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目的探讨老年下肢恶性肿瘤合并骨折患者术后功能的影响因素及护理对策。方法选取2012年7月至2017年10月间青岛市市立医院收治的71例行手术治疗骨折的下肢恶性肿瘤老年患者。采用功能性活动评估(FMA)量表,将患者术后躯体功能分为功能优良组和功能差组,收集两组患者一般临床资料和可疑危险因素,分析影响老年下肢恶性肿瘤骨折术后功能的影响因素,并提出护理对策。结果单因素分析显示,两组患者年龄、骨折部位、手术方式、术后时间和术后康复训练比较,差异均有统计学意义(均P<0.05)。多因素分析显示,两组患者年龄、骨折部位、手术方式、术后时间和术后康复训练为影响老年下肢恶性肿瘤骨折术后功能的因素。结论影响老年下肢恶性肿瘤骨折术后功能的因素较多,临床针对性的护理干预措施,对促进患者功能恢复有重要意义。
Abstract：Objective To explore the influential factors and nursing strategies for postoperative functional recovery in elderly patients with malignant neoplasm of lower limb complicated with fracture.Methods Seventy-one elderly patients with malignant neoplasms of lower limb undergoing surgery for fracture at Qingdao Municipal Hospital from July 2012 to October 2017 were selected. Using the functional mobility assessment( FMA) scale,patients was divided into a good function group and a poor function group according to postoperative physical function. The general clinical data and potential factors influencing the function were collected. Risk factors were analyzed and nursing strategies based on the relevant risk factors were proposed. Results Univariate analysis showed that there were statistically significant differences in age,fracture site,operation mode,postoperative time,postoperative rehabilitation training between the two groups( P < 0. 05). Multivariate analysis showed that age,fracture site,operation method,postoperative time and postoperative rehabilitation training were the factors influencing function in elderly patients with malignant neoplasm of lower limb complicated with fracture. Conclusion Many factors effect postoperative function in elderly patients with malignant tumor of lower limb complicated with fracture. Targeting nursing interventions are of great significance in promoting the functional recovery.
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基本信息:
DOI：10.13455/j.cnki.cjcor.2018.04.17
中图分类号:R473.73
引用信息:
[1]陈莎莎,赵婷,刘欣艳.老年下肢恶性肿瘤合并骨折患者术后功能的影响因素及护理对策[J].中国肿瘤临床与康复,2018,25(04):446-449.DOI:10.13455/j.cnki.cjcor.2018.04.17.