摘要
目的下肢创伤后骨感染是影响患者术后康复和功能恢复的严重并发症,强化针对性护理措施有助于降低感染的发生。本研究探讨快速康复联合护理流程表对下肢创伤后骨感染患者的护理效果,以期为临床优化骨外科护理方案提供依据。方法选取我院2017-05-01-2017-12-31采用常规护理措施的75例下肢创伤后骨感染患者为对照组,2018-05-01-2017-12-31采用快速康复联合护理流程表护理干预的75例下肢创伤后骨感染患者为观察组,观察两种护理模式下患者的康复情况。结果观察组和对照组术后4d视觉模拟评分(visual simulation scoring,VAS)分别为(3.58±0.56)和(5.01±0.75)分,t=2.214,P=0.032;术后7dVAS评分分别为(2.64±0.48)和(3.11±0.52)分,t=1.997,P=0.048。观察组和对照组术后4d活动距离分别为(272.26±34.88)和(186.14±29.24)m,t=2.971,P=0.002;术后7d活动距离分别为(354.63±41.19)和(210.69±33.17)m,t=3.105,P<0.001。观察组患者术后下肢深静脉血栓发生12例,低于对照组的29例,差异有统计学意义,χ2=9.700,P=0.002,且观察组患者卧床时间和住院时间均较对照组缩短(均P<0.01)。结论采用快速康复联合护理流程表对下肢创伤后骨感染患者进行护理,可有效提高治疗效果,缩短康复时间,降低下肢深静脉血栓的发生风险。
OBJECTIVE The bone infection after lower limb trauma is one of the serious complications which influenced the postoperative rehabilitation and functional recovery after surgery.This study explores the nursing effect of rapid rehabilitation combined nursing flow chart on patients with bone infection after trauma to lower limbs,with a view to providing a basis for clinically optimized orthopedic nursing programs.METHODS A total of 75cases of patients with bone infection after trauma to the lower limbs who used conventional nursing measures admited to our hospital were selected as the control group from May 1to December 31,2017.In May 1to December 31,2018,75cases of patients with bone infection after lower extremity trauma who were treated with rapid rehabilitation combined with nursing flow chart were selected as the observation group.Rehabilitation of patients under the two nursing modes were observed.RESULTS The visual simulation scoring(VAS)scores of the observation group and the control group at 4days after operation were(3.58±0.56)and(5.01±0.75)points,t=2.214,P=0.032.VAS at 7days after operation were(2.64±0.48)and(3.11±0.52)points,t=1.997,P=0.048.The movement distances of the observation group and the control group after 4days were(272.26±34.88)and(186.14±29.24)m,t=2.971,P=0.002.The movement distances of 7days after operation were(354.63±41.19)and(210.69±33.17)m,t=3.105,P<0.001.In the observation group,12cases of lower extremity deep venous thrombosis occurred,which was lower than the control group(29cases).The difference was statistically significant,χ2=9.700,P=0.002,and the bed time and hospital stay of the observation group were shorter than those of the control group(all P<0.01).The postoperative 4dand 7dVAS scores in the observation group were(3.58±0.56)and(2.64±0.48),which were significantly lower than those in the control group(5.01±0.75)and(3.11±0.52),all P<0.05.Compared with the move distance(186.14±29.24),(210.69±33.17)m in 4dand 7dafter operation of control group,the observation group with the move distance(272.26±34.88),(354.63±41.19)m were significantly increased all P<0.05.There were 12patients in the observation group and 29patients respectively in the control group had lower incidence of lower limb deep venous thrombosis after surgery.The incidence in the observation group was significantly lower than that in the control group(χ2=9.700,P=0.002),and the length of bed rest and hospital stay in the observation group was significantly shorter than that in the control group(all P<0.01).CONCLUSION The rapid rehabilitation combined with nursing process sheet can effectively improve the treatment effect of bone infection after lower limb trauma,shorten the recovery time and reduce the risk of lower limb deep vein thrombosis.
作者
张斯棋
崔兴芬
ZHANG Si-qi;CUI Xing-fen(Department of Central Sterile Supply,Xinxiang Central Hospital,Xinxiang 453000,P.R.China)
出处
《社区医学杂志》
2020年第1期73-76,共4页
Journal Of Community Medicine
关键词
下肢创伤
骨感染
快速康复
护理流程表
lower limb trauma
bone infection
rapid recovery
nursing process sheet
