系統(tǒng)化護(hù)理在外固定支架手術(shù)治療四肢長(zhǎng)管狀骨骨折患者中的護(hù)理效果分析

張克艷

【摘要】 目的 研究系統(tǒng)化護(hù)理在外固定支架手術(shù)治療四肢長(zhǎng)管狀骨骨折患者中的護(hù)理效果。方法 84例行外固定支架手術(shù)治療的四肢長(zhǎng)管狀骨骨折患者， 按照護(hù)理方式的不同分為觀察組和對(duì)照組， 每組42例。對(duì)照組患者給予常規(guī)護(hù)理的方式， 觀察組患者在對(duì)照組基礎(chǔ)上給予系統(tǒng)化護(hù)理。比較兩組患者護(hù)理效果、護(hù)理滿意度以及并發(fā)癥發(fā)生情況。結(jié)果 觀察組患者的護(hù)理總有效率為92.86%， 顯著高于對(duì)照組的64.29%， 差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組患者的護(hù)理總滿意度為95.24%， 顯著高于對(duì)照組的66.67%， 差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組患者的并發(fā)癥發(fā)生率為9.52%， 顯著低于對(duì)照組的26.19%， 差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 系統(tǒng)化護(hù)理在外固定支架手術(shù)治療四肢長(zhǎng)管狀骨骨折患者中的護(hù)理效果顯著， 值得進(jìn)一步研究發(fā)展。

【關(guān)鍵詞】 系統(tǒng)化護(hù)理;外固定支架手術(shù);四肢長(zhǎng)管狀骨骨折;護(hù)理效果

【Abstract】 Objective? ?To study the nursing effect of systemic nursing in patients with long tubular bone fractures of extremities treated by external fixation. Methods? ?A total of 84 patients with long tubular bone fractures of extremities treated by external fixation were divided by different nursing methods into observation group and control group， with 42 cases in each group. The control group received conventional nursing， and the observation group received systemic nursing on the basis of the control group. The nursing effect， degree of satisfaction with nursing and occurrence of complications between the two groups. Results? ?The total effective rate of nursing in the observation group was 92.86%， which was significantly higher than 64.29% in the control group， and the difference was statistically significant （P<0.05）. The degree of satisfaction with nursing in the observation group was 95.24%， which was significantly higher than 66.67% in the control group， and the difference was statistically significant （P<0.05）. The incidence of complications in the observation group was 9.52%， which was significantly lower than 26.19% in the control group， and the difference was statistically significant （P<0.05）. Conclusion? ?Systemic nursing shows remarkable nursing effect in patients with long tubular bone fractures of extremities treated by external fixation， and it is worthy of further study.

【Key words】 Systemic nursing; External fixation; Long tubular bone fractures of extremities; Nursing effect

臨床上四肢長(zhǎng)管狀骨骨折是一種比較常見的骨折類型。在治療方面多采用外固定支架手術(shù)來進(jìn)行治療[1]。外固定支架手術(shù)主要是對(duì)患者傷口以及周圍受損組織進(jìn)行簡(jiǎn)易的處理和治療， 所以臨床操作比較簡(jiǎn)便， 應(yīng)用的范圍也比較廣[2]。但是在進(jìn)行處理的過程中仍然需要配合良好的護(hù)理工作， 如果護(hù)理不當(dāng)?shù)脑挘?有可能會(huì)引發(fā)患者產(chǎn)生多種并發(fā)癥， 其中主要包括滲血、感染等[3]。因此， 本次研究主要針對(duì)系統(tǒng)化護(hù)理在外固定支架手術(shù)治療四肢長(zhǎng)管狀骨骨折患者中的護(hù)理效果進(jìn)行分析， 具體內(nèi)容報(bào)告如下。

1 資料與方法

1. 1 一般資料 本次研究選取2017年11月～2018年10月收治的進(jìn)行外固定支架手術(shù)治療四肢長(zhǎng)管狀骨骨折患者84例， 按照護(hù)理方式的不同將其分為觀察組和對(duì)照組， 每組42例。

觀察組患者中男19例， 女23例;年齡24～58歲， 平均年齡（41.62±5.88）歲;開放性骨折22例， 閉合性骨折20例;腓骨骨折19例， 肱骨骨折15例， 股骨骨折8例。對(duì)照組患者中男18例， 女24例;年齡23～57歲， 平均年齡（41.58±6.20）歲;開放性骨折21例， 閉合性骨折21例;腓骨骨折18例， 肱骨骨折14例， 股骨骨折10例。兩組患者的性別、年齡、骨折類型、骨折部位等一般資料比較， 差異無統(tǒng)計(jì)學(xué)意義（P>0.05）， 具有可比性。