摘要
报告了老年髋部骨折患者呼吸系统并发症危险评估表及护理计划单的设计及应用效果。对呼吸系统并发症高危因素进行量化评估,评估内容包括年龄、基础病、卧床时间、疼痛评估、自主咳痰能力、手术时间及麻醉方式等,分为低度危险、中度危险和高度危险3个级别,分别在呼吸观察、口腔护理、误吸预防、呼吸功能训练及康复操、有效排痰指导、体位及疼痛护理7个方面制订并实施标准护理计划,有效预防和减少了老年髋部骨折患者呼吸系统并发症的发生,提高了护理效果。
This paper introduces the design and application of the risk assessment and nursing plan sheet for respiratory system complications in older patients with hip fracture. The items of risk assessment included patients＇ age,primary diseases, duration of .bed rest,pain,ability of independent expectoration,duration of operation and anesthesia method. Based on the results of risk assessment,the patients were classified into low risk group,moderate risk group and high risk group. We quantified the danger-evaluation and divided it into 3 grades , mild- , moderate- and height danger. Then,standardized nursing plans were formulated in the aspects of observation of breath,oral care,prevention of aspiration,breathing exercises and rehabilitation gymnastics, guidance of effective expectoration ,position and pain management. The application of this sheet effectively reduced the incidence of respiratory system complications in older patients with hip fractures and improved the outcomes of nursing care.
出处
《中华护理杂志》
CSCD
北大核心
2012年第10期875-877,共3页
Chinese Journal of Nursing
关键词
髋骨折
体征和症状
呼吸系统
感染控制
危险性评估
护理
Hip Fractures
Signs and Symptoms,Respiratory
Infection Control
Risk Assessment
Nursing Care
