摘要
目的:探讨Pender健康促进模式应用于四肢骨折病人中的临床效果。方法:回顾性分析行手术治疗的四肢骨折病人112例,按随机数字表法分为2组,各56例,对照组实施常规护理干预,观察组实施Pender健康促进模式干预。对比2组临床疗效、干预前后健康行为、负性情绪变化和术后患肢肿胀发生率。结果:观察组临床总有效率与对照组差异无统计学意义(P>0.05);干预1个月后,观察组心理健康、人际关系、躯体活动、健康责任感、压力管理、营养、健康行为总分均高于对照组(P<0.01),SAS和SDS评分均低于对照组(P<0.01);观察组术后7 d患肢Ⅰ级肿胀发生率低于对照组(P<0.01),Ⅱ级和Ⅲ级肿胀发生率与对照组差异均无统计学意义(P>0.05)。结论:Pender健康促进模式干预应用于四肢骨折病人疗效确切,可改善健康行为,减轻负性情绪和减少患肢肿胀发生。
Objective:To investigate the clinical effect of Pender health promotion model in the treatment of limb fractures.Methods:A total of 112 patients with limb fractures treated with surgery were divided into the control group and observation group according to the random number table(56 cases in each group).The control group was nursed using routine care,and the observation group was nursed using the Pender health promotion model care.The clinical efficacy,healthy behavior before and after intervention,negative emotion and incidence rate of postoperative limb swelling were compared between two groups.Results:There was no statistical significance in the total effective rate between two groups(P>0.05).The scores of the mental health,interpersonal relationship,physical activity,health responsibility,stress management,nutrition and healthy behavior in observation group after 1 month of intervention were higher than those in control group(P<0.01).The scores of SAS and SDS in observation group were higher than those in control group(P<0.01),the incidence rate of gradeⅠswelling in observation group after 7 d of operation were higher than that in control group,and the differences of the incidence rates of gradeⅡandⅢswelling between two groups were not statistically significant(P>0.05).Conclusions:Pender health promotion model care is effective in the treatment of limb fractures,which can improve the healthy behavior,and reduce the negative emotions and limb swelling.
作者
王晶晶
程蓓
施鸿飞
WANG Jing-jing;CHENG Bei;SHI Hong-fei(Department of Traumatic Orthopedics,Nanjing Drum Tower Hospital,Nanjing Jiangsu 210000,China)
出处
《蚌埠医学院学报》
CAS
2021年第2期259-262,共4页
Journal of Bengbu Medical College
基金
国家自然科学基金项目(81572132)。
