预见性护理提高骨科患者自我管理能力及降低院内感染的效果

Predictive nursing care for improving self-management and reducing the hospital infection of orthopedics patients

目的探讨预见性护理在提高骨科患者自我管理能力及降低院内感染中的效果。方法选取2013年4月-2016年1月接受治疗的骨科手术患者108例,采用随机数字表法将其分为对照组和观察组各54例。对照组给予常规护理,观察组采用预见性护理的方法,比较2组院内感染发生率、自我管理评分、疼痛评分(visual analog scale,VAS)及患者满意度。结果观察组院内感染发生率明显低于对照组,治疗1周后自我管理评分显著高于对照组;治疗3d后VAS评分显著低于对照组,满意度显著高于对照组。结论预见性护理能较好地提升骨科患者的自我管理能力,进而降低院内感染的发生率,减轻患者的痛苦,提高患者的满意度,有利于促进患者早日康复。

Objective To study the effect of predictive nursing care in improving the selfmanagement and reducing the nosocomial infection of orthopedic patients.Methods A total of 108 orthopedic patients receiving surgeries between April 2013 and January 2016 were selected and randomly divided into an observation group and a control group,each of 54.The control group was given routine nursing,while the observation group was provided with predictive nursing.The rate of the nosocomial infection,self-management score,visual analogue scale score and patients′satisfaction were compared between the two groups.Results The incidence of the nosocomial infection in the observation group was significantly lower than that in the control group.One week after the intervention,the self-management score and patients′satisfaction of the observation group were significantly higher than that of the control group.Three days after the treatment,the VAS score of the former group was significantly lower than that of the latter group.Conclusion Predictive nursing can effectively improve the self-management ability and significantly reduce the incidence of the nosocomial infection of orthopedic patients,relieving their pain and promoting their recovery.