論文編號:HL092  論文字數(shù):9433.頁數(shù):23

論文題目：護理程序在預(yù)防老年下肢骨折患者便秘中的應(yīng)用
 
 摘 要
 
 目的：通過對預(yù)防老年下肢骨折病人便秘的不同方法進行研究，為臨床老年下肢骨折病人便秘的治療提供科學(xué)的依據(jù)，并期待能在臨床護理中得到推廣。從而進一步減輕病人的痛苦，并對病人的病情的好轉(zhuǎn)起到推波助瀾的作用。
  方法: 2008年2月～2009年1月入院的60例老年下肢骨折患者列為對照組。男40例，女20例，年齡60～82歲，平均67歲。股骨頸骨折12例，股骨粗隆間骨折9例，脛腓骨骨折27例，髕骨骨折12例。2009年2月～2010年1月入院的60例患者列為實驗組。男38例，女22例，年齡60～84歲，平均68歲。股骨頸骨折12例，股骨粗隆間骨折9例，脛腓骨骨折26例，髕骨骨折13例。兩組患者均在受傷后24h內(nèi)入院，既往飲食正常，無便秘史。兩組患者年齡、性別、受傷部位及病情比較差異無顯著性意義（P＞0.05）。對照組患者采用骨外科常規(guī)護理，出現(xiàn)便秘者遵醫(yī)囑給與導(dǎo)瀉藥或灌腸。實驗組在骨外科常規(guī)護理的基礎(chǔ)上，運用護理程序進行排便的護理。觀察兩組患者便秘發(fā)生情況，率的比較采用 x 2檢驗，P＜0.05為差異有統(tǒng)計學(xué)意義。
 結(jié)果:  對照組便秘發(fā)生率為35%，實驗組應(yīng)用護理程序后，便秘發(fā)生率為10%，明顯低于對照組（P＜0.05），差異有顯著性意義
 結(jié)論: 通過運用護理程序?qū)ο轮�骨折患者進行有針對性的護理，有效降低了便秘發(fā)生率，改善了患者生活質(zhì)量。
 
 關(guān) 鍵 詞：護理程序；老年；下肢骨折；便秘
 論文類型：應(yīng)用研究
 Abstract
 
 Objective: the treatment of patients with constipation to provide the scientific basis for clinical elderly lower limb fractures through different approaches to the prevention of elderly lower extremity fracture patients with constipation, , and look forward to promotion in clinical nursing. To further reduce the suffering of the patients, and the patient's condition improved play a role in fueling.
 Methods: admitted 60 cases of elderly patients which from February 2008 to January 2009 with lower extremity fractures as a control group. 40 males and 20 females, aged 60 to 82 years, the average age of 67. 12 cases of femoral neck fracture, intertrochanteric fractures in 9 cases, 27 cases of fracture of the tibia and fibula, patella fracture in 12 cases. 60 cases of hospitalized patients which from February 2009 to  January 2010 as the experimental group. 38 males and 22 females, aged 60 to 84 years, the average 68-year-old. 12 cases of femoral neck fracture, intertrochanteric fractures in 9 cases, 26 cases of fracture of the tibia and fibula, patella fracture in 13 cases. All patients were admitted to hospital within 24 hours after the injury, past a normal diet, no history of constipation. Patients age, sex, injury location and the difference was insignificant (P> 0.05). The control group were treated with routine care of Orthopedic Surgery, doctor's advice to give to guide laxative or enema of constipation. Experimental group on the basis of the routine care of Orthopedic Surgery, the use of nursing procedures for bowel care. We observed in patients with constipation, the rate used to compare the x 2 test, P <0.05 was considered statistically significant.
 Results: the control group constipation was 35%, the experimental group after the application of nursing procedures, the constipation was 10% lower than the control group (P <0.05), significant difference

 Conclusion: extremity fractures in patients with targeted care, we can reduce constipation, improve patient quality of life through the use of the nursing procedures of lower.

目  錄

1 緒論 ………………………………………………………………………………………1
 1.1 背景及意義……………………………………………………………………… …..1
 1.2研究目的………………………………………………………………………………2
 1.3關(guān)鍵詞及定義…………………………………………………………………………2
 1.4文獻回顧………………………………………………………………………………2
2 研究方法 ………………………………………………………………………………….6
 2.1 研究設(shè)計……………………………………………………………………………...6
 2.2研究對象………………………………………………………………………………6
 2.3研究工具/方法………………………………………………………………………...6
 2.4研究步驟………………………………………………………………………………6
 2.5資料分析………………………………………………………………………………7
3 結(jié)果……………………………………………………………………………………......8
 3.1 一般資料……………………………………………………………………………...8
 3.2研究結(jié)果………………………………………………………………………………8
4 討論………………………………………………………………………………………..9
 4.1 導(dǎo)致老年下肢骨折患者便秘的原因………………………………………………9
 4.2護理程序在預(yù)防老年下肢骨折患者便秘中的作用…………………………………9
5 推論及建議……………………………………………………………………………….12
致    謝…………………………………………………………………………………….13
參考文獻…………………………………………………………………………………….14