医护一体化模式对皮肤牵张器闭合胫骨骨折术后皮肤软组织缺损患者的效果评价

Effect of doctor-nurse integration nursing of skin stretcher for recovery of post-operative skin and soft tissue defects in tibia fractures

目的探讨医护一体化模式对皮肤牵张器闭合胫骨骨折术后皮肤软组织缺损患者的效果。方法回顾性分析2016年7月～2017年8月收治的66例胫骨骨折术后皮肤软组织缺损采用皮肤牵张器闭合缺损创面的患者,按实施医护一体化前后分为对照组34例和观察组32例。对照组采用常规医疗护理模式,观察组采用医护一体化模式,比较两组病人住院时间、满意率、并发症发生率以及HSS膝关节功能评分。结果观察组的病人满意率高于对照组,住院时间和并发症发生率低于对照组,差异均有统计学意义(P<0.05)。HSS膝关节功能评分两组无明显差异(P>0.05)。结论皮肤牵张器闭合胫骨骨折术后皮肤软组织缺损患者实施医护一体化护理模式可提高患者满意率,降低住院时间及并发症发生率,在临床推广应用。

Objective To discuss the effect of doctor-nurse integration nursing of skin stretcher applied for recovery of post-operative skin and soft tissue defects in tibia fractures.Methods The data of 66 patient with post-operative skin and soft tissue defects,recovered by skin stretcher in tibia fractures from July 2016 to August 2017 were analyzed,retrospectively.45 cases were divided into control group(34 cases)and observed group(32 cases),according to intervention.Traditional medical care nursing mode was applied in control group,while doctor-nurse integration nursing mode was applied in observed group.The length of hospital stay(LOS),satisfaction degree of patients,complication rate and HSS scores were observed.Results The satisfaction degree of patients in observed group was higher than that in control group,while LOS and complication rate in observed group was lower than that in control group,and the difference was statistically significant(P<0.05).HSS scores were not with significant difference between two groups.Conclusion Doctor-nurse integration nursing of skin stretcher applied for recovery of post-operative skin and soft tissue defects in tibia fractures has positive effect on improving satisfaction degree of patients and decreasing LOS and complication rate,and is worthy of clinical and nursing work.