以问题为中心的质量改进护理模式在股骨转子间骨折患者中的应用效果分析  

Analysis on application effect of problem-centered quality improvement nursing model in patients with femoral intertrochanteric fracture

作　　者：余小冬[1] 林小永[1] 王慈香[1] 刘小华[1] YU Xiaodong;LIN Xiaoyong;WANG Cixiang;LIU Xiaohua(Zhongshan Hospital of Traditional Chinese Medicine, Guangdong, Zhongshan 528400, China)

机构地区：[1]广东省中山市中医院

出　　处：《中国医药科学》2019年第18期126-129,共4页China Medicine And Pharmacy

摘　　要：目的探讨以问题为中心的质量改进护理模式在股骨转子间骨折患者中的应用效果。方法选取在我院2017年1月~2018年8月期间行PFNA内固定手术治疗后的120例股骨转子间骨折患者作为研究对象,随机分为观察组(以问题为中心的质量改进的护理方法)和对照组(传统护理方法),各60例。对比两组患者并发症情况及对护理的满意度。结果观察组患者治疗15d后出现肺部感染(3.33%)和下肢深静脉血栓(5.00%)并发症的发生率显著低于对照组肺部感染(13.33%)和下肢深静脉血栓(26.67%)并发症的发生率,差异有统计学意义(P<0.05),两组压力性溃疡并发症比较差异无统计学意义(P>0.05);观察组患者的髋关节评分显著高于对照组,差异有统计学意义(P<0.05);观察组患者对护理方式的满意度(100.00%)显著高于对照组(85.00%),差异有统计学意义(P<0.05)。结论相比常规护理模式护理治疗股骨转子间骨折术后患者,以问题为中心的质量改进护理模式护理治疗患者可降低并发症发病率和提高患者对护理的满意度,临床上具有一定的应用价值。Objective To analyze the application effect of problem-centered quality improvement nursing model in patients with femoral intertrochanteric fracture. Methods 120 patients with femoral intertrochanteric fracture who were treated by PFNA internal fixation in our hospital from January 2017 to August 2018 were selected as research objects. They were randomly divided into the observation group (problem-centered quality improvement nursing method) and the control group (traditional nursing method), with 60 cases in each group. Complications and nursing satisfaction were compared between the two groups. Results The incidence of complications such as pulmonary infection (3.33%) and deep venous thrombosis (5.00%) in the observation group was significantly lower than that of the control group (13.33%, 26.67%). The difference was statistically significant (P < 0.05). There was no statistically significant difference in the pressure ulcer complications between the two groups (P > 0.05). The hip joint score of the observation group was significantly higher than that of the control group, and the difference was statistically significant (P < 0.05). The nursing satisfaction of patients in the observation group (100.00%) was significantly higher than that of the control group (85.00%), and the difference was statistically significant(P < 0.05). The difference was statistically significant (P < 0.05). Conclusion Compared with the routine nursing mode, the problem-centered quality improvement nursing mode can reduce the incidence of complications and improve nursing satisfaction of patients, which has certain clinical application values.

关 键 词：护理模式 质量改进 股骨转子间骨折 常规护理 

分 类 号：R473.6[医药卫生—护理学]