简介：摘要:目前养老护理员学历低、工资低、地位低;工作过程中流动性高、职业风险高、年龄偏高；通过培训、实践指导提高养老护理员的职业素养。

简介：【摘要】目的：对股骨颈骨折手术后患者的临床护理进行分析，探讨优质护理的临床应用价值。 方法：根据 2017年 6月至 2019年 6月我院的股骨颈骨折手术患者 80例进行研究分析，将患者分成了对照组和观察组，对照组使用常规护理，观察组使用优质护理，对两组的临床护理效果进行对比分析。 结果：在护理之前，两组患者的 Barthel指数评分对比不存在统计学差异性， P>0.05。经过护理后，观察组的 Barthel指数平均是（ 74.31±3.51）分，对照组的 Barthel指数平均是（ 59.23±3.26），两组的评分对比存在统计学差异性（ P<0.05）。 结论：股骨颈骨折手术患者术后使用优质护理能够对患者的治疗起到促进效果，临床中可行性高，可以进行推广使用。

简介：　　 [摘要 ]目的：探究综合护理对大面积烧伤患者心理行为及预后的影响。方法：选取笔者医院收治的 62例大面积烧伤患者，随机分为对照组和观察组，每组 31例。对照组患者予以常规护理手段，观察组患者予以綜合护理，比较两组患者护理满意度、疼痛情况、抑郁及焦虑情况、生活质量、创面愈合及并发症发生情况。结果：观察组患者创面愈合时间、汉密尔顿抑郁评分（ HMAD）、汉密尔顿焦虑评分（ HAMA）、视觉模拟疼痛评分（ VAS）、创面感染、肺部感染、压力性损伤的并发症发生率均显著低于对照组，差异具有统计学意义（ P<0.05）。观察组患者创面愈合率、护理满意度评分、生活质量评分均显著高于对照组，差异具有统计学意义（ P<0.05）。结论：综合护理能够促进大面积烧伤患者创面愈合，缩短愈合时间，缓解疼痛，改善患者在治疗期间的抑郁情况，降低 HAMD评分。  　　 [关键词 ]综合护理 ;大面积烧伤 ;汉密尔顿抑郁评分 ;创面愈合情况 ;视觉模拟疼痛评分  　 [Abstract] Objective: To explore the influence of comprehensive nursing on psychological behavior and prognosis of patients with large area burn. Methods: 62 patients with large area burn were randomly divided into control group and observation group, 31 cases in each group. The patients in the control group were given routine nursing, and the patients in the observation group were given comprehensive nursing. The nursing satisfaction, pain, depression and anxiety, quality of life, wound healing and complications of the two groups were compared. Results: the complications of wound healing time, Hamilton depression score (HMAD), Hamilton anxiety score (HAMA), visual analogue pain score (VAS), wound infection, lung infection and pressure injury in the observation group were significantly lower than those in the control group (P < 0.05). The scores of wound healing rate, nursing satisfaction and quality of life in the observation group were significantly higher than those in the control group (P < 0.05). Conclusion: the comprehensive nursing can promote the wound healing, shorten the healing time, relieve the pain, improve the depression of patients during the treatment, and reduce the HAMD score.

简介：　　【摘要】 目的：探讨老年股骨颈骨折患者全髋关节置换术后辅助舒适型护理对骨折愈合及并发症的影响。方法：选取 2017年 1月 -2019年 12月 本院骨外科收治的股骨颈骨折术后患者90例，依据随机数字表法分为观察组和对照组，每组均 45例。对照组给予常规护理；观察组在对照组基础上依据骨折所导致具体情况给予相应舒适护理。采用 Harris功能表评价两组患者术后髋关节功能；分析两组术后临床疗效；比较两组患者并发症发生情况。结果：术后 1、 3个月和 6个月，观察组患者的髋关节 Harris功能评分均明显高于同时点的对照组（ P<0.01）。观察组优良率为 91.11%，对照组为 73.33%，比较差异有统计学意义（ 字 2=3.905， P<0.05）。观察组 6例（ 13.33%）发生并发症，明显低于对照组的 15例（ 33.33%），比较差异有统计学意义（ 字 2=3.975， P<0.05）。结论：相对于常规护理，老年股骨颈骨折全髋关节置换术后应用舒适型护理，更能促进关节恢复，减少并发症。  　　【关键词】 舒适型护理； 股骨颈骨折； 骨折愈合术； 并发症  　 [Abstract] Objective: To explore the effect of comfort nursing on fracture healing and complications in elderly patients with femoral neck fracture after total hip replacement. Methods: from January 2017 to December 2019, 90 patients with femoral neck fracture admitted to our hospital were divided into observation group and control group according to the method of random number table, with 45 cases in each group. The control group was given routine nursing; the observation group was given comfort nursing according to the specific situation caused by fracture on the basis of the control group. Harris function table was used to evaluate the postoperative hip joint function of the two groups, to analyze the clinical effect of the two groups, and to compare the complications of the two groups. Results: 1, 3 and 6 months after operation, the Harris function score of the observation group was significantly higher than that of the control group (P < 0.01). The excellent and good rate was 91.11% in the observation group and 73.33% in the control group, the difference was statistically significant (word 2 = 3.905, P < 0.05). In the observation group, 6 cases (13.33%) had complications, which was significantly lower than 15 cases (33.33%) in the control group. The difference was statistically significant (word 2 = 3.975, P < 0.05). Conclusion: compared with routine nursing, comfortable nursing can promote joint recovery and reduce complications.