ABSTRACT
@#Objective To explore the effect of continuous nursing intervention on limb function and nursing quality after proximal femoral nail antirotation (PFNA) internal fixation for femoral intertrochanteric fracture in the elderly. Methods From February, 2017 to November, 2018, 100 elderly patients with femoral intertrochanteric fracture who underwent PFNA internal fixation in our hospital were randomly divided into control group (n = 50) and observation group (n = 50), who accepted routine nursing and continuous nursing respectively for three months. They were assessed with Harris score and visual analogue scale for pain (VAS) before and after the intervention. The postoperative nursing effect was compared. Results The Harris score increased in both groups after the intervention (t > 45.98, P < 0.001), and increased more in the observation group than in the control group (t = 15.03, P < 0.001). The VAS score decreased in both groups after the intervention (t > 16.33, P < 0.001), and decreased more in the observation group than in the control group (t = 9.749, P < 0.001). The effect of nursing was better in the observation group than in the control group (Z = -2.272, P = 0.023). Conclusion Continuous nursing intervention can significantly improve the limb function and nursing satisfaction of elderly patients with femoral intertrochanteric fracture after PFNA.
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Objective To observe the effects of standardized pain management on old patients with hip fracture. Methods From January, 2015 to June, 2016, 75 old patients (more than 58 years old) with hip fracture were randomly divided into control group (n=37) and observa-tion group (n=38). The control group accepted routine pain management, while the observation group accepted standardized pain manage-ment. They were assessed with Visual Analogue Score (VAS) of the most intensive pain, and their scores for satisfaction were compared. Re-sults There was no significant difference in VAS between two groups before operation (Z=0.845, P>0.05). The VAS was significantly lower in the observation group than in the control group postoperatively (Z=5.427, P<0.001). The scores of satisfaction was more in the observa-tion group than in the control group (t=21.346, P<0.001). Conclusion Standardized pain management can significantly reduce perioperative pain in old patients after hip fracture surgery, and improve the satisfaction.
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@# Hemicorporectomy, occasionally being varied as total pelvis resection, is the highest section in lower limb amputation. The nursing for a hemicorporectomy patient was reported.
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@#: Objective To explore the approaches for the pressure sores in patients with paraplegia using drainage tube. Methods 19 cases of pressure sore accepted continuous drainage after thorough debridement were reported. Results 18 cases cured, one infected in wound and dehisced partly, and cured after suture. They were followed up for 1～24 months, and none relapsed. Conclusion Strengthening the nursing of drainage tube can wash out necrotic material intralesion, which would improve the outcome.
ABSTRACT
@#External fixation devices(EFDs)are generally accepted one of standard treatment methods to patients with complicated limbs fracture.The data of nursing care of 46 cases with complicated limbs fracture treated by EFDs were analyzed retrospectively.Psychological rehabilitation nursing care is very important to treatment for patients with complicated limbs fracture treated by EFDs.