综合护理在不稳定型骨盆骨折患者中的疗效观察

Curative effect observation on comprehensive nursing in patients with unstable pelvic fractures

目的探讨综合护理在不稳定型骨盆骨折患者的效果。方法本研究选取的研究对象为2014年3月—2015年5月在本院进行治疗的不稳定型骨盆骨折患者,将80例患者简单随机分为2组各40例。其中,对照组实施常规护理,观察组采用综合护理。比较两组骨折患者的并发症发生情况和心理状态。计量资料两组间比较采用独立样本t检验,组内比较采用配对t检验;计数资料比较采用χ2检验,P<0.05为差异有统计学意义。结果在经过护理后,观察组患者的并发症发生率(15.00%)显著少于对照组(40.00%),差异有统计学意义(P<0.05)。护理后两组患者心理状态[(53.69±10.27)、(54.48±10.19)分,(48.72±10.08)、(48.36±9.85)分]比较,差异均有统计学意义(均P<0.05)。护理前后两组患者焦虑自评量表(self-rating anxiety scale,SAS)、抑制自评量表(self-rating depression scale,SDS)评分比较,差异均有统计学意义(均P<0.05)。结论综合护理不稳定型骨盆骨折可以使并发症的发生率降低,提高患者的生活质量。

Objective To explore the curative effect observation on comprehensive nursing in patients with unstable pelvic fractures. Methods 80 patients with unstable pelvic fracture were conducted from March 2014 to May 2015, all subjects were randomly divided into 2 groups of 40 cases. The control group was given routine nursing, and the observation group was given comprehensive nursing. The complications and psychological status of the two groups were compared. Measurement data between two groups were compared using independent samples t test, intra-group comparison were compared by paired t test. Count data was used by chi square test, P〈0.05 was considered statistically significant. Results After nursing care, the incidence of complications in the observation group （15.00%） was significantly less than that in the control group （40.00%）, the difference was statistically significant （P〈0.05）. There were statistical differences of psychological states [（53.69 ± 10.27）, （54.48 ± 10.19）, （48.72± 10.08）, （48.36 ± 9.85） score] in two groups after nursing （all P〈0.05）. The scores of self-rating anxiety scale （SAS） and self-rating depression scale （SDS） in patients before and after nursing in two groups were significant differences （all P〈0.05）. Conclusion Unstable pelvic fractures by comprehensive nursing can reduce the incidence of complications and improve the quality of life of patients.