路径式综合护理在胫骨骨折中的应用价值(1)
[摘要]目的 探讨路径式综合护理在胫骨骨折中的作用。方法 选取赣南医学院第三附属医院、瑞金市中医院和瑞金市人民医院在2019年1月～2020年1月收治的60例胫骨骨折患者，根据患者入院顺序分成对照组和观察组，每组各30例。对照组采用常规护理，观察组采用路径式综合护理，比较两组护理前后Zung氏焦虑自评量表(SAS)和Zung氏抑郁自评量表(SDS)评分，以及并发症总发生率和总满意度。结果 两组护理前的心理状态比较，差异无统计学意义(P>0.05);观察组护理后心理状态评分低于对照组(P<0.05);观察组的并发症总发生率低于对照组，护理总满意度高于对照组，差异均有统计学意义(P<0.05)。结论 予以胫骨骨折患者路径式综合护理，可缓解负面情绪，防范并发症，促进患者满意度的提升，有临床应用价值.
[关键词]路径式综合护理;胫骨骨折;心理状态;并发症;满意度
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2020)9(a)-0215-03
[Abstract] Objective To explore the role of pathway comprehensive nursing in tibial fracture. Methods A total of 60 patients with tibial fracture admitted to the Third Affiliated Hospital of Gannan Medical University， Ruijin Hospital of Traditional Chinese Medicine and Ruijin People′s Hospital from January 2019 to January 2020 were selected for study. According to the order of admission， the patients were divided into control groups and observation group， 30 cases in each group. The control group was given routine nursing and the observation group was given comprehensive nursing. The scores of Zung self rating anxiety scale (SAS) and Zung self rating depression scale (SDS) before and after nursing were compared between the two groups， as well as the incidence of complications and satisfaction. Results There was no significant difference in psychological state between the two groups before nursing (P>0.05). The psychological state score of the observation group after nursing was lower than that of the control group (P<0.05). The total incidence of complications in the observation group was lower than that in the control group， and the total satisfaction was higher than that in the control group， with statistical differences (P<0.05). Conclusion The comprehensive nursing of tibial fracture patients can alleviate the negative emotions， prevent the complications， promote the patients′ satisfaction， it has the value of popularization and application.
[Key words] Path comprehensive nursing; Tibial fracture; Psychological state; Complications; Satisfaction
胫骨骨折是常见的膝关节创伤性骨折，分为胫骨干骨折和胫骨平台骨折，胫骨骨干骨折以肢体肿胀、疼痛、畸形和活动异常为主要表现，胫骨平臺骨折以关节肿胀、活动受限、关节内积血为主要表现，对患者日常活动和行走能力有严重影响[1-2]。牵引固定术是治疗此病的常用措施，可有效缓解临床症状，促进患者受损肢体恢复，但护理干预不到位，往往难以取得理想的复位效果，就需要临床工作者重视护理工作[3]。路径式综合护理的实施可为护理科学规范性提供保障，帮助患者缓解负面情绪，降低并发症发生风险，促进患者满意度的提升[4]。本研究我院对收治的30例胫骨骨折患者采取路径式综合护理，取得明显成效，现报道如下。
1资料与方法
1.1一般资料
选取2019年1月～2020年1月赣南医学院第三附属医院、瑞金市中医院和瑞金市人民医院收治的60例胫骨骨折患者，根据患者入院顺序分为对照组和观察组，每组各30例。对照组中，男17例，女13例;年龄25～70岁，平均(48.27±1.56)岁;发病时间3～15 d，平均(9.82±1.15)d;胫骨干骨折12例，胫骨平台骨折18例;文化水平：高中以下7例，高中10例，高中以上13例。观察组中，男15例，女15例;年龄22～69岁，平均(48.32±1.52)岁;发病时间2～16 d，平均(9.85±1.18)d;胫骨干骨折13例，胫骨平台骨折17例;文化水平：高中以下5例，高中11例，高中以上14例。纳入标准：①经实验室和影像学检查确诊为胫骨骨折[5];②年龄≥20岁;③患者了解研究详情，自愿参与。排除标准：①重要脏器功能异常，生命体征波动明显;②合并其他部位骨折者;③妊娠或哺乳女性;④精神状态不佳，配合度差者。本研究经赣南医学院第三附属医院医学伦理委员会批准。两组的一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(张玮 曾慧华 邓书霖 胡超华)
