目的:探讨吹水训练结合拍打肺经对老年髋部骨折术后肺部感染、肺功能及生活质量的影响.方法:按随机数字表法将2020年5月—2021年8月收治的138例老年髋部骨折病人分为对照组与观察组各69例,对照组给予常规护理联合吹水训练,观察组在对照组基础上同时并行拍打肺经进行干预.比较两组病人肺部感染发生情况及干预前后的肺功能指标水平与生活质量.结果:干预后观察组病人肺部感染发生率为29.71％,低于对照组的53.99％(P<0.05);观察组病人肺活量(VC)、第1秒用力呼吸容积(FEV1)、FEV1与用力肺活量(FVC)的比值(FEV1/FVC)以及最大呼气峰流速与预计值的比值(PEFpred％)水平均高于对照组病人(P<0.05).观察组SF-36评分高于对照组.结论:吹水训练结合拍打肺经可减少老年髋部骨折病人术后肺部感染的发生,提升病人肺功能水平,改善病人生活质量.

目的 探讨中药封包联合大黄粉贴敷神阙穴对骨科便秘患者的排便影响.方法 100例合并便秘的骨折患者随机分为两组各50例,在便秘基础护理方案的基础上,对照组患者给予大黄粉贴敷神阙穴,实验组给予中药封包联合大黄粉贴敷神阙穴.比较两组的便秘治疗效果以及排便情况.结果 实验组的总有效率为84.0％,显著高于对照组的50.0％(P<0.05).实验组的排便舒适率为52.0％,显著高于对照组的12.0％(P<0.05).结论 中药封包联合大黄粉贴敷神阙穴治疗骨科便秘患者具有较好的疗效.

Objective To understand the status of depression and fracture related knowledge and their needs in elderly patients with fracture, to provide scientific basis for the development of psychological nursing and health education.Method Implemented face to face interview on 156 elderly patients with fracture aged 60 years old or above with self-designed questionnaire and self-rating depression scale (SDS).Results The depression score index of 156 elderly patients with fracture was 0.54, which belonged to slight to mild depression.Fractures related knowledge with the highest mastery was fracture prognosis, accounting for 62.82％, followed by physical hazards caused by fractures, accounting for 55.13％;knowledge needs on rehabilitation guidance, daily care and prevention of predisposing factors were 99.36％, 98.08％ and 97.44％;98.08％ of patients wanted to acquire knowledge in the form of lectures.Conclusions The knowledge level about the fracture in elderly patients with fractures is not high, and there is depression after fracture;we should strengthen psychological counseling and related knowledge education in clinical care.

目的 探讨专科护士回访对髋关节置换术患者出院后自我管理能力的影响。方法将102例患者随机分成观察组和对照组各51例，两组患者同时接受常规护理措施，观察组在此基础上开展专科护士回访提高患者自我管理能力，回访1年后，比较两组患者并发症发生率、日常生活活动能力和生活质量。结果观察组患者并发症发生率明显低于对照组，而日常生活活动能力和生活质量明显高于对照组，差异具有统计学意义（ P＜0.01）。结论髋关节置换术患者出院后开展专科护士回访能提高患者自我管理能力，从而减少患者并发症发生率，提高患者日常生活活动能力和生活质量。

目的：探讨规范康复护理程序对人工全膝关节置换术后患者膝关节功能康复的影响。方法选择2011年7月至2012年7月行人工全膝关节置换术的50例患者为对照组，选择2012年8月至2013年8月行人工全膝关节置换术的50例患者为实验组，对照组按常规护理，没有系统康复计划，实验组制定康复护理程序，按计划进行康复训练。结果实验组患者的膝关节功能恢复明显优于对照组，差异有统计学意义（ P＜0.05）。结论规范康复护理程序能尽早恢复术后膝关节功能。

Objective To explore the effects of evidence-based nursing on the control of clinical compliance in elderly patients treated with skeletal traction of lower limb.Methods Fifty-six elderly patients treated with skeletal traction of lower limb were divided randomly into two groups: control group(28 cases) were treated with routine nursing care;observative group(28 cases) were treated with evidence-based nursing including mental care,life care and maintaining clinical compliance.The clinical compliance in 8 weeks were compared between observative group and control group.Results The clinical compliance in observative group in 1,3,6,8 weeks were significantly higher than control group(P < 0.05).The clinical total effective rate in observative group were 25% higher than that in the control group(P < 0.05).Conclusion Evidence-based nursing may increase clinical compliance in elderly patients treated with skeletal traction of lower limb.