急诊护理中运用损伤控制理论对骨盆骨折病人预后的影响

Effect of injury control theory on the reduction of complications,mortality and quality of life in emergency nursing of patients with pelvic fracture

目的探讨急诊护理中运用损伤控制理论对骨盆骨折病人降低并发症、病死率和改善生活质量的影响。方法选择2013年1月至2016年10月无锡市第九人民医院骨盆骨折病人104例,按先后顺序分为对照组和观察组,各52例。对照组采用常规护理,观察组采用损伤控制理论护理。记录并比较两组骨盆骨折病人的预后效果、并发症发生率、病死率和生活质量评分。结果观察组住院时间、下床活动时间及骨折愈合时间均短于对照组,差异有统计学意义(P<0.05)。观察组总并发症发生率为5.77%,低于对照组的23.08%;观察组病死率为1.92%,低于对照组的19.23%,差异有统计学意义(P<0.05)。观察组护理后心理健康、社会功能、情感角色、生命力、躯体疼痛、角色、躯体功能、一般健康状况评分分别为(80.89±5.36)分、(88.79±2.46)分、(72.51±4.37)分、(79.96±5.89)分、(74.26±4.51)分、(68.85±5.03)分、(63.56±4.75)分和(89.92±5.32)分,均高于对照组,差异有统计学意义(P<0.05)。结论损伤控制理论应用于骨盆骨折病人急诊护理中效果显著,可明显提高骨盆骨折恢复效果,降低并发症发生率和病死率,改善生活质量,值得推广。

Objective To study the effect of injury control theory on the reduction of complications,mortality and quality of life in patients with pelvic fractures.Methods From January 2013 to October 2016,104 cases of pelvic fracture accepted by our hospital were divided into control group and study group,each with 52 cases.The control group was treated with routine nursing and the study group was treated with the theory of injury control.The prognosis,complication rate,mortality rate and quality of life score of two groups of pelvic fractures were observed and recorded,and compared and analyzed.Results The study group’s recovery rate was 96.15%,which was higher than 73.08%in the control group,and the difference was statistically significant(P<0.05).The incidence of total complication in the study group was 5.77%,which was lower than that in the control group(23.08%).The mortality rate of the study group was 1.92%,which was lower than that of the control group(19.23%).The difference was statistically significant(P<0.05).The study group after nursing mental health,social function,emotional role,vitality,physical pain,physical function,role,general health status scores were(80.89±5.36),(88.79±2.46),(72.51±4.37),(79.96±5.89),(74.26±4.51),(68.85±5.03),(63.56±4.75)%and(89.92±5.32)points,were higher than the control group,the difference was statistically significant(P<0.05).Conclusion The application of the theory of injury control in the emergency nursing of patients with pelvic fractures can significantly improve the recovery of pelvic fractures,reduce the incidence of complications and mortality,improve the quality of life,is worth promoting.