[关键词]路径式综合护理;胫骨骨折;心理状态;并发症;满意度
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2020)9(a)-0215-03
[Abstract] Objective To explore the role of pathway comprehensive nursing in tibial fracture. Methods A total of 60 patients with tibial fracture admitted to the Third Affiliated Hospital of Gannan Medical University， Ruijin Hospital of Traditional Chinese Medicine and Ruijin People′s Hospital from January 2019 to January 2020 were selected for study. According to the order of admission， the patients were divided into control groups and observation group， 30 cases in each group. The control group was given routine nursing and the observation group was given comprehensive nursing. The scores of Zung self rating anxiety scale (SAS) and Zung self rating depression scale (SDS) before and after nursing were compared between the two groups， as well as the incidence of complications and satisfaction. Results There was no significant difference in psychological state between the two groups before nursing (P>0.05). The psychological state score of the observation group after nursing was lower than that of the control group (P<0.05). The total incidence of complications in the observation group was lower than that in the control group， and the total satisfaction was higher than that in the control group， with statistical differences (P<0.05). Conclusion The comprehensive nursing of tibial fracture patients can alleviate the negative emotions， prevent the complications， promote the patients′ satisfaction， it has the value of popularization and application.
[Key words] Path comprehensive nursing; Tibial fracture; Psychological state; Complications; Satisfaction
胫骨骨折是常见的膝关节创伤性骨折，分为胫骨干骨折和胫骨平台骨折，胫骨骨干骨折以肢体肿胀、疼痛、畸形和活动异常为主要表现，胫骨平臺骨折以关节肿胀、活动受限、关节内积血为主要表现，对患者日常活动和行走能力有严重影响[1-2]。牵引固定术是治疗此病的常用措施，可有效缓解临床症状，促进患者受损肢体恢复，但护理干预不到位，往往难以取得理想的复位效果，就需要临床工作者重视护理工作[3]。路径式综合护理的实施可为护理科学规范性提供保障，帮助患者缓解负面情绪，降低并发症发生风险，促进患者满意度的提升[4]。本研究我院对收治的30例胫骨骨折患者采取路径式综合护理，取得明显成效，现报道如下。
1资料与方法
1.1一般资料
选取2019年1月～2020年1月赣南医学院第三附属医院、瑞金市中医院和瑞金市人民医院收治的60例胫骨骨折患者，根据患者入院顺序分为对照组和观察组，每组各30例。对照组中，男17例，女13例;年龄25～70岁，平均(48.27±1.56)岁;发病时间3～15 d，平均(9.82±1.15)d;胫骨干骨折12例，胫骨平台骨折18例;文化水平：高中以下7例，高中10例，高中以上13例。观察组中，男15例，女15例;年龄22～69岁，平均(48.32±1.52)岁;发病时间2～16 d，平均(9.85±1.18)d;胫骨干骨折13例，胫骨平台骨折17例;文化水平：高中以下5例，高中11例，高中以上14例。纳入标准：①经实验室和影像学检查确诊为胫骨骨折[5];②年龄≥20岁;③患者了解研究详情，自愿参与。排除标准：①重要脏器功能异常，生命体征波动明显;②合并其他部位骨折者;③妊娠或哺乳女性;④精神状态不佳，配合度差者。本研究经赣南医学院第三附属医院医学伦理委员会批准。两组的一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(张玮 曾慧华 邓书霖 胡超华)