ISSN 2097-6046(网络)
ISSN 2096-7446(印刷)
CN 10-1655/R
主管:中国科学技术协会
主办:中华护理学会
急症护理研究

重度肥胖患者多发创伤性骨折伴经期出血的多学科协作护理

  • 李园园 ,
  • 范晓丹 ,
  • 彭冬来 ,
  • 朱晓丽 ,
  • 樊政霞 ,
  • 莫艳兰 ,
  • 丁韵
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  • 1 阿克苏地区第一人民医院骨一科 新疆维吾尔自治区阿克苏市 843000
    2 阿克苏地区第一人民医院护理部 新疆维吾尔自治区阿克苏市 843000
    3 阿克苏地区第一人民医院康复医学科 新疆维吾尔自治区阿克苏市 843000
    4 阿克苏地区第一人民医院急诊医学科 新疆维吾尔自治区阿克苏市 843000
李园园:女,本科,主管护师,副护士长,E-mail:lyzazx@163.com
作者贡献声明

李园园、范晓丹、彭冬来:研究实施、循证分析、论文撰写;朱晓丽、樊政霞、莫艳兰:研究指导;丁韵:论文修改

*丁韵,E-mail:1471316967@qq.com

收稿日期: 2026-01-12

  网络出版日期: 2026-08-31

Multidisciplinary collaborative nursing for a severely obese patient with multiple traumatic fractures due to traffic injuries and menstrual bleeding

  • LI Yuanyuan ,
  • FAN Xiaodan ,
  • PENG Donglai ,
  • ZHU Xiaoli ,
  • FAN Zhengxia ,
  • MO Yanlan ,
  • DING Yun
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  • 1 Department of Orthopedics, First People’s Hospital of Aksu Region,Aksu, Xinjiang Uygur Autonomous Region 843000, China
    2 Nursing Department, First People’s Hospital of Aksu Region,Aksu, Xinjiang Uygur Autonomous Region 843000, China
    3 Rehabilitation Department, First People’s Hospital of Aksu Region,Aksu, Xinjiang Uygur Autonomous Region 843000, China
    4 Emergency Department, First People’s Hospital of Aksu Region,Aksu, Xinjiang Uygur Autonomous Region 843000, China

Received date: 2026-01-12

  Online published: 2026-08-31

摘要

总结1例重度肥胖患者多发创伤性骨折伴经期出血的多学科协作护理体会。针对少数民族语言沟通障碍制约决策参与、“创伤+经期出血”引发的抗凝矛盾、疼痛与肥胖叠加下皮肤管理面临的挑战、民族风俗与营养价值间的需求差异等问题,实施以下护理措施:维汉双语沟通,协助患者参与治疗决策;多学科联动,结合中西医理念预防血栓形成;改进减压方法,预防压力性损伤发生;科学摄入,兼顾风俗习惯与营养需求。患者住院第30天,病情好转出院。

本文引用格式

李园园 , 范晓丹 , 彭冬来 , 朱晓丽 , 樊政霞 , 莫艳兰 , 丁韵 . 重度肥胖患者多发创伤性骨折伴经期出血的多学科协作护理[J]. 中华急危重症护理杂志, 2026 , 7(9) : 1101 -1103 . DOI: 10.3761/j.issn.2096-7446.2026.09.011

Abstract

This paper summarized the multidisciplinary collaborative nursing experience of multiple traumatic fractures resulting from a traffic accident in a severely obese patient,complicated by menstrual bleeding. Addressing issues such as the communication barriers posed by minority languages,which hinder decision-making participation,the anticoagulation dilemma triggered by “trauma + menstrual bleeding”,the challenges faced in skin management due to the combination of pain and obesity,and the differences in demand between ethnic customs and nutritional value,the key nursing interventions were implemented,including bilingual communication in Uyghur and Chinese to assist the patient in participating in treatment decision-making,multidisciplinary collaboration to combine traditional Chinese and Western medicine concepts to prevent thrombosis,improving decompression methods to prevent pressure-related injuries,balancing ethnic dietary customs with nutritional requirements through scientific intake. Following 30 days of individualized care,the patient showed significant improvement and was discharged.

