下肢骨折石膏固定患者的护理需求及护理干预效果分析

作者单位:510045 广州,广东省广州市越秀区广州市正骨医院急诊科

 下肢骨折;石膏固定;护理;需求;措施

Analysis of Nursing Needs and Nursing Intervention Effect on Patients with Lower Limb Fracture Fixed with Gypsum

TAN Jingwen

 Lower Limb Fracture; Gypsum Fixation; Nursing; Needs; Measures

DOI: 10.3969/j.issn.1672-7185.2019.11.020

备注

 目的  探讨下肢骨折石膏固定患者的护理需求及护理干预效果。方法  选取广东省广州市越秀区广州市正骨医院2018年1月5日—12月20日收治的下肢骨折石膏固定患者,以1月5日—6月5日收治的400例作为对照组采用常规护理;以6月20日—12月20日收治的520例作为观察组,在了解患者护理需求后采取针对性护理措施;比较两组石膏折断率、并发症发生率及护理满意度。结果  观察组石膏折断率31.15%,高于对照组的46.00%,差异有统计学意义( χ2值21.237,P<0.05)。观察组总并发症发生率0.58%,低于对照组的9.00%,差异有统计学意义(χ2值39.514,P<0.05)。观察组护理满意度为95.96%,高于对照组的79.75%,差异有统计学意义(χ2值60.276,P<0.05)。结论  了解患者的护理需求并给予针对性护理措施,可以提高下肢骨折石膏固定患者的护理满意度,降低石膏折断率及并发症发生率,值得推广。
Objective To explore the nursing needs of patients with lower limb fracture fixed with gypsum and the effect of nursing intervention. Methods  The patients with lower limb fracture treated by gypsum fixation in Guangzhou Zhenggu Hospital from January 5th to December 20th 2018 were selected. A total of 400 cases admitted from January 5th to June 5th as control group were given routine nursing care, and 520 cases admitted from June 20th to December 20th as observation group were treated with targeted nursing measures after understanding the nursing needs of patients. The rate of gypsum breakage, incidence of complications and nursing satisfaction between the two groups were compared. Results  The breakage rate of gypsum in the observation group was 31.15%, which was significantly higher than 46.00% in the control group(χ2=21.237, P<0.05). The total incidence of complications in the observation group was 0.58%, which was significantly lower than that in the control group(9.00%)(χ2=39.514, P<0.05). The nursing satisfaction of the observation group was 95.96%, which was significantly higher than 79.75% of the control group(χ2=60.276, P<0.05). Conclusion  Understanding the nursing needs of patients and giving targeted nursing measures can improve the nursing satisfaction of patients with lower limb fracture treated with gypsum fixation, and reduce the rate of gypsum breakage and complications, which is worthy of promotion.