预见性护理对股骨粗隆间骨折患者术后隐性失血及疼痛的影响

[摘要] 目的 研究股骨粗隆间骨折（IFF）患者行预见性护理对隐性失血、疼痛的影响。 方法 择取2018年1月至2020年3月我院收治的48例IFF患者，将其随机分为观察组（实施预见性护理干预）与对照组（实施常规护理干预），每组各24例，比较两组护理效果。 结果 观察组疼痛评分、隐性失血率均低于对照组，差异有统计学意义（P

[关键词] 股骨粗隆间骨折;预见性护理;隐性失血;疼痛

[中图分类号] R683.42;R473.5          [文献标识码] B          [文章编号] 1673-9701（2021）28-0166-03

Investigation on the impacts of predictive nursing on hidden blood loss and pain after operation in patients with intertrochanteric femoral fracture

WANG Yuding   WANG Cuijuan   CHEN Tingting   WU Dan   CHEN Yan   FU Xiaoting   CHEN Meijun

Department of Orthopedics and Traumatology，Hangzhou Hospital of Traditional Chinese Medicine，Hangzhou   310007，China

[Abstract] Objective To research the impacts of predictive nursing on hidden blood loss and pain after operation in patients with intertrochanteric femoral fracture （IFF）. Methods A total of 48 patients with IFF admitted to our hospital from January 2018 to March 2020 were selected and randomly divided into the observation group（treated with predictive nursing intervention） and the control group（treated with conventional nursing intervention）， with 24 cases in each group. The nursing efficacies of the two groups were compared. Results The pain score and hidden blood loss rate in the observation group were all lower than those in the control group，with statistically significant difference（P<0.05）. The satisfaction rate in the observation group was 95.83%，which was higher than that of 75.00% in the control group， with statistically significant difference（P<0.05）. Meanwhile， the total incidence of complication in the observation group was 12.50%，which was lower than that of 41.66% in the control group，with statistically significant difference（P<0.05）. Conclusion Predictive nursing can improve the rehabilitation efficacy of patients with IFF and reduce the risk of complications，and it is worthy of praise.

[Key words] Intertrochanteric femoral fracture; Predictive nursing; Hidden blood loss; Pain

目前股骨粗隆間骨折（Intertrochanteric femoral fracture，IFF）是常见的骨科疾病，老年群体因骨质脆弱、伴骨质疏松，更易发生该项疾病，发病机制复杂，与外界暴力、高空坠落及间接外力等因素有关[1-2]。