参考文献

[1] 许璐璐, 黄文, 黄敏钢, 等. 中学生道路交通伤害影响因素及主要行为因素间的交互作用[J]. 中华疾病控制杂志, 2024, 28(10):1124-1129,1228.
  Xu LL, Huang W, Huang MG, et al. Influencing factors of road traffic injuries among middle school students and the interaction between major behavioral factors[J]. Chin J Dis Control Prev, 2024, 28(10):1124-1129,1228.
[2] 李学靖, 赵俊强, 张小艳, 等. 渥太华决策支持框架内涵及其临床应用的范围综述[J]. 中华护理杂志, 2022, 57(6):756-761.
  Li XJ, Zhao JQ, Zhang XY, et al. The concept and clinical imple-mentation status of Ottawa Decision Support Framework-a scoping review[J]. Chin J Nurs, 2022, 57(6):756-761.
[3] 张欣欣, 韩国杰, 陈倩, 等. 创伤性截肢患者术前决策冲突现状及影响因素分析[J]. 中华现代护理杂志, 2024, 30(35):4849-4855.
  Zhang XX, Han GJ, Chen Q, et al. Analysis of the current situation and influencing factors of preoperative decision-making conflict in patients with traumatic amputation[J]. Chin J Mod Nurs, 2024, 30(35):4849-4855.
[4] 孟令琦, 刘佳惠, 彭思意, 等. 创伤患者静脉血栓栓塞症风险预测模型的研究进展[J]. 中华护理杂志, 2023, 58(4):493-499.
  Meng LQ, Liu JH, Peng SY, et al. Research progress on risk prediction models of venous thromboembolism in trauma patients[J]. Chin J Nurs, 2023, 58(4):493-499.
[5] 中国药师协会围手术期用药工作委员会. 围手术期静脉血栓栓塞症防治策略与药学监护专家共识[J]. 医药导报, 2025, 44(11):1717-1735.
  Perioperative Medication Working Committee of the Chinese Pharmacists Association. Expert consensus on perioperative strategies of VTE prevention and treatment,and pharmaceutical care[J]. Her Med, 2025, 44(11):1717-1735.
[6] 丁一. 循经穴位按摩+舒筋活络膏对中老年全膝关节置换术后下肢血流速度的影响研究[D]. 苏州: 苏州大学, 2023.
  Ding Y. Effect of meridian acupressure massage combined with muscle relaxing and meridian activating ointment on lower limb blood flow velocity in middle-aged and elderly patients after total knee arthroplasty[D]. Suzhou: Soochow University, 2023.
[7] Scovil C Y, Delparte J J, Walia S, et al. Implementation of pressure injury prevention bestpractices across 6 Canadian rehabi-litation sites:results from the spinalcord injury knowledge mobilization network[J]. Arch PhysMed Rehabil, 2019, 100(2):327-335.
[8] 中华医学会肠外肠内营养学分会. 中国成人患者肠外肠内营养临床应用指南(2023版)[J]. 中华医学杂志, 2023, 103(13):946-974.
  Chinese Society for Parenteral and Enteral Nutrition,Chinese Medical Association. Guidelines for the clinical application of parenteral and enteral nutrition in adult patients(2023 Edition)[J]. Chin Med J, 2023, 103(13):946-974.
[9] 胡雯, 邱贵兴, 裴福兴, 等. 骨科大手术加速康复围手术期营养管理专家共识[J]. 中华骨与关节外科杂志, 2022, 15(10):763-767.
  Hu W, Qiu GX, Pei FX, et al. Expert consensus on perioperative nutritional management for enhanced recovery after major orthopedic surgery[J]. Chin J Bone Joint Surg, 2022, 15(10):763-767.
[10] 国家卫生健康委食品安全标准与监测评估司, 中国疾病预防控制中心营养与健康所, 成人肥胖食养指南编写专家组, 等. 成人肥胖食养指南(2024年版)[J]. 卫生研究, 2024, 53(3):347-351.
  The Food Safety Standards and Monitoring Evaluation Depart-ment of the National Health Commission,the Institute of Nu-trition and Health of the Chinese Center for Disease Control and Prevention,the Expert Group for the Compilation of Dietary Guidelines for Adult Obesity,et al. Dietary guidelines for adult obesity(2024 Edition)[J]. Health Res, 2024, 53(3):347-351.
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