基于问题导向的下肢骨折患者术后管道护理方法  

The postoperative pipe nursing method of lower extremity fracture patients based on problem orientation

作　　者：马蕊[1] 牛婷婷[1] 刘丹梅[1] Ma Rui;Niu Tingting;Liu Danmei(Orthopedics Department,Zhengzhou People's Hospital,450000,China)

机构地区：[1]郑州人民医院骨二科,450000

出　　处：《国际护理学杂志》2020年第21期3920-3922,共3页international journal of nursing

摘　　要：目的探讨基于问题导向的下肢骨折患者术后管道护理方法。方法 2018年4月至2019年4月选取该院骨科收治的下肢骨折患者95例,根据随机数字表将患者分为观察组(48例)及对照组(47例),对照组行骨科常规性护理,观察组在对照组基础上基于问题导向实施管道管理,比较两组管道滑脱、管道堵塞、管道受压折叠、管道连接错误、感染发生率、管道交班时间、术后住院时间及患者满意率。结果观察组管道滑脱、管道堵塞、管道受压折叠、管道连接错误、感染发生率低于对照组(P<0.05),而患者满意率高于对照组(P<0.05)。观察组管道交班时间、术后住院时间短于对照组(P<0.05)。结论基于问题导向的管道护理能有效降低下肢骨折患者管道不良事件发生,有利于患者术后康复,提高患者术后满意率。Objective To explore the problem-oriented postoperative pipeline nursing method for lower extremity fracture patients.Methods From April 2018 to April 2019,95 patients with lower limb fractures admitted to the department of orthopedics of this hospital were selected and divided into observation group(48 cases)and control group(47 cases)according to the random number table.The control group received orthopedic routine nursing,while the observation group implemented pipeline management based on problem orientation on the basis of the control group.Pipeline slippage,pipeline blockage,pipeline compression folding,pipeline connection error,infection rate,pipeline shift time,postoperative hospital stay and patient satisfaction rate were compared between the two groups.Results The incidence of pipeline slippage,pipeline blockage,pipeline folding under pressure,pipeline connection error and infection in the observation group was lower than that in the control group(P<0.05).The satisfaction rate of patients was higher than that of control group(P<0.05).The pipeline shift time and postoperative hospital stay in the observation group were shorter than those in the control group(P<0.05).Conclusions Problem-oriented pipeline nursing can effectively reduce the occurrence of pipeline adverse events in patients with lower extremity fractures,which is beneficial to postoperative rehabilitation of patients and improve postoperative satisfaction rate.

关 键 词：问题导向 下肢骨折 管道护理 不良事件 满意率 

分 类 号：R473.6[医药卫生—护理学]