医护合作照护模式对双下肢不等长患儿术后并发症的影响  

Effect of doctor-nurse collaborative care mode on postoperative complications in children patients with unequal length

作　　者：蒋小平[1] 蒋林峻[2] 陈霞[2] 

机构地区：[1]重庆医科大学附属儿童医院护理部,400014 [2]重庆医科大学附属儿童医院骨科中心,400014

出　　处：《重庆医学》2016年第32期4493-4495,共3页Chongqing medicine

基　　金：国家临床重点专科建设基金资助项目[国卫办医函(2013)544号];重庆市医学科研计划基金资助项目(2013-2-052)

摘　　要：目的比较传统护理模式与医护合作照护模式对双下肢不等长行Ilizarov外固定矫形术后患儿相关并发症的发生情况,寻找有利于减少术后并发症的照护模式。方法以2006年4月至2014年3月因双下肢不等长在该院行Ilizarov矫形术的56例患儿为研究对象,以两种照护模式实施时间为分界点,将患儿分为传统护理模式组(对照组)和医护合作照护模式组(观察组),比较两组患儿手术后相关并发症的发生情况。结果两组患儿均未发生严重的神经血管损伤、骨髓炎及骨质疏松等并发症,局部皮肤损伤、针道感染、再骨折、肌肉挛缩和关节僵硬等术后并发症总发生率比较,差异有统计学意义(P<0.05)。结论对双下肢不等长行Ilizarov外固定矫形术患儿实施医护合作照护模式,能有效预防和减少术后并发症,有助于促进患儿术后康复,值得推广应用。Objective To compare the occurrence situation of related complications after Ilizarov external fixation orthopedics between the traditional nursing mode and doctor-nurse collaborative care mode and to seek the care mode conducive to reduce post- operative complications. Methods Fifty-six children patients with Ilizarov external fixation orthopedics due to unequal length of double lower extremities in our hospital from April 2006 to March 2014 were taken as the study subjects and divided into the tradi- tional nursing mode group（control group） and doctor-nurse collaborative care mode group （observation group） with the implemen- tation time of the two care modes as the cut off point. The occurrence situation of postoperative related complications was compared between the two groups. Results No complications of serious neurovascular injury, osteomyelitis and osteoporosis occurred in the two groups. The total occurrence rate of postoperative complications such as local skin injury, needle tract infection, refracture, muscle atrophy and joint stiffness had statistical difference between the two groups（P〈0.05）. Conclusion Implementing the doc- tor-nurse collaborative care mode in children patients with unequal length of double lower extremities treated by Ilizarov external fixation orthopedics can effectively prevent and reduce postoperative complications, conduces to postoperative rehabilitation and is worth promotion and application.

关 键 词：护理模式 医护合作 Ilizarov外固定 肢体延长 术后护理 儿童 

分 类 号：R473.72[医药卫生—护理学]