张莹　朱菲

[摘要] 目的 对老年股骨颈骨折患者在临床中的循证护理工作进行分析。 方法 选取本院2015年6月～2016年9月老年股骨颈骨折患者84例，将其随机分为观察组及对照组，对照组患者采用常规性的护理方法，观察组采用循证护理方法，对两组患者的护理状况进行比较。 结果 比较观察组患者的并发症发病率明显低于对照组，两组比较差异有统计学意义（P<0.05）。两组患者护理中，观察组护理服务态度良好率为97.62%，对照组服务态度良好率为66.67%，观察组人性关怀较强率为90.70%，对照组人性关怀较强率为64.29%，观察组的护患关系和谐平等率为95.24%，对照组的护患关系和谐平等率为69.05%，比较观察组的护理效果均高于对照组，两组比较差异有统计学意义（P<0.05）。 结论 通过循证护理可以明显提升患者的满意度，该种护理技术可以在临床中得到推广。

[关键词] 循证护理；老年患者；股骨颈骨折；骨质疏松；护理满意度

[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701（2017）23-0151-03

[Abstract] Objective To analyze the clinical evidence-based nursing work in the elderly patients with femoral neck fracture. Methods A total of 84 elderly patients with femoral neck fractures who were enrolled in this study from June 2015 to September 2016 were selected. They were randomly divided into the observation group and the control group. The control group was given conventional nursing care， and the observation group was given evidence-based nursing methods. The nursing conditions of the two groups of patients were analyzed. Results The incidence rate of complications in the observation group was significantly lower than that in the control group， and there was statistically significant differences in the data between the two groups（P<0.05）. the favorable nursing attitude in the observation group was 97.62%， the favorable nursing attitude in the control group was 66.67%， the human concern in the observation group was 90.70%， the human concern in the control group was 64.29%， the nurse-patient relationship in the observation group was 95.24%， and the nurse-patients relationship in the control group was 69.05%. The nursing effect in the observation group was better than that in the control group， and there were statistically significant differences in the data between the two groups （P<0.05）. Conclusion Evidence-based nursing is able to significantly improve patients satisfaction degree， and this nursing technique can be popularized clinically.

[Key words] Evidence-based nursing； Elderly patients； Femoral neck fracture； Osteoporosis； Satisfaction towards nursing

循證护理工作作为临床中具有优势性的工作，通过护理工作的完善，可以降低患者并发症发生的概率，提升患者的满意度[1]。老年股骨骨折由于其位置的特殊性，发病病程相对较长，所以对护理工作提出了较高的要求[2]。通过循证护理工作的构建，可以将解决临床问题作为核心，通过护理理论与护理实践工作的相互结合，提出科学化的护理干预措施，满足患者的基本需求[3]。本研究中，通过对循证护理工作在老年股骨颈骨折患者临床医学中的分析，对护理工作进行了整合分析，发现了询证工作的优势性，现报道如下。

1 资料与方法

1.1 一般资料

选取本院2015年6月～2016年9月的老年股骨颈骨折患者84例，将其随机分为观察组与对照组，各42例。其中观察组男20例，女22例，年龄56～72岁，平均（65.2±3.8）岁；对照组男23例，女19例，年龄59～74岁，平均（66.9±2.9）岁。纳入标准：经过临床及影像学检查确诊的股骨颈骨折患者；发病后3 d内在我院住院的患者[4]。排除标准：存在严重躯体疾病的患者；……