系统化护理干预在骨外固定支架治疗四肢长管状骨骨折患者中的应用效果

刘雪梅

[摘要]目的 研究系统化护理干预在骨外固定支架治疗四肢长管状骨骨折患者中的应用效果。方法 选取2015年3月～2017年3月我院收治的98例四肢长管状骨骨折患者作为研究对象，根据随机数字表法分为干预组和对照组，每组各49例。对照组患者给予常规护理，干预组患者给予系统化护理干预，对比两组患者的预后优良率、自我护理管理评分、护理总满意度及不良反应总发生率。结果 干预组预后优良率与护理总满意度高于对照组（P<0.05）;两组患者的自我护理管理评分均高于护理前，且干预组高于对照组（P<0.05）;干预组患者的不良反应总发生率低于对照组（P<0.05）。结论 系统化护理干预对于骨外固定支架治疗四肢长管状骨骨折患者，能够有效改善患者的预后情况，提高患者的护理满意度，且安全有效，值得临床应用。

[关键词]系统化护理干预;骨外固定支架术;四肢长管状骨;护理满意度

[中图分类号] R473.6          [文献标识码] A          [文章编号] 1674-4721（2019）6（c）-0244-03

[Abstract] Objective To study the application effect of systematic nursing intervention on patients with long bone fractures of extremities treated with external fixation. Methods A total of 98 patients with long bone fractures of the extremities treated in our hospital from March 2015 to March 2017 were selected as the subjects. By random number table method， they were divided into intervention group and control group， with 49 cases in each group. In the control group， routine care was used， while in the intervention group， systematic nursing intervention was provided. The good prognosis rate， self-care management score， total nursing satisfaction and total incidence of adverse reactions were compared between the two groups. Results The good prognosis rate and total nursing satisfaction of the intervention group were higher than those of the control group （P<0.05）. The self-care management scores of the two groups were higher than those before nursing， and the scores in the intervention group were higher than those in the control group （P<0.05）. The total incidence of adverse reactions was lower than that in the control group （P<0.05）. Conclusion Systematic nursing intervention in patients with long bone fractures of the extremities treated with external fixation can effectively improve the prognosis of patients， and increase patients′ satisfaction on nursing. It is safe and effective， and worthy of clinical application.

[Key words] Systematic nursing intervention; External fixation stent; Long bone of four extremities; Nursing satisfaction

四肢長管状骨骨折是骨科常见的疾病，相关研究显示长管状骨周围常常分布着肌肉的止点，在外力作用下，可通过长骨传导而引起相应部位的骨折[1]。近年来随着社会老龄化的进程，长管状骨骨折的患者不断增加，其致残率也随之增高[2]。临床中手术是治疗本病最有效的方法[3]，但完美的手术并不意味着功能的完全恢复，还需术后康复治疗，而术后康复期是一个漫长的过程，患者需要优质的护理及正规的指导，但传统护理方式易导致患者预后情况欠佳，护理满意度较低，且增加术后不良反应发生的风险，影响患者术后康复，给患者日后生活带来诸多不便[4]。近年来，系统化护理干预凸显出其优势，本研究选取98例四肢长管状骨骨折患者作为研究对象，旨在探讨系统化护理干预在骨外固定支架治疗四肢长管状骨骨折患者中的应用效果，现报道如下。

1资料与方法

1.1一般资料