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老年人股骨骨折:对护理的依赖

Femoral fracture in the elderly: dependence on nursing care.

作者信息

Baisch de Souza Augusto, Tonroller de Oliveira Daniela, Machado Carvalho Sidiclei, Wolf Jonas Michel, Claro Maurer Tiago, Rosso Lucas Henrique

机构信息

Faculdade Ciências da Saúde Moinhos de Vento, Porto Alegre, Brasil.

Hospital Moinhos de Vento, Porto Alegre, Brasil.

出版信息

Rev Cuid. 2024 May 23;15(1):e3186. doi: 10.15649/cuidarte.3186. eCollection 2024 Jan-Apr.

Abstract

INTRODUCTION

Due to the aging of the population, nursing processes have been adapted to these patients, who require a high level of care and guidance.

OBJECTIVE

Analyzing the degree of dependence on nursing care by elderly patients (65 years or older) with femur fractures.

MATERIALS AND METHODS

retrospective, with a quantitative approach, carried out in a private hospital from April 2021 to April 2022. According to the Patient Classification System (PCS), the sample comprehends 41 patients, analyzed epidemiological data and degree of dependence Study of nursing care during hospitalization, environment of hospitalization, and discharge.

RESULTS

Composed of 41 patients, mean age of 84 years and female predominance (75.61%). Concerning fractures, there was a greater occurrence due to falls from standing height and a predominance of neck fractures, with an average time until surgery of less than 16 hours. Systemic Arterial Hypertension and Diabetes Mellitus were predominant. The average of the PCS estimates presented 24.26 in the 1st, 26.12 in the 2nd, and 26.24 in the 3rd. The length of hospital stay was 7 days and no deaths were reported.

DISCUSSION

The findings on sociodemographic data, reasons for falls, location, comorbidities, degree of dependence, and length of hospital stay are similar to those available in databases. They differ, in better quality, under time until surgery and clinical.

CONCLUSIONS

The study presents specific knowledge to carry out the care of the intra hospital nursing process, thus allowing the systematization of the team's assistance.

摘要

引言

由于人口老龄化,护理流程已针对这些需要高水平护理和指导的患者进行了调整。

目的

分析股骨骨折老年患者(65岁及以上)对护理的依赖程度。

材料与方法

采用回顾性定量研究方法,于2021年4月至2022年4月在一家私立医院进行。根据患者分类系统(PCS),样本包括41名患者,分析了流行病学数据以及住院期间、住院环境和出院时护理依赖程度的研究。

结果

由41名患者组成,平均年龄84岁,女性占主导(75.61%)。关于骨折,因从站立高度跌倒导致的骨折发生率更高,且以颈部骨折为主,手术前平均时间不到16小时。系统性动脉高血压和糖尿病最为常见。PCS估计值的平均值在第一次为24.26,第二次为26.12,第三次为26.24。住院时间为7天,无死亡报告。

讨论

社会人口统计学数据、跌倒原因、骨折部位、合并症、依赖程度和住院时间等方面的研究结果与数据库中的结果相似。在手术前时间和临床质量方面存在差异。

结论

该研究提供了开展院内护理过程护理的具体知识,从而使团队的协助系统化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a84/11560099/3f002b69f6cc/2216-0973-cuid-15-01-e3186-gf1.jpg

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