床活动，进一步对骨折术后康复训练造成不良影响[4]。循证护理是护理领域近年来兴起的新方式、新观点，即护理人员基于科学的研究结论，而非盲目遵从临床经验，尊重患者的个人意愿，结合既往临床经验给予恰当合理的护理干预[5]。将循证护理应用到骨科中，能够帮助髋部骨折老年患者实现早期离床坐并进行康复训练[6]。本研究旨在探讨循证护理在提高老年髋部骨折术后患者早期离床坐依从性中的作用，现报道如下。……