综合护理对胫骨平台骨折后膝关节恢复及护理满意度的影响  

Influence of comprehensive nursing on knee joint recovery and nursing satisfaction after fracture of tibial plateau

作　　者：王倩[1] 王春梅[1] 陈乙瑞[1] 

机构地区：[1]重庆三峡中心医院骨一科,重庆404000

出　　处：《中国医药导报》2015年第11期149-152,共4页China Medical Herald

摘　　要：目的探讨综合护理干预对胫骨平台骨折膝关节功能恢复程度以及护理满意度的作用。方法选取重庆三峡中心医院2012年1月-2013年12月收治的120例胫骨平台骨折患者作为研究对象,将其分为实验组和对照组,每组60例。对照组采取常规护理,包括健康教育、术前准备、预防并发症、感染预防等。实验组在实施常规护理的基础上行综合优质护理,包括接诊时综合护理、入院时综合护理、患者的心理护理、住院期综合护理、治疗时综合护理。比较两组患者住院时间、膝关节功能恢复程度以及护理满意度的差异性。结果实验组患者膝关节功能能恢复优良率为93.3%（56/60）,明显高于对照组患者（70.0%,42/60）,两组比较差异有统计学意义（P〈0.05）。实验组患者对护士态度的满意度为96.7%（58/60）、心理护理的满意度为100.0%（60/60）、健康宣讲的满意度为98.3%（59/60）、护理水平的满意度为100.0%（60/60）,均明显高于对照组[78.3%（47/60）、80.0%（48/60）、75.0%（45/60）、70.0%（42/60）],差异均有统计学意义（均P〈0.05）。实验组患者平均住院时间为（19.32±2.13）d,明显低于对照组患者[（29.46±2.98）d],差异有统计学意义（P〈0.05）。结论对胫骨平台骨折患者实施综合优质护理,可以明显改善其膝关节恢复程度,并且可以提高患者对护理的满意程度,具有重要的临床价值。Objective To explore the effect of the comprehensive nursing intervention for tibial plateau fractures knee functional recovery and the nursing satisfaction. Methods 120 patients with fracture of tibial platform in Chongqing Three Gorges Central Hospital from January 2012 to December 2013 were selected as the research object, and randomly divided into experimental group and the control group, 60 cases in each group. Control group was taken routine nursing care, including health education, preoperative preparation, prevention of complications, infection prevention, etc. On the basis of the conventional nursing care, the experimental group was taken the comprehensive quality comprehensive nursing care including comprehensive nursing on accepts, comprehensive nursing on admission, the patient′ s psychological nursing, comprehensive nursing on hospitalization period and the treatment. The differences between two groups of patients in hospital time, degree of knee joint function recovery and nursing satisfaction were compared. Results The knee joint function recovered fine rate of experimental group patients with was 93.3%（56/60）, which was significantly higher than that of the control group（70.0%, 42/60）, the comparison was significant difference（P〈0.05）. The satisfaction of patients in experimental group to nurses′attitude was 96.7%（58/60）, the psychological nursing satisfaction was100.0%（60/60）, health preach satisfaction was 98.3%（59/60）, the level of nursing satisfaction was 100.0%（60/60）,which were significantly higher than those in the control group [78.3%（47/60）, 80.0%（48/60）, 75.0%（45/60）, 70.0%（42/60）],with statistically significant differences（P〈0.05）. The average hospitalization time of experimental group was（19.32 ±2.13） d, which was significantly lower than of the control group [（29.46±2.98） d], with statistically significant difference（P〈0.05）. Conclusion Implementing the comprehensive quality nursing care in patients with fracture

关 键 词：综合护理 胫骨平台骨折 膝关节恢复 护理满意度 

分 类 号：R473.6[医药卫生—护理学]