携带骨外固定支架出院患者针道自我护理的实施与效果评价

Practice and effect evaluation of self-nursing on the stent-tract in the discharged patients with orthopedic external fixation support

目的：探讨出院患者携带骨外固定支架,在家庭环境内实施针道自我护理,保证针道护理的效果与安全。方法选择携带骨外固定支架出院患者112例,设计制作针道自我护理材料；出院前指导,确保患者或家属掌握操作手法及护理要点；出院后定期护理复诊,提供持续护理支援。结果院外实施外固定支架针道自我护理期间,112例患者针道感染发生率为4.46%,112例患者,总计回院复查432次,节省回院复诊换药次数合计3940次,平均每例患者35.2次；节省医疗费用约43340元,平均每例387元。结论实施针道自我护理,为患者及家属节省了人力、时间及医疗费用,协助手术医生加强院外外固定支架管理,减少了护士的工作量。

Objective To investigate the effect evaluation of self-nursing on the stent-tract in the discharged patients with orthopedic external fixation support. Methods A total of 112 patients with orthopedic external fixation support were selected, and designed the self-nursing material. Before discharging guidance, make sure that the patient or patients′ family mastered the operation methods and nursing key points. After discharge, the continuing nursing support was provided. Results The incidence of infection was 4. 46%. All the 112 patients, the times of return visits were 432, and the times of changing the dressing were 3 940, with the mean times of 35. 2;The reducing the costs were 43 340, with the mean reducing of 387. Conclusions The self-nursing on the stent-tract in the discharged patients with orthopedic external fixation support can save the human resource, time and medical costs of the patients and patients′ family, it can also help the doctors with discharged treatment and reduce the work of nurses.