系统护理干预对内固定联合封闭负压吸引治疗胫腓骨骨折患者的效果  

Effect of systematic nursing intervention for tibia and fibula fracture patients treated by internal fixation combined with vacuum sealing drainage

作　　者：张英霞 德琳 王芸 

机构地区：[1]解放军第四六三医院骨科,辽宁沈阳110042

出　　处：《中国医药导报》2015年第11期137-140,144,共5页China Medical Herald

基　　金：辽宁省科学技术计划项目(编号2011225021)

摘　　要：目的探讨系统护理干预对内固定联合封闭负压吸引治疗胫腓骨骨折患者的效果。方法选取解放军第四六三医院2013年6月-2014年6月收治的90例采用内固定联合封闭负压吸引治疗的胫腓骨骨折患者,将其随机分为观察组45例和对照组45例。对照组采取常规护理措施,观察组采取系统护理干预。观察两组患者临床疗效、术后并发症、心理状态及护理满意度。结果观察组二期创面修复时间[（5.82±1.63）d]、平均换药次数[（1.65±0.52）次]、住院时间[（24.37±4.17）d]明显少于对照组二期创面修复时间[（10.21±3.70）d]、平均换药次数[（7.28±0.55）次]住院时间[（32.46±8.62）d],差异有统计学意义（P〈0.05）。观察组术后并发症的发生率（6.67%）明显少于对照组（15.56%）,差异有统计学意义（P〈0.05）。治疗前两组患者症状自评量表（SCL-90）评分比较差异无统计学意义（P〉0.05）,两组治疗第8周末在躯体化、强迫、抑郁、焦虑、精神病性方面均较治疗前明显好转,差异有统计学意义（P〈0.05）,治疗第8周末两组患者在躯体化、强迫、人际敏感、抑郁、焦虑、敌对、偏执、精神病性方面差异有统计学意义（P〈0.05）。观察组满意度平均得分为（94.62±3.24）分,明显高于对照组[（89.60±4.07）分],差异有统计学意义（t=6.209,P〈0.05）。治疗8周后,观察组总有效率为91.11%,明显高于对照组总有效率（80.00%）,差异有统计学意义（P〈0.05）。结论系统护理干预可提高内固定联合封闭负压技术治疗胫腓骨骨折患者的效果,并有利于患者术后康复,提高患者对护理工作的满意度。Objective To observe the effect of systematic nursing intervention for tibia and fibula fracture patients treated by internal fixation combined with vacuum sealing drainage. Methods Ninety cases of tibia and fibula fracture patients treated by internal fixation combined with vacuum sealing drainage admitted to the 463 rd Hospital of PLA from July 2013 to July 2014 were randomly divided into observation group（45 cases） and control group（45 cases）. The patients of control group were just given routine nursing care, and the patients of observation group were given clinical nursing interventions. The clinical treatment effect, complications, psychological state and nursing satisfaction of two groups were observed. Results The two stage wound healing time [（5.82 ±1.63） d], the average number of dressing changes [（1.65±0.52） times], the time of hospitalization [（24.37 ±4.17） d] of observation group were significantly less than those of the control group [（10.21±3.70） d,（7.28±0.55） times,（32.46±8.62） d], the differences were statistically significant（P〈0.05）. The incidence of postoperative complications of the observation group（6.67%） was less than that of the control group（15.56%）, with a significant difference（P〈0.05）. SCL-90 scores before treatment of the two groups were not statistically different（P〉0.05）. The aspects of somatization, compulsion, depression, anxiety, psychosis at the end of treatment for eight weeks in the two groups were all better than before treatment（P〈0.05）. After treatment for eight weeks, the aspects of somatization, compulsion, interpersonal sensitivity, depression, anxiety, hostility, bigotry,psychosis of the two groups had statistically significant differences（P〈0.05）. The satisfaction average score of observation group [（94.62±3.24） points] was higher than that of control group [（89.60±4.07） points], the difference was statistically significant（t = 6.209, P〈0.05）. After 8 weeks of treatment, the to

关 键 词：胫腓骨骨折 封闭负压吸引 治疗效果 护理干预 

分 类 号：R683.42[医药卫生—骨科学]