精细化护理模式在骨科术后护理中的应用效果  

Application effects of fine nursing model on orthopedic postoperative nursing

作　　者：严璐[1] 

机构地区：[1]四川省内江市第一人民医院骨科,四川内江641000

出　　处：《中国现代医生》2015年第6期142-144,共3页China Modern Doctor

摘　　要：目的分析精细化护理模式在骨科术后护理中的应用效果。方法以我院2011年10月-2012年12月期间诊治的骨科患者126例作为研究对象,以随机数字表分组的方式分为试验组（63例）与对照组（63例）,对照组患者采用常规护理管理模式,试验组采用精细化护理模式,对两组患者的并发症发生情况、护理满意度及护理前后的生存质量进行分析对比。结果研究结果显示,试验组中仅有2例患者发生并发症,包括1例褥疮和1例感染,并发症发生率为3.17%,对照组中有10例患者发生并发症,包括6例褥疮和4例感染,并发症发生率为15.87%,试验组患者的并发症发生率明显低于对照组（P〈0.05）;同时,试验组患者的护理总满意率明显高于对照组（P〈0.05）;两组患者护理前生存质量评分比较无明显差异（P〉0.05）,经护理后均得到明显改善（P〈0.05）,且试验组改善水平明显优于对照组（P〈0.05）。结论精细化护理模式在骨科术后护理中具有良好的应用效果,能有效降低并发症发生率,提高患者的满意度和生存质量,值得在临床应用上推广。Objective To analyze the effects of fine nursing model on orthopedic postoperative nursing. Methods A total of 126 patients with orthopedic diseases diagnosed and treated in our hospital from October 2011 to December 2012 were selected as research subjects, and were randomly divided into the experimental group（63 patients） and the control group（63 patients） according to a random number table. The control group received a regular nursing model, while the experiment group received a fine nursing model. Complications, nursing satisfaction and life quality before and after the nursing between the two groups were analyzed and compared. Results According to the results, only 2 patients in the experimental group had complications, including 1 pressure ulcer and 1 infection, and the incidence of infection was 3.17%. 10 patients in the control group had complications, including 6 pressure ulcers and 4 infections, and the incidence of infection was 15.87%. Incidence of complications in the experimental group was significantly lower than that in the control group（P〈0.05）. Meantime, the total satisfaction rate for nursing in the experimental group was significantly higher than that in the control group（P〈0.05）. The difference of scores of life quality before the nursing in the two groups was not statistically significant（P〈0.05）, but the scores improved apparently after the nursing（P〈0.05）, and the improvement in the experimental group was obviously better than that in the control group（P〉0.05）. Conclusion Fine nursing model has a favorable application effect in orthopedic postoperative nursing, which is effective in reducing complications, enhancing patients＇ satisfaction and life quality, and is worthy of clinical application and promotion.

关 键 词：精细化护理 骨科 应用效果 

分 类 号：R473.6[医药卫生—护理学]