基于损伤控制理论的中西医结合护理在四肢多发骨折患者中的应用效果  

Application Effect of Integrated Chinese and Western Medicine Nursing Based on Injury Control Theory in Patients with Multiple Fractures of the Extremities

作　　者：张彩丽 ZHANG Caili(Department of Emergency,Henan Luoyang Orthopedic Hospital(Henan Orthopedic Hospital),Luoyang Henan 471000,China)

机构地区：[1]河南省洛阳正骨医院(河南省骨科医院)急诊科,河南洛阳471000

出　　处：《临床研究》2023年第8期154-157,共4页Clinical Research

摘　　要：目的探讨基于损伤控制理论的中西医结合护理在四肢多发骨折患者中的应用效果。方法回顾性分析河南省洛阳正骨医院2020年4月至2022年4月收治的82例四肢多发骨折患者临床资料,其中常规组41例患者接受常规护理干预,研究组41例患者接受基于损伤控制理论的中西医结合护理,比较两组疼痛程度、恐惧心理、舒适度、临床指标、诊疗结局及并发症发生情况。结果研究组干预后数字评分法(NRS)、恐惧视觉模拟评分(FAVS)评分均低于常规组,其简化舒适状况量表(Kolcaba)评分显著高于常规组,差异有统计学意义(P<0.05)。研究组接诊至患者完成初步诊疗时长、手术时长及住院时长明显短于常规组,其术中出血量及输血量均低于常规组,差异有统计学意义(P<0.05)。研究组抢救成功病例占比高于常规组,差异有统计学意义(P<0.05)。研究组并发症发生率低于常规组,差异有统计学意义(P<0.05)。结论基于损伤控制理论的中西医结合护理开展后,可有效缓解四肢多发骨折患者疼痛症状及恐惧心理,缩短其诊治耗时情况,并减少并发症的发生,以提升患者舒适度,救治效果显著。Objective To explore the effect of integrated traditional Chinese and Western medicine nursing based on damage control theory in patients with multiple fractures of limbs.Methods The clinical data of 82 patients with multiple fractures of the extremities admitted to Luoyang Orthopedic Hospital of Henan Province from April 2020 to April 2022 were retrospectively analyzed.Among them,41 patients in the routine group received routine nursing intervention,and 41 patients in the study group received integrated traditional Chinese and western medicine nursing based on damage control theory.The degree of pain,fear,comfort,clinical indicators,diagnosis and treatment outcomes and complications were compared between the two groups.Results After intervention,the numeric rating scales(NRS)and fear visual analogue scale(FAVS)scores in the research group were lower than routine group;the simplified comfort status Scale(Kolcaba)scores were higher than routine group;the differences were statistically significant(P<0.05);The time from admission to the completion of the initial diagnosis and treatment,the operation time and the hospitalization time of the study group were significantly shorter than those of the conventional group,and the intraoperative blood loss and blood transfusion volume were lower than those of the conventional group,and the differences were statistically significant(P<0.05);The successful rescue rate in the research group was higher than routine group,with statistically significant difference(P<0.05);The treatment complication rate in the research group was lower than routine group,with statistically significant difference(P<0.05).Conclusions After the development of integrated traditional Chinese and western medicine nursing based on the damage control theory,it can effectively relieve the pain symptoms and phobia of patients with multiple fractures of limbs,shorten their diagnosis and treatment time,and reduce the occurrence of complications,so as to improve the comfort of patients,and the treatment effect

关 键 词：损伤控制理论 中西医结合护理 四肢多发骨折 疼痛 恐惧心理 并发症 

分 类 号：R473[医药卫生—护理学]