摘要
目的:探讨不同体位对髋部骨折患者的睡眠状态和肺部感染情况的影响。方法:选取2017年4月至2018年6月四川省内江市市中区人民医院骨科接收治疗的髋部骨折患者90例为研究对象,按照患者入院骨折部位的情况及自愿原则,将患者分为对照组与观察组,每组45例。对照组患者采用传统翻身方式进行术后的恢复,观察组患者采用舒适位进行恢复。统计2种不同体位方式对患者睡眠状态指标(负性情绪阳性、睡眠时间减少、严重疼痛)、康复知识评分、肺部感染和感染恢复天数、平均住院时间的影响。结果:1)观察组睡眠状态指标中负性情绪阳性患者比例8. 89%(4/45)、睡眠减少时间比例17. 78%(8/45)、严重疼痛比例22. 22%(10/45),对照组患者负性情绪阳性患者比例24. 44%(11/45)、睡眠减少时间比例55. 56%(25/45)、严重疼痛比例51. 55%(23/45),2组各项指标比较,差异有统计学意义(P <0. 05); 2)观察组患者肺部感染率为4. 44%(2/45)、康复知识评分为(92. 14±4. 47)分,感染恢复时间(3. 1±1. 1) d,临床肺部感染评分(4. 2±1. 3)分;对照组患者肺部感染率为17. 78%(8/45)、康复知识评分为(78. 51±5. 02)分,感染恢复时间(7. 0±3. 0)d,临床肺部感染评分(8. 3±2. 1)分,2组比较差异有统计学意义(P <0. 05)。结论:髋部骨折患者术后采用舒适位进行康复后,患者的睡眠时间明显提高,疼痛程度减轻,负面情绪改善,对康复知识的了解程度加深,肺部感染比例降低,感染恢复时间缩短,是临床上用于髋部骨折术后患者体位的最佳选择。
Objective:To investigate the influence of different body position for the sleep state and pulmonary infection of patients with hip fracture. Methods:A Total of 90 patients with hip fracture in Department of Orthopedics from April 2017 to June 2018 were divided into control group and observation group with 45 cases in each group according the fracture position and voluntary principle.The control group were treated with postoperative recovery by traditional turn over,the observation group were treated with comfortable position.Then the influence of two different body position for sleep state indexes(negative mood positive,decreased sleep time and severe pain),rehabilitation knowledge score,pulmonary infection and infection recovery days,average hospitalization time were analyzed. Results:1)The negative mood positive rate of observation group was 8.89%(4/45),the decreased sleep time rate was 17.78%(8/45)and the severe pain rate was 22.22%(10/45);the negative mood positive rate of control group was 24.44%(11/45),the decreased sleep time rate was 55.56%(25/45)and the severe pain rate was 51.55%(23/45),the differences of two groups were statistically significant(P<0.05);2)the pulmonary infection of observation group was 4.44%(2/45),the rehabilitation knowledge score was(78.51±5.02)points,the infection recovery days was(7.0±3.0)d,the clinical pulmonary infection score was(4.2±1.3)points;the pulmonary infection of control group was 17.78%(8/45),the rehabilitation knowledge score was(92.14±4.47)points,the infection recovery days was(3.1±1.1)d,the clinical pulmonary infection score was(8.3±2.1)points,the differences of two groups were statistically significant(P<0.05). Conclusion:The sleep time of patients with hip fracture treated with comfortable position are obviously improved,the pain is relax,negative mood is improved,the rehabilitation knowledge is increased,the pulmonary infection rate decreas,the infection recovery days is shortened,so it is the best selection for the position of patients with hip fracture.
作者
黎万芝
Li Wanzhi(People′s hospital of shizhong district,Neijiang city,Sichuan province,Neijiang 641000,China)
出处
《世界睡眠医学杂志》
2019年第2期134-136,共3页
World Journal of Sleep Medicine
关键词
不同体位
髋部骨折
肺部感染
睡眠状态
严重疼痛
Different body position
Hip fracture
Pulmonary infection
Sleep state
Severe pain
