责任制护理在四肢骨折患者围术期护理中的应用

Application of postoperative responsible nursing for patients with limb fracture

  • 摘要:
      目的  探讨围术期责任制护理对四肢骨折患者生活质量评分(QOL)、焦虑心理和骨折愈合的影响。
      方法  选取四肢骨折患者104例,随机分为常规组和试验组各52例。常规组采用手术室常规护理措施,而试验组围术期采用责任制护理方案。比较2组患者QOL评分、汉密尔顿焦虑量表(HAMA)评分、住院期间并发症发生率和手术室护理质量。
      结果  试验组患者干预后的HAMA评分、住院期间并发症发生率均低于常规组(P < 0.05); 试验组患者干预后的QOL评分、手术室护理质量中的器械准备、消毒处理和手术室配合评分均高于常规组(P < 0.05)。
      结论  围术期责任制护理可有效降低四肢骨折患者住院期间感染等并发症的发生率,提高患者生活质量,提高护理人员的手术室护理质量。

     

    Abstract:
      Objective  To analyze the effect of perioperative responsible nursing on Quality of Life (QOL) score, anxiety and fracture healing in limb fracture patients.
      Methods  A total of 104 patients with limb fracture in our hospital were randomly divided into routine group (n=52) and experimental group (n=52). The routine nursing adopted conventional group in operating room, while responsible nursing was adopted in experimental group. QOL score, Hamilton Anxiety Scale (HAMA) score, incidence of complications during hospitalization and nursing quality in operating room were compared between two groups.
      Results  HAMA score and incidence of complications during hospitalization in experimental group were significantly lower than those in conventional group (P < 0.05), and QOL score, scores of equipment preparation, disinfection treatment and coordination in operating room in experimental group were significantly higher than those in conventional group (P < 0.05). Healing time of fracture in experimental group was significantly shorter than that in conventional group(P < 0.05).
      Conclusion  Perioperative responsible nursing can effectively reduce the incidence of infection and other complications in patients with limb fracture during hospitalization, improve patients′ quality of life and enhance the quality of nursing in operating room.

     

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