目的:探讨跌倒的危险因素评估在老年骨质疏松(OP)患者护理中的应用效果.方法:将100例患者分成两组,对照组实施常规跌倒护理干预,研究组实施跌倒危险因素针对性护理干预,对比两组相关数据.结果:研究组跌倒危险性和跌倒率均较低,护理满意度和生活质量均较高(P<0.05).结论:实施跌倒危险因素针对性护理干预,通过优质安全、有效合理的护理干预,能够在很大程度上避免跌倒事件的出现,减轻跌倒给患者生活和身体健康安全造成的不良影响,实际应用价值较高.

目的 分析预见性护理对骨科术后下肢静脉血栓形成的影响.方法 选取2018年1—12月在该中心行骨科手术的患者120例,采用随机数字表法分为干预组和对照组,每组60例.对照组患者给予常规护理,干预组在常规护理的基础上实施预见性护理.比较两组患者下肢静脉血栓(DVT)的发病率、生活质量(SF-36健康自测量表)、患者患肢血流速度(入院时、干预2周后、干预4周后)及护理满意度.结果 护理干预后,干预组患者下肢静脉血栓的发病率显著低于对照组(P<0.05);护理干预后,干预组患者生活质量评分明显高于对照组(P<0.05);护理干预前,两组患者患肢血流速度差异无统计学意义(P>0.05),护理干预2、4周后患者患肢血流速度均高于对照组(P<0.05);护理干预后,干预组患者护理满意度调查结果明显好于对照组(P<0.05).结论 对骨科术后患者实施预见性护理可以有效减少其DVT的发病率,提升患者的生活质量、促进康复并提升护理满意度.

膝关节置换是临床治疗膝关节疾病的主要方法 ,能完成膝关节屈曲、畸形关节的重建 ,恢复其肢体功能[1 ] .但膝关节置换术后 ,患者常伴有不同程度的关节肿胀和疼痛 ,影响其治疗护理依从性和术后生活质量[2 ] .本研究采用以信息 -动机 -行为技巧 ( information-motivation-behavioral skills , IMB)模型[3]为理论基础的干预护理对老年膝关节置换患者进行信息、动机、行为的综合干预 ,引导其完成心理及行为改变 ,获得了显著效果.现将研究具体报告如下.

Objective:To explore the clinical significance of the teaching method of scene simulation exercises to improve the ability of nursing staff in the treatment of trauma.Methods:44 nurses were taken as the research objectives in the department of orthopedics of our hospital. They were divided into A group and B group according to the area. Each group had 22 nurses. A group was in the East ward and they trained trauma care knowledge by scenario simulation. B group was in the West ward and they used traditional teaching methods to train trauma care. In the same training content and the same time, the differences were compared in training simulation examination and operation time between two groups of nurses.Results:Two groups of nurses’ average examination results have improved after the scene simulation teaching method and the differences were considered to be statistically significant (t=2.507, P<0.05). The average rescue operation time of the A group was less than that of the B group and the differences were considered to be statistically significant (t=2.276,P<0.05). To a certain extent, it improves the analysis judgment and decision making ability in the emergency situation.Conclusion: Scene simulation has certain advantages in improving the ability of nursing staff of battle trauma, and it is also an innovation of the operation teaching. It is worth for further promotion and application.

Objective:To study application effect of self-made triangle turn pad for preventing postoperative pressure ulcers of intertrochanteric fracture in aged patients.Methods: 92 cases over 90-year-old patients with intertrochanteric fracture were selected and divided into the observation group and control group by using stochastic indicator. There were 46 patients in each group. The observation group used triangle turn pad to roll over and the control group used ordinary soft pillow to roll over. Through the comfort questionnaire and the incidence of pressure sores of postoperative patients after one week, the comfort of triangle turn pad and the effect of prevention of pressure ulcers were evaluated.Results: After analysis of three patients with comfort index (pain degree, safety, convenient degrees) and the incidence of pressure ulcers between the two groups, the differences were statistically significant (t=2.212, t=2.113,t=2.268;P<0.05). And there were significant differences in the incidence of pressure ulcers after operation (x2=2.476,P<0.05).Conclusion: Triangle turn pad can increase the comfort of patients after change posture, reduce the pressure of local stress, and it has important significance to prevent and improve pressure sores.

Objective To study the nursing strategy of the contralateral C 7 nerve transfer via ante-verte-bral transposition .Methods Clinical data of 30 cases patients with traumatic brachial plexus injury were retrospective analyzed .All patients were accepted contralateral C 7 nerve transfer to repair the injury via ante-vertebral canal .Strengthen psychological nursing before surgery ,and pay attention to body nursing , equipment protection and health guidance after surgery .Results Patients recovered well after surgery , the muscle strength was increased positively after 1 -2 years follow-up .Conclusion Contralateral C 7 nerve transfer via ante-vertebral transposition was effective to recover injured brachial plexus ,and the postoperative intensive care was the key step for an early recovery .