摘要
目的探讨集束化护理对胫骨骨折患者围术期生活质量、凝血指标及并发症的影响。方法选取2016年4月一2017年3月该院胫骨骨折患者136例为研究对象，根据数字表法，随机分为对照组和观察组，各68例。对照组实施常规的护理措施，观察组采取集束化干预措施。比较两组患者围术期生活质量、凝血指标、并发症情况。结果实验组患者的日常生活能力、肢体运动情况以及临床疗效等均显著高于对照组，差异有统计学意义（均P〈0．05）。实验组患者PLT水平接近正常水平，显著高于对照组，D—D和FIB比较发现，实验组显著低于对照组，差异均有统计学意义（均P〈0．05）。此外，与对照组比较，实验组的TP和APTT显著延长，差异均有统计学意义（均P〈0．05）。实验组的并发症发生情况低于对照组，差异有统计学意义（P〈0．05）。实验组患者的生活质量高于对照组，差异有统计学意义（P〈0．05）。实验组患者的满意度显著高于对照组，差异有统计学意义（P〈0．05）。结论集束化干预措施在胫骨骨折患者围术期可以显著提高患者的生活质量，降低凝血指标，从而减少并发症的发生，值得临床推广应用。
Objective To explore the effect of cluster intervention on quality of life, coagulation indicator and complications in the perioperative period of tibial fracture. Methods A total of 136 patients with tibial fractures from April 2016 to March 2017 were selected as study objects, and were randomly divided into control group and observation complications were compared between the two groups during the perioperative period. Results The daily living ability, limb movement and clinical efficacy of the experimental group were significantly higher than those of the control group, and the differences were statistically significant （ P〈0. 05 ）. PLT level in the experimental group was close to normal level, and was significantly higher than the control group. D-D and FIB were compared, and the differences were sta- tistically significant （P〈0. 05）. In additiori, compared with the control group, TP and AP＇I^I＂ in the experimental group were significantly prolonged, and the differences were statistically significant （P〈0. 05 ）. The incidence of corn- than the control group, and the difference was statistically significant （P〈0. 05）. The satisfaction of patients in the ex- perimental group was significantly higher than the control group, and the difference was statistically significant （P〈 0. 05 ）. Conclusion The cluster intervention measures in tibial fracture patients in the perioperative period can signifi- cantly improve the quality of life of patients, reduce coagulation indicator, and reduce the incidence of complications in a certain extent. It is worthy of clinical application.
作者
吴忠玲
崔益珍
Wu Zhongling;Cui Yizhen(Department of Orthopedics,Nantong Hospital of Traditional Chinese Medicine,Nantong 226001,China)
出处
《国际护理学杂志》
2018年第20期2756-2760,共5页
international journal of nursing
关键词
集束化干预措施
生活质量
凝血指标
胫骨骨折
Cluster interventions
Quality of life
Coagulation indicator
Tibial fracture
