基于医院社区一体化的回馈教学在骨科术后患者便秘管理中的应用

Application of feedback teaching based on hospital community integration in constipation management of patients after orthopedic surgery

目的 探究基于医院社区一体化的回馈教学在骨科术后患者便秘管理中的应用。方法 选取2016年12月至2018年12月于本院接受骨折治疗的123例患者为研究对象,按方便抽样法分为观察组和对照组,对照组患者61例行常规骨科管理干预,观察组患者62例在对照组的基础上行医院社区一体化回馈教学管理,连续干预两个月,根据非腹部手术后患者便秘评分细则及因素比较两组患者的便秘防控情况。结果 干预两个月后,失访6例,对照组58例,观察组59例,两组一般资料比较差异无统计学意义(P>0.05)。观察组术后首次及干预两个月后的便秘评分均低于对照组([3.11±2.42)分比(5.23±3.57)分、(2.56±2.14)分比(4.78±3.25)分],差异均有统计学意义(均P<0.05);观察组的排便训练依从性、腹部按摩依从性、饮食依从性均高于对照组(93.22%比72.41%、96.61%比79.31%、91.53%比77.59%),差异均有统计学意义(均P<0.05);观察组的便秘防控有效率明显高于对照组(94.92%比77.59%),差异有统计学意义(P<0.05)。结论 基于医院社区一体化的回馈教学管理对于提高骨科患者术后的便秘防控效果具有重要作用。

Objective To explore the application effect of feedback teaching based on hospital community integration in constipation management of patients after orthopedic surgery. Methods A total of 123 patients who underwent fracture treatment in our hospital from December 2016 to December 2018 were selected as the study subjects. They were divided into observation group and control group with the convenient sampling method. 61 patients in the control group were given routine orthopedic management intervention, and on the basis 62 patients in the observation group were given feedback teaching intervention based on hospital community integration, continuous intervention for two months. The constipation prevention and control situation of the two groups were compared according to non-abdominal surgery patients constipation score rules and factors. Results Two months after the intervention, 6 cases were lost during follow-up, there were 58 cases left in the control group, and 59 cases in the observation group. There was no statistically significant difference in the general data between the two groups (P>0.05). The score of constipation in the observation group after the operation and two months after the intervention were lower than those in the control group [(3.11±2.42) vs.(5.23±3.57),(2.56±2.14) vs.(4.78±3.25)], with statistically significant differences (P<0.05). The defecation training compliance, abdominal massage compliance, dietary compliance in the observation group were higher than those in the control group (93.22% vs.72.41%, 96.61% vs.79.31%, 91.53% vs.77.59%), with statistically significant differences (P<0.05). The constipation prevention and control efficiency of the observation group was significantly higher than that of the control group (94.92% vs.77.59%), with statistically significant difference (P<0.05). Conclusion Feedback teaching management based on hospital community integration plays an important role in improving the prevention and control of constipation after orthopedic surgery.