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目的观察分析对老年股骨粗隆骨折患者实施综合性预防护理措施对其压疮及心理状况的影响。方法选取老年股骨粗隆骨折患者64例,随机分为观察组和对照组,每组32例。对照组给予常规护理,观察组在常规护理基础上给予综合性预防护理干预。观察2组压疮发生情况,采用抑郁(SDS)和焦虑(SAS)自评量表评估患者心理状态。结果观察组压疮总发生率为9.4%,低于对照组的21.9%(P<0.05);观察组护理后SDS和SAS评分均显著低于对照组(P<0.01)。结论老年股骨粗隆骨折患者采用综合性预防护理干预有助于降低压疮发生率和减少不良心理情绪,具有一定临床应用价值。
Objective To observe and analyze the effect of comprehensive preventive nursing measures on pressure ulcer and psychological condition in patients with senile femur fracture. Methods Totally 64 elderly patients with femoral intertrochanteric fractures were randomly divided into observation group and control group, 32 cases in each group. The control group was given routine care, and the observation group was given comprehensive preventive nursing intervention on the basis of routine nursing. The occurrence of pressure ulcers in two groups was observed. SDS and SAS were used to evaluate the psychological status of patients. Results The total incidence of pressure ulcers in the observation group was 9.4%, which was lower than 21.9% of the control group (P <0.05). SDS and SAS scores in the observation group were significantly lower than those in the control group (P <0.01). Conclusion Comprehensive preventive nursing intervention for elderly patients with femoral intertrochanteric fractures may help to reduce the incidence of pressure ulcers and reduce adverse psychological emotions, and has certain clinical value.