股骨干骨折病人的护理.pptVIP

五、护理措施  Nursing implementation （1）口腔护理 Oral nursing （2）会阴护理 Perineum nursing （3）皮肤护理 Skin caring （4）饮食护理 Diet nursing 1、生活护理 Life care 2、疼痛护理 Pain nursing (1) 疼痛评分 Scoring pain (2) 镇痛药 Drugs (3) 松弛疗法 Relaxation therapy 监测生命体征 Monitoring the vital signs. 3、病情观察 Observation 4、心理护理 Psychological care. 介绍疾病相关知识,消除患者的紧张和焦虑，使患者能够理解并配合治疗，早日康复。 Introduce related knowledge of the disease. 5、预防感染 Prevent infection. (1) 牵引针消毒 Disinfection traction parts. (2) 遵医嘱合理使用抗生素 As directed rational use of drugs . (3) 密切观察伤口 及时更换敷料 Observe the wound situation and change dressings regularly .  （1）正确搬运病人 Properly handling patient. （2）指导病人坐起、移动到轮椅上和行走的方法 Instruct client to sit up and move to the wheelchair and walk . 6、 防止受伤 To prevent injury  (1) 练习股四头肌的舒缩 Quadriceps exercise. (2) 吊架锻炼患肢 Exercise limb with hanger . (3) 膝、髋关节功能锻炼 Exercise in knee joint and hip joint. (4) 行走训练 Ambulation training. (5) 练习深呼吸 Practice deep breathing. 7、加强功能锻炼，促进康复。 Strengthen the function and promote recovery. Functional exercise 功能锻炼 Dietary guidelines 饮食指导 Safety guidelines 安全指导 Regular review 定期复查 （一）功能锻炼 Functional exercise 股四头肌锻炼 Quadriceps exercise （二）饮食指导 Dietary guidelines 1、早期：1~2周 清淡饮食 Early 1 ~ 2 weeks the bland diet . 2、中期：2~4周 增加骨头汤 Metaphase of 2 ~ 4 weeks can increase bone soup. 3、后期：5周以上 无禁忌 Later than 5 weeks without taboo. （三）安全指导 Safety guidelines 1、评估环境的安全性，去除危险因素 Evaluation of environmental safety, remove risk factors. 2、活动锻炼时要有家人陪伴，以免摔伤 When exercise activities accompanying family, lest hurt. 3、选择合适的辅助用具 Choosing appropriate auxiliary appliance. （四）定期复查 Regular review 七、讨论 Discussion Love in the left ， sympathy on the right