摘要
目的 分析体位护理管理对降低髋部骨折术后肺部感染的价值。方法 该研究总共纳入60例研究对象，均是2023年4月至2024年4月到医院诊治的髋部骨折患者，利用随机数字表法进行分组，分为对照组（常规护理管理，30例）与研究组（体位护理管理，30例）。对比两组的肺功能、髋关节功能、生活自理能力及肺部感染发生率。结果 研究组较于对照组，其呼气峰流速（PEF）、第1秒用力呼吸容积（FEV1）、肺活量（VC）、髋关节功能评分及生活自理能力评分更高，肺部感染发生率更低（P＜0.05）。结论 体位护理管理有利于改善髋部骨折患者的肺功能，减少术后肺部感染的发生。
关键词： 髋部骨折；体位护理管理；术后肺部感染；肺功能
Abstract
Objective To analyze the value of postural nursing management in reducing pulmonary infection after hip fracture. Methods A total of 60 subjects were included in this study, all of whom were hip fracture patients treated in hospital from April 2023 to April 2024. They were divided into control group (routine nursing management, 30 cases) and study group (postural nursing management, 30 cases) by random number table method. Lung function, hip function, self-care ability and incidence of pulmonary infection were compared between the two groups. Results Compared with the control group, the study group had higher peak expiratory flow rate (PEF), forced breathing volume in the first second (FEV1), vital capacity (VC), hip function score and self-care ability score, and lower incidence of pulmonary infection (P < 0.05). Conclusion Postural nursing management can improve the lung function of patients with hip fracture and reduce the incidence of postoperative lung infection.
Key words： Hip fracture; Postural nursing management; Postoperative pulmonary infection; Lung function
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