摘要
目的:探讨与分析小组焦点访谈法优质护理干预模式对肋骨骨折行胸腔闭式引流术后患者的影响.方法:选择2020年1月—2023年2月在我院接受胸腔闭式引流术的79例肋骨骨折伴气胸患者为研究对象,随机将其分为焦点组(n=40)与对照组(n=39).对照组采用常规护理,焦点组在对照组护理的基础上采用小组焦点访谈法优质护理干预,护理14 d,记录2组患者的预后情况.结果:2组护理14 d后的抑郁自评量表与焦虑自评量表评分均低于护理前,且焦点组低于对照组,差异有统计学意义(P<0.05).焦点组护理14 d的引流管脱落、引流管阻塞、肺不张、感染、压疮等并发症发生率为5.00%,低于对照组的25.64%,差异有统计学意义(P<0.05).焦点组的下床活动时间、住院时间、胸痛缓解时间均短于对照组,组间差异有统计学意义(P<0.05).焦点组护理第14 d的护理满意度为100.00%,高于对照组的87.18%,差异有统计学意义(P<0.05).结论:小组焦点访谈法优质护理干预模式在肋骨骨折行胸腔闭式引流术后患者的应用能缓解焦虑、抑郁情绪,缩短患者的下床活动时间、住院时间、胸痛缓解时间,还可降低患者的并发症发生率,提高患者的护理满意度.
Objective:To explore and analyze the effect of high quality nursing intervention model by group focus interview on patients with rib fracture after thoracic closed drainage.Methods:79 patients with rib fracture and pneumothorax who underwent closed thoracic drainage in our hospital from January 2020 to February 2023 were selected as the research objects.Randomly divided them into a focus group(n=40)and a reference group(n=39).The reference group was given routine nursing,and the focus group was given high-quality nursing intervention by group focus interview on the basis of the reference group nursing.After 14 days of nursing,the prognosis of patients in the two groups was recorded.Results:After 14 days of nursing,the scores of Self-Rating Depression Scale and Self-Rating Anxiety Scale of the two groups were lower than those before nursing,and the scores of the focus group were lower than those of the reference group,and the differences were statistically significant(P<0.05).The incidence of complications such as drainage tube shedding,drainage tube obstruction,atelectasis,infection and pressure ulcer in the focus group was 5.00%,which was lower than 25.64%in the reference group,and the difference was statistically significant(P<0.05).The time to get out of bed,hospital stay,and chest pain relief in the focus group were shorter than those in the reference group,and the differences were statistically significant(P<0.05).The nursing satisfaction of the focus group on the 14th day of nursing was 100.00%,which was higher than 87.18%of the reference group,and the difference was statistically significant(P<0.05).Conclusion:The application of high-quality nursing intervention model based on group focus interview in patients with rib fractures after thoracic closed drainage can relieve anxiety and depression,shorten the time of out-of-bed activity,hospitalization time,chest pain relief time,reduce the incidence of complications,and improve the nursing satisfaction of patients.
作者
史小梅
SHI Xiaomei(Department of surgery,Qixia hospital of TCM,Qixia,Shandong 265300)
出处
《中国伤残医学》
2024年第8期131-134,共4页
Chinese Journal of Trauma and Disability Medicine
关键词
肋骨骨折
小组焦点访谈法
优质护理干预模式
气胸
胸腔闭式引流术
护理满意度
Fractured ribs
Group focus interview
High quality nursing intervention model
Pneumothorax
Closed thoracic drainage
Nursing satisfaction
