个案追踪管理模式护理在骨科大手术后卧床患者中的应用效果  

Application effects of case tracking management mode nursing in bedridden patients after major orthopedic surgeries

作　　者：李改 LI Gai(Department of Orthopaedics of the First Affiliated Hospital of Nanyang Medical College,Nanyang 473000 Henan,China)

机构地区：[1]南阳医学高等专科学校第一附属医院骨科,河南南阳473000

出　　处：《中国民康医学》2025年第2期176-178,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察个案追踪管理模式护理在骨科大手术后卧床患者中的应用效果。方法:选取2019年1—12月该院收治的80例骨科手术患者进行前瞻性研究,按随机数字表法将其分为对照组和观察组各40例。对照组采用常规护理,观察组在对照组基础上采用个案追踪管理模式护理。比较两组术后深静脉血栓(DVT)和肢体肿胀发生率,护理前后下肢静脉血流速度,护理质量和护理满意度。结果:观察组术后DVT和肢体肿胀发生率均低于对照组,差异有统计学意义(P<0.05);护理后,两组下肢静脉血流速度均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组肢体血循环评估准确率、体位护理合格率、康复行为训练准确率、患者健康宣教知晓率均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为95.00%,高于对照组的80.00%,差异有统计学意义(P<0.05)。结论:在常规护理基础上实施个案追踪管理模式护理可提高骨科大手术后卧床患者下肢静脉血流速度、护理质量和护理满意度,以及降低DVT和肢体肿胀发生率的效果优于单纯常规护理。Objective:To observe application effects of case tracking management mode nursing in bedridden patients after major orthopedic surgeries.Methods:A prospective study was conducted on 80 patients undergoing orthopedic surgeries admitted to the hospital from January to December 2019.According to the random number table method,they were divided into control group and observation group,40 cases in each group.The control group was treated with routine nursing,while the observation group was treated with the case tracking management mode on the basis of that of the control group.The incidence of deep vein thrombosis(DVT)and limb swelling,the venous blood flow velocities of lower limbs before and after the nursing,the nursing quality,and the nursing satisfaction were compared between the two groups.Results:The incidence of DVT and limb swelling in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After the nursing,the blood flow velocities of lower extremity veins in the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).The accuracy of limb blood circulation assessment,the qualified rate of postural nursing,the accuracy of rehabilitation behavior training and the awareness rate of health education in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 95.00%,which was higher than 80.00%of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the case tracking management mode nursing can improve the lower extremity venous blood flow velocities,the nursing quality and the nursing satisfaction of the bedridden patients after major orthopedic surgeries,and reduce the incidence of DVT and limb swelling.Moreover,it is superior

关 键 词：个案追踪管理模式护理 骨科大手术 卧床 深静脉血栓 血流速度 护理质量 肢体肿胀 

分 类 号：R473.6[医药卫生—护理学]