河北中医
河北中醫
하북중의
HEBEI JORNAL OF TRADITIONAL CHINESE MEDICINE
2014年
8期
1231-1233,1234
,共4页
护理评价研究%医院,骨科
護理評價研究%醫院,骨科
호리평개연구%의원,골과
Nursing evaluation research%Hospital%Orthopedics department
目的：观察评估系统护理模式在骨科手术患者中的应用效果。方法将420例骨科术后患者随机分为护理组和对照组，各210例。对照组给予骨科术前、术后常规护理。护理组按照既定系统护理护理计划实施护理干预。观察比较2组护理干预前及干预6个月后康复效果及日常生活活动能力的变化，包括躯体健康评分（ PHS）、精神健康评分（ MHS）、改良Barthel评分，并比较并发症的发生率。结果对照组回访率93．3％，护理组回访率96．2％，2组回访率比较差异无统计学意义（P＞0．05）；2组护理干预6个月后PHS、MHS及改良Barthel评分与本组干预前比较差异均有统计学意义（P＜0．05），均有明显增加，且护理组评分增加幅度均大于对照组（P＜0．05）；2组并发症发生率比较差异均有统计学意义（P＜0．05），护理组均低于对照组。结论系统护理模式干预能够有效地改善骨科术后患者躯体健康、精神健康及日常生活活动能力，降低并发症的发生，提高了患者的生活质量。
目的：觀察評估繫統護理模式在骨科手術患者中的應用效果。方法將420例骨科術後患者隨機分為護理組和對照組，各210例。對照組給予骨科術前、術後常規護理。護理組按照既定繫統護理護理計劃實施護理榦預。觀察比較2組護理榦預前及榦預6箇月後康複效果及日常生活活動能力的變化，包括軀體健康評分（ PHS）、精神健康評分（ MHS）、改良Barthel評分，併比較併髮癥的髮生率。結果對照組迴訪率93．3％，護理組迴訪率96．2％，2組迴訪率比較差異無統計學意義（P＞0．05）；2組護理榦預6箇月後PHS、MHS及改良Barthel評分與本組榦預前比較差異均有統計學意義（P＜0．05），均有明顯增加，且護理組評分增加幅度均大于對照組（P＜0．05）；2組併髮癥髮生率比較差異均有統計學意義（P＜0．05），護理組均低于對照組。結論繫統護理模式榦預能夠有效地改善骨科術後患者軀體健康、精神健康及日常生活活動能力，降低併髮癥的髮生，提高瞭患者的生活質量。
목적：관찰평고계통호리모식재골과수술환자중적응용효과。방법장420례골과술후환자수궤분위호리조화대조조，각210례。대조조급여골과술전、술후상규호리。호리조안조기정계통호리호리계화실시호리간예。관찰비교2조호리간예전급간예6개월후강복효과급일상생활활동능력적변화，포괄구체건강평분（ PHS）、정신건강평분（ MHS）、개량Barthel평분，병비교병발증적발생솔。결과대조조회방솔93．3％，호리조회방솔96．2％，2조회방솔비교차이무통계학의의（P＞0．05）；2조호리간예6개월후PHS、MHS급개량Barthel평분여본조간예전비교차이균유통계학의의（P＜0．05），균유명현증가，차호리조평분증가폭도균대우대조조（P＜0．05）；2조병발증발생솔비교차이균유통계학의의（P＜0．05），호리조균저우대조조。결론계통호리모식간예능구유효지개선골과술후환자구체건강、정신건강급일상생활활동능력，강저병발증적발생，제고료환자적생활질량。
Objective To evaluate the clinical application of system nursing model in orthopedic surgery . Methods 420 orthopaedic surgery patients were randomly divided into nursing group and control group ,210 cases in each group .The control group received conventional orthopedic specialist care .Nursing group was care in accordance with established system nursing plans to implement nursing intervention .Changes in activities of daily living and reha-bilitation efficacy before and after nursing were observed and compared in two groups .Results Returning rate in control group was 93.3%and 96.2% in nursing group.There was no difference between two groups (P>0.05). There was significant difference between before nursing and after nursing of six months on physical health score (PHS),Mental health score (MHS)and modified Barthel score in two groups (P<0.05).There were obvious increa-ses in PHS,MHS and modified Barthel score after nursing in two groups ,The increment of score in nursing group was higher than that of the control group (P<0.05).The complication probability in nursing group was lower than that in control group .Conclusion The clinical application of system nursing model can effectively improve physical health of orthopedic patients ,mental health and activities of daily living ,reduce complications and improve the quality of life of patients.
