摘要
目的:分析患者参与式护理干预应用于骨科机器人辅助髋臼骨折微创手术患者中的临床效果。方法:选取北京积水潭医院于2020年1月—2023年6月收治的120例骨科机器人辅助髋臼骨折微创手术患者,按1∶1比例原则随机分为两组,对照组采用常规护理,观察组在此基础上采用患者参与式护理干预。对比两组术后康复效果、患者依从性等。结果:观察组出院后1个月、3个月的Harris髋关节量表评分高于对照组,术后4周、8周时的数字分级法疼痛评分低于对照组,术后并发症发生率低于对照组。护理后,观察组与身体、心理及主动学习有关的锻炼依从性高于对照组,正性情绪高于对照组,负性情绪低于对照组。结论:患者参与式护理干预应用于骨科机器人辅助髋臼骨折微创手术中,能够提高患者髋关节功能康复效果,增加患者康复锻炼依从性,减轻患者术后疼痛和负性情绪,减少术后并发症的发生。
Objective:To analyze the clinical effects of patient participatory nursing intervention on patients undergoing orthopedic robot-assisted surgery for acetabular fracture.Methods:120 acetabular fracture patients who underwent orthopedic robot-assisted surgery patients in Beijing Jishuitan Hospital from January 2020 to June 2023 were selected and randomly divided into the control group and the observation group by 1∶1.The control group received routine nursing care,while the observation group received patient participatory nursing intervention based on routine nursing care.The postoperative rehabilitation effects and patient compliance between the two groups were compared.Results:The Harris Hip Scores(HHS)of patients in the observation group were higher than those of the control group at 1 and 3 months after being discharged,and the NRS(Numerical Rating Scale)scores were lower than those of the control group at 4 and 8 weeks after surgery.The incidence of postoperative complications in the observation group was lower than that of the control group.After nursing intervention,the observation group had higher compliance on physical exercise,psychological exercise and active learning than the control group.Higher positive emotion and lower negative emotion achieved in the observation group than those in the control group.Conclusion:The application of patient participatory nursing intervention in orthopedic robot-assisted surgery for acetabular fracture can enhance the rehabilitation effect of hip joint function,improve patient compliance on rehabilitation exercise,alleviate postoperative pain and negative emotions,and reduce the occurrence of postoperative complications.
作者
果欣欣
GUO Xinxin(Department of Trauma Orthopedics,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035,China)
基金
国家重点研发计划项目(2022YFC2504304)
北京市科技计划项目(Z201100005420033)
北京积水潭医院院级科研基金项目(2023OSR-GCZX202205)。
关键词
患者参与式护理干预
骨科机器人
髋臼骨折
Patient Participatory Nursing Intervention
Orthopedic Robot
Acetabular Fracture
