主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
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• 特别策划·护理专科门诊 • 上一篇    下一篇

高龄骨折手术合并糖尿病患者护理过程中的科普实践

郭丹 陈丽萍   

  1. 南京大学医学院附属鼓楼医院骨科
  • 出版日期:2015-05-25 发布日期:2015-05-25
  • 基金资助:
    2010 年国家临床重点专科建设项目(2011-872)

The science education for elderly fracture patients complicated with diabetes during nursing care

  • Online:2015-05-25 Published:2015-05-25

摘要: 目的:总结科普实践在护理高龄骨折手术合并糖尿病患者过程中的重要性,并不断探索,提高护理科普水平,使患者减轻痛苦,减少、预防并发症的发生。方法:总结多年高龄骨折手术合并糖尿病患者围术期存在的健康问题:伤口愈合不良、压疮、肺部感染、用药知识缺乏、饮食不合理等,归纳出一套行之有效的科普宣教方案,应用于50 例年龄≥ 70 岁骨折合并糖尿病患者,使患者和家属了解糖尿病及骨折的相关疾病和护理知识,学会自我护理,从而养成健康的生活习惯。结果:科普宣教后47 例患者顺利度过术后康复期,未发生低血糖、糖尿病酮症酸中毒、下肢深静脉血栓、压疮、感染及髋关节脱位等严重并发症,患者或家属较好了解自身的健康状况,生活习惯得到改善,对疾病的认知率明显提高,并发症显著降低。结论:在护理过程中科普宣教的实践,提高了该类患者日常生活能力,减少了并发症,改善了生活质量,提高了手术成功率。

Abstract: Objective: To summarize the importance of health education for elderly fracture patients with diabetes in the process of nursing care, and to improve the nursing science popularization education level, enable patients to reduce pain, reduce the occurrence and prevent complications. Methods: The health problems of elderly fracture patients with diabetes during perioperative period including poor wound healing, pressure ulcers, pulmonary infection, the lack of knowledge of medication and unreasonably healthy diet were reviewed and a set of effective science education program was summarized. The education program was applied to 50 patients with age over 70 years old with fracture complicated with diabetes. Patients and their families learned diabetes and fracture related disease and nursing knowledge, and they also learned self-care, thus to establish a healthy lifestyle habits, including diet, activity and function exercise. Results: of all the patients, 47 patients recovered well through the postoperative period with zoro serious complications which included hypoglycemia, diabetes ketoacidosis, deep vein thrombosis,pressure ulcer, infection and dislocation of the hip. During the programme, the patients or their families realized their own health status, living habits, and the rate of cognition to their disease is obviously improved, thus the complications were significantly lower. Conclusions: The process of nursing education can improve the ability of daily life, reduce the complications, improve the quality of life and improve the achievement ratio of operation.