摘要
目的分析老年急诊患者创伤性骨折的流行病学特征,提出护理管理优化策略。方法利用医院医疗就诊和病案查询系统收集2018-01/2020-12月因创伤性骨折急诊就诊的老年患者资料,回顾性分析患者的年龄、骨折发生部位、致伤原因、治疗方法及转归等流行病学资料,总结老年急诊患者创伤性骨折发生的特点。结果三年内共574例老年患者因外伤急诊就诊,本研究分析其中176例发生骨折的患者临床资料,占所有外伤数量的30.66%(176/574);年龄65~97(82.68±10.25)岁,70~79岁创伤性骨折患者最多,三年总数占所有骨折患者的45.45%。三年合计,骨折好发部位前三位依次为股骨、肋骨和椎体;跌倒是骨折的首要致伤原因,其次是坠落伤和其他;急诊治疗方法主要为骨折固定。结论研究结果提示护理人员应对70~79岁年龄段、有跌倒风险、患骨质疏松症等高危人群给予重点关注,动态评估骨折潜在群体的全身状况,提高对照护者及患者本人的管控。实施预见性、规范化的护理预防措施,最大可能的降低老年骨折发生率,减轻社会、家庭经济及医疗负担。
Objective To analyze the epidemiological characteristics of traumatic fractures in elderly emergency patients,and to propose optimal strategies for nursing management.Methods Data of elderly patients with emergency treatment due to traumatic fracture from January 2018 to December 2020 were collected by the hospital medical consultation system and medical record query system,and the patients′age,fracture site,cause of injury,treatment methods and outcome were retrospectively analyzed.The characteristics of traumatic fractures in elderly emergency patients were summarized.Results A total of 574 elderly patients went to the emergency department for trauma within three years.Clinical data of 176 subjects with fractures were collected,accounting for 30.66%(176/574)of all traumas;subjects were 65-97 years old,the average age was(82.68±10.25)years old.The most traumatic fractures occurred in 70-79-year old patients,accounting for 45.45%of all fractures.The top three most common fracture sites were femur,rib and vertebra;falls were the primary cause of fractures,followed by fall injuries and others fracture fixation was the main emergency treatment method.Conclusion The research suggests that nurses should pay special attention to high-risk patients such as 70-79 years old,who are at risk of falls and suffer from osteoporosis,dynamically assess the general condition of potential fracture groups,and improve the control of caregivers and patients themselves.Predictive and standardized care and prevention measures can reduce the incidence of fractures in the elderly to the greatest possible extent,and reduce the social,family economic and medical burdens.
作者
赵诺
朱思悦
李银易
刘俊
尹明
ZHAO Nuo;ZHU Siyue;LI Yinyi;LIU Jun;YIN Ming(Department of Emergency,Second Medical Center of GeneralHospital of People′s Liberation Army,Beijing100853,China)
出处
《华南国防医学杂志》
CAS
2021年第8期597-600,共4页
Military Medical Journal of South China
基金
2021年海淀区科研培育计划立项项目(HP2021-98-80301)
关键词
急诊
老年患者
创伤性骨折
护理
Emergency
Elderly patients
Traumatic fracture
Nursing
作者简介
通讯作者:尹明,E-mail:ym301@163.com
