三联预康复护理在骨科大手术患者中的应用实践  

Application and Practice of Triple Pre-rehabilitation Nursing in Orthopedic Surgery Patients

作　　者：黄如飞 李凤 梁丁华 HUANG Rufei;LI Feng;LIANG Dinghua(Wuchuan People's Hospital of Guangdong Province,Wuchuan City,Guangdong Province,China 524500)

机构地区：[1]广东省吴川市人民医院,广东吴川524500

出　　处：《卫生职业教育》2024年第15期154-157,共4页HEALTH VOCATIONAL EDUCATION

摘　　要：目的 探讨将三联预康复护理模式应用于骨科大手术患者术前干预中,以改善患者的心理状态、应对能力和营养状况,加快术后康复。方法 选择2022年1月1日至2023年10月30日期间拟接受骨科大手术治疗的100例患者,采用随机数字表法分为观察组和对照组,各50例。对照组采用传统护理模式,观察组在对照组基础上增加三联预康复护理。干预前后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、压力应对能力量表(MSI)对两组进行焦虑与抑郁程度、压力应对能力测评,并比较营养状况。结果 干预前两组SAS、SDS、MSI得分比较差异无统计学意义(P>0.05),干预后观察组SAS、SDS得分均低于对照组,而MSI得分高于对照组,营养状况亦优于对照组,差异有统计学意义(P<0.05)。结论 三联预康复护理模式应用于骨科大手术患者术前干预中,可稳定患者的情绪,提高压力应对能力,改善营养状况,减少并发症的发生,促进患者顺利康复。Objective To explore the application of triple pre-rehabilitation nursing model in preoperative intervention for orthopedic surgery patients to improve their psychological state,coping ability,nutritional status to accelerate postoperative recovery.Methods Select 100 patients who plan to undergo orthopedic surgery from January 1,2022 to October 30,2023,and to divide them into observation group and control group with random number table method,with 50 patients in each group.The control group received traditional nursing model,while the observation group got triple pre-rehabilitation nursing based on traditional nursing model.Before and after intervention,the Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),and Mastery of Stress Insterument S-cale(MSI)were used to assess the level of anxiety and depression,stress coping ability,and nutritional status between the two groups.Results The compare among SAS,SDS and MSI scores between two groups indicated no statistic significance(P>0.05)before the intervention.While after the intervention,the observation group had lower SAS and SDS scores that control one but higher MSI score and better nutritional status,which had statistic significance(P<0.05).Conclusion The application of triple pre-rehabilitation in preoperative intervention of patients undergoing major orthopedic surgery can stabilize patients′emotions,improve their ability to cope with pressure,improve their nutritional status,reduce the occurrence of complications,and promote their recovery.

关 键 词：康复护理 骨科大手术 患者 

分 类 号：R473.6[医药卫生—护理学]