中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2015年
11期
149-152
,共4页
综合护理%胫骨平台骨折%膝关节恢复%护理满意度
綜閤護理%脛骨平檯骨摺%膝關節恢複%護理滿意度
종합호리%경골평태골절%슬관절회복%호리만의도
Comprehensive nursing%Tibial plateau fracture%Knee jiont recovery%Nursing satisfaction
目的：探讨综合护理干预对胫骨平台骨折膝关节功能恢复程度以及护理满意度的作用。方法选取重庆三峡中心医院2012年1月~2013年12月收治的120例胫骨平台骨折患者作为研究对象，将其分为实验组和对照组，每组60例。对照组采取常规护理，包括健康教育、术前准备、预防并发症、感染预防等。实验组在实施常规护理的基础上行综合优质护理，包括接诊时综合护理、入院时综合护理、患者的心理护理、住院期综合护理、治疗时综合护理。比较两组患者住院时间、膝关节功能恢复程度以及护理满意度的差异性。结果实验组患者膝关节功能能恢复优良率为93.3%(56/60)，明显高于对照组患者(70.0%，42/60)，两组比较差异有统计学意义(P<0.05)。实验组患者对护士态度的满意度为96.7%(58/60)、心理护理的满意度为100.0%(60/60)、健康宣讲的满意度为98.3%(59/60)、护理水平的满意度为100.0%(60/60)，均明显高于对照组[78.3%(47/60)、80.0%(48/60)、75.0%(45/60)、70.0%(42/60)]，差异均有统计学意义(均P<0.05)。实验组患者平均住院时间为(19.32±2.13)d，明显低于对照组患者[(29.46±2.98)d]，差异有统计学意义(P<0.05)。结论对胫骨平台骨折患者实施综合优质护理，可以明显改善其膝关节恢复程度，并且可以提高患者对护理的满意程度，具有重要的临床价值。
目的：探討綜閤護理榦預對脛骨平檯骨摺膝關節功能恢複程度以及護理滿意度的作用。方法選取重慶三峽中心醫院2012年1月~2013年12月收治的120例脛骨平檯骨摺患者作為研究對象，將其分為實驗組和對照組，每組60例。對照組採取常規護理，包括健康教育、術前準備、預防併髮癥、感染預防等。實驗組在實施常規護理的基礎上行綜閤優質護理，包括接診時綜閤護理、入院時綜閤護理、患者的心理護理、住院期綜閤護理、治療時綜閤護理。比較兩組患者住院時間、膝關節功能恢複程度以及護理滿意度的差異性。結果實驗組患者膝關節功能能恢複優良率為93.3%(56/60)，明顯高于對照組患者(70.0%，42/60)，兩組比較差異有統計學意義(P<0.05)。實驗組患者對護士態度的滿意度為96.7%(58/60)、心理護理的滿意度為100.0%(60/60)、健康宣講的滿意度為98.3%(59/60)、護理水平的滿意度為100.0%(60/60)，均明顯高于對照組[78.3%(47/60)、80.0%(48/60)、75.0%(45/60)、70.0%(42/60)]，差異均有統計學意義(均P<0.05)。實驗組患者平均住院時間為(19.32±2.13)d，明顯低于對照組患者[(29.46±2.98)d]，差異有統計學意義(P<0.05)。結論對脛骨平檯骨摺患者實施綜閤優質護理，可以明顯改善其膝關節恢複程度，併且可以提高患者對護理的滿意程度，具有重要的臨床價值。
목적：탐토종합호리간예대경골평태골절슬관절공능회복정도이급호리만의도적작용。방법선취중경삼협중심의원2012년1월~2013년12월수치적120례경골평태골절환자작위연구대상，장기분위실험조화대조조，매조60례。대조조채취상규호리，포괄건강교육、술전준비、예방병발증、감염예방등。실험조재실시상규호리적기출상행종합우질호리，포괄접진시종합호리、입원시종합호리、환자적심리호리、주원기종합호리、치료시종합호리。비교량조환자주원시간、슬관절공능회복정도이급호리만의도적차이성。결과실험조환자슬관절공능능회복우량솔위93.3%(56/60)，명현고우대조조환자(70.0%，42/60)，량조비교차이유통계학의의(P<0.05)。실험조환자대호사태도적만의도위96.7%(58/60)、심리호리적만의도위100.0%(60/60)、건강선강적만의도위98.3%(59/60)、호리수평적만의도위100.0%(60/60)，균명현고우대조조[78.3%(47/60)、80.0%(48/60)、75.0%(45/60)、70.0%(42/60)]，차이균유통계학의의(균P<0.05)。실험조환자평균주원시간위(19.32±2.13)d，명현저우대조조환자[(29.46±2.98)d]，차이유통계학의의(P<0.05)。결론대경골평태골절환자실시종합우질호리，가이명현개선기슬관절회복정도，병차가이제고환자대호리적만의정도，구유중요적림상개치。
Objective To explore the effect of the comprehensive nursing intervention for tibial plateau fractures knee functional recovery and the nursing satisfaction. Methods 120 patients with fracture of tibial platform in Chongqing Three Gorges Central Hospital from January 2012 to December 2013 were selected as the research object, and randomly divided into experimental group and the control group, 60 cases in each group. Control group was taken routine nurs-ing care, including health education, preoperative preparation, prevention of complications, infection prevention, etc. On the basis of the conventional nursing care, the experimental group was taken the comprehensive quality comprehensive nursing care including comprehensive nursing on accepts, comprehensive nursing on admission, the patient’s psycho-logical nursing, comprehensive nursing on hospitalization period and the treatment. The differences between two groups of patients in hospital time, degree of knee joint function recovery and nursing satisfaction were compared. Results The knee joint function recovered fine rate of experimental group patients with was 93.3% (56/60), which was significantly higher than that of the control group (70.0%, 42/60), the comparison was significant difference (P<0.05). The satisfac-tion of patients in experimental group to nurses’attitude was 96.7% (58/60), the psychological nursing satisfaction was 100.0% (60/60), health preach satisfaction was 98.3% (59/60), the level of nursing satisfaction was 100.0% (60/60), which were significantly higher than those in the control group [78.3%(47/60), 80.0%(48/60), 75.0%(45/60), 70.0%(42/60)], with statistically significant differences (P< 0.05). The average hospitalization time of experimental group was (19.32±2.13) d, which was significantly lower than of the control group [(29.46±2.98) d], with statistically significant difference (P< 0.05). Conclusion Implementing the comprehensive quality nursing care in patients with fracture of tibial plateau can significantly improve the knee recovery degree, and improve the satisfaction of patients to nursing, and it has important clinical value.
