胫腓骨骨折中医护理方案.ppt

1、 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies and Hyperthermia Associated with Poisonin

2、g or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryol

3、ogic Development Births Obstetric Emergencies and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergenc

4、ies and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies常见症状常见症状 疼疼 痛痛 功能活功能活动障碍动障碍 肿胀肿胀 and Hy

5、perthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies肿胀肿胀 and Hyperthermia Associated with Poisoning o

6、r and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologi

7、c Development Births Obstetric Emergencies中药贴敷中药贴敷中医定向中医定向 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies（一）生活起居（一）生活起居 1、指导正确使用拐杖、指导正确使用拐杖 2、下床活动时防跌倒、下床活动时防跌倒 and Hyperthermia Associated with Poisoning or and Neonatal

8、 Respiratory Care Embryologic Development Births Obstetric Emergencies and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development

9、Births Obstetric Emergencies and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies1 1、向患者介绍本病的发生、发展及转归，取得患者、向患者介绍本病的发生、发展及转归，取得患者 的理解和配合，消除不良情绪的理解和配合，消除不良情绪2 2、介绍成功病例，帮助患者树立战胜疾病的信心、介绍成功病例，帮助患者树立战胜疾病的信心3 3、疼痛时出现情绪烦躁，可以听音乐、看电视、

10、聊、疼痛时出现情绪烦躁，可以听音乐、看电视、聊天来分散注意力。天来分散注意力。and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies1、在医师（康复师）的指导下，帮助和督促患者康、在医师（康复师）的指导下，帮助和督促患者康复训练。复训练。2、告知患者坚持功能锻炼，促进功能恢复，增强患、告知患者坚持功能锻炼，促进功能恢复，增强患者自我保健意识。者自我保健意识。3、指导患者进行足趾及踝关节的屈伸锻炼

11、，每日多、指导患者进行足趾及踝关节的屈伸锻炼，每日多次，每次次，每次15-20分钟分钟 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies适用对象：闭合性胫腓骨干骨折适用对象：闭合性胫腓骨干骨折 （ICD-10：S82.201）行胫腓骨切开复位内固定术行胫腓骨切开复位内固定术标准住院日：标准住院日：16天天 and Hyperthermia Associated with Poisoning

12、 or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies住院第一天住院第一天执行医嘱执行医嘱 执行骨科护理常规执行骨科护理常规安排床位安排床位评估生命体征评估生命体征行入院介绍行入院介绍行卫生处置行卫生处置协助跟骨牵引协助跟骨牵引 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergenci

13、es完成术前检查完成术前检查完善术前准备完善术前准备术区常规备皮术区常规备皮指导禁食、禁饮指导禁食、禁饮术前生命体征监测术前生命体征监测 配合术前访视配合术前访视书写术前记录书写术前记录住院第住院第3-5天天(手术日手术日)肌肉注射术前针肌肉注射术前针执行术后医嘱执行术后医嘱检查术前完善情况检查术前完善情况填写转运交接单填写转运交接单术后生命体征监测术后生命体征监测观察各管道情况观察各管道情况书写护理记录书写护理记录 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic D

14、evelopment Births Obstetric Emergencies住院第住院第6天天术后第一天术后第一天生命体征监测生命体征监测执行医嘱执行医嘱抬高患肢抬高患肢30度度拔除导尿管拔除导尿管指导功能锻炼指导功能锻炼执行中医治疗执行中医治疗书写护理记录书写护理记录住院第住院第7天天术后第二天术后第二天执行医嘱执行医嘱查阅各项检查结果查阅各项检查结果拔除镇痛泵拔除镇痛泵指导拄拐下床活动指导拄拐下床活动抬高患肢抬高患肢30度度观察活动、肢端皮观察活动、肢端皮 感血运情况感血运情况 and Hyperthermia Associated with Poisoning or and Neona

15、tal Respiratory Care Embryologic Development Births Obstetric Emergencies住院第住院第8-15天天（术后（术后3-10天）天）执行医嘱执行医嘱执行骨科术后常规执行骨科术后常规抬高患肢抬高患肢观察伤口愈合情况观察伤口愈合情况观察下床活动情况观察下床活动情况 中期饮食指导中期饮食指导书写护理记录书写护理记录住院第住院第16天天(出院日出院日)停止医嘱，整理病案停止医嘱，整理病案办理出院手续办理出院手续查阅检查结果查阅检查结果评估伤口愈合情况评估伤口愈合情况康复训练效果评估康复训练效果评估行出院指导行出院指导出院后四周电话回访出

16、院后四周电话回访 and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies思考题思考题1、疼痛的自评工具疼痛的自评工具“数字评分法数字评分法”如何评分如何评分?2、骨筋膜综合征易发生在那些部位？、骨筋膜综合征易发生在那些部位？“5P”是指？是指？3、胫腓骨骨折术后的功能锻炼包括哪些？、胫腓骨骨折术后的功能锻炼包括哪些？and Hyperthermia Associated with Poisoning or and Neonatal Respiratory Care Embryologic Development Births Obstetric Emergencies