SWOT分析在门诊前臂骨折手法复位术后健康教育中的应用及效果

SWOT analysis in health education after manual reduction of forearm fracture in outpatient department and its nursing effect

目的研究优势、劣势、机会、威胁(SWOT)分析应用于门诊前臂骨折者手法复位手术后健康教育的效果和护理满意度。方法回顾性分析2015年10月~2016年10月内蒙古医科大学附属医院收治的136例前臂骨折患者资料。所有患者均采取门诊手法复位手术治疗,按照术后所采用护理方案分成2组,每组各68例;对照组采用常规性护理,观察组在常规性护理基础上增加SWOT分析健康教育。比较两组心理状态、并发症、前臂功能及护理效果的满意度。结果护理后两组心理状态较护理前均明显改善,且观察组心理状态优于对照组(P<0.01)。观察组并发症发生率低于对照组(P<0.05),前臂功能优于对照组(P<0.01)。观察组护理满意度高于对照组(P<0.01)。结论 SWOT分析应用于门诊前臂骨折手法复位手术后健康教育效果较好,能够改善患者负性心理,减少术后并发症,且利于恢复患者前臂功能,提高护理满意度,值得临床推广使用。

Objective To study the effects of SWOT （strengths, weaknesses, opportunities, threats） and analysis the ap- plication of health education after manual reduction for forearm fracture in outpatient department and its nursing satis- faction. Methods From October 2015 to October 2016, the clinical data of 136 patients with forearm fracture who had received treatment at the Affiliated Hospital of Inner Mongolia Medical University were analyzed.After outpatient manu- al reduction, the patients were divided into control group （68 cases） and observation group （68 cases） according to the different nursing options after the operation. The patients were given to routine nursing in the control group, and the patients were given to SWOT analysis in health education combined with routine nursing in the observation group. The psychological state, rate of complications, forearm function and nursing satisfaction in the two groups were compared. Results After nursing, the psychological state of the two groups had improved, and the psychological state of observa- tion group was better than that of control group （P 〈 0.01）. The rate of complications of the observation group was lower than that of the control group （P 〈 0.05）, and Forearm function in the observation group was better than that in the control group （P 〈 0.01）. The nursing satisfaction in the observation group was higher than that in the control group （P 〈 0.01）. Conclusion SWOT analysis has better effect in health education after manual reduction of forearm fracture in outpatients, which can improve the negative moods and nursing satisfaction of the patients, reduce postoperative com- plications and boost their forearm function. Therefore, it is worthy of clinical application.