临床护理路径结合专项护理措施在手外伤患者中的应用  

Application of clinical nursing pathway combined with specialized nursing measures in patients undergoing hand injuries

作　　者：路芳 雷湘莲 谢爱丽 黄晓瑜 林琼 LU Fang;LEI Xiang-lian;XIE Ai-li;HUANG Xiao-yu;LIN Qiong(Department of Hand Surgery,Shenzhen Longhua District People's Hospital,Shenzhen 518109,Guangdong,CHINA)

机构地区：[1]深圳市龙华区人民医院手外科,广东深圳518109

出　　处：《海南医学》2024年第16期2410-2414,共5页Hainan Medical Journal

基　　金：广东省深圳市龙华区医疗卫生机构区级科研项目(编号:2020103)。

摘　　要：目的研究临床护理路径结合专项护理措施在手外伤患者中的应用效果。方法选取2022年1月至2023年1月深圳市龙华区人民医院收治的60例手外伤患者作为研究对象,按随机数表法分为研究组和对照组各30例,对照组患者采用常规护理措施,研究组患者采用临床护理路径结合专项护理措施。两组患者均护理至出院,均随访1个月后回院复查,比较两组患者的患指屈伸度以及护理前后的手功能评分、焦虑自评量表(SAS)及抑郁自评量表(SDS)评分;同时比较两组患者护理期间的并发症发生率。结果随访1个月后,研究组患者的患指屈伸度为96.67%,明显高于对照组的70.00%,差异有统计学意义(P<0.05);随访1个月后,两组患者的灵巧性和协调性评分、肌力和感觉、关节活动度范围均明显升高,且研究组的灵巧性和协调性评分、肌力和感觉评分、关节活动度范围分别为(3.80±0.82)分、(109.27±10.86)分、(75.23±15.02)°,明显高于对照组的(2.96±0.78)分、(99.80±9.01)分、(64.79±10.87)°,差异均有统计学意义(P<0.05);随访1个月后,两组患者的SAS、SDS评分均明显降低,且研究组患者的SAS、SDS评分分别为(34.02±2.37)分、(32.98±1.75)分,明显低于对照组的(45.83±2.98)分、(45.08±2.69)分,差异均有统计学意义(P<0.05);研究组患者的并发症发生率为6.67%,明显低于对照组的40.00%,差异有统计学意义(P<0.05)。结论临床护理路径结合专项护理措施应用于手外伤患者可明显提高治疗效果,促进手功能恢复,减少并发症。Objective To study the application effect of clinical nursing pathway combined with specialized nursing measures in patients undergoing hand injuries.Methods Sixty patients undergoing hand injuries admitted to Shenzhen Longhua District People's Hospital from January 2022 to January 2023 were selected and randomly divided into a study group and a control group according to the random number table method,with 30 patients in each group.Patients in the control group received routine nursing measures,while those in the study group received clinical nursing pathways combined with specialized nursing measures.Both groups of patients were cared until discharge,and followed up for one month before returning to the hospital for reexamination.The flexion and extension of the affected fingers,hand function scores,Self-rating Anxiety Scale(SAS),and Self-rating Depression Scale(SDS)scores before and after nursing were compared between the two groups of patients;the incidence of complications during the nursing period were also compared between two groups.Results After one month of follow-up,the flexion and extension of the affected fingers in the study group was 96.67%,which was significantly higher than 70.00%in the control group(P<0.05).After one month of follow-up,the dexterity and coordination scores,muscle strength and sensation,and joint range of motion in the two groups were significantly increased,and the three indexes in the study group were(3.80±0.82)points,(109.27±10.86)points,and(75.23±15.02)°,which were significantly higher than(2.96±0.78)points,(99.80±9.01)points,and(64.79±10.87)°of the control group,with statistically significant differences(P<0.05).After one month of follow-up,the SAS,SDS scores were significantly reduced,and the scores were(34.02±2.37)points and(32.98±1.75)points,which were significantly lower than the control group's(45.83±2.98)points and(45.08±2.69)points,with statistically significant differences(P<0.05).The incidence of complications in the study group was 6.67%,which was signi

关 键 词：手外伤 临床护理路径 专项护理措施 手功能 并发症 

分 类 号：R473.6[医药卫生—护理学]