雷达图在老年脊柱骨折患者围手术期护理风险评估中的应用

Application of radar chart in perioperative nursing risk assessment of elderly patients with spinal fractures

目的:探讨雷达图在老年脊柱骨折患者围手术期护理风险评估中的应用。方法:2018年1月—2019年8月将某医院收治的老年脊柱骨折患者分为对照组41例,观察组46例。对照组采用护理常规进行单项风险评估,观察组填写自制的风险综合评估与措施单并绘制雷达图,作为评估首页与各单项评估单联合使用。观察比较两组患者疼痛评分、风险防范健康教育效果、护理风险防范服务满意度情况,记录并比较两组压力性损伤、肺部感染、急性低血压、并发症发生情况。结果:观察组患者的疼痛评分、护理相关并发症发生率低于对照组,风险防范健康教育知识知晓率高于对照组,差异均有统计学意义(P<0.05)。结论:在老年脊柱骨折患者围手术期护理风险评估中的应用雷达图,使多项风险评估可视化,规范了老年患者的疼痛管理,降低了相关护理并发症的发生,提高了风险防范健康教育效果和护理服务满意度。

Objective To investigate the application of radar chart in perioperative nursing risk assessment of elderly patients with spinal fractures.Methods Elderly patients with spinal fractures who were admitted and treated in a hospital from January 2018 to August 2019 were selected and they were divided into the control group(n=41)and the observation group(n=46).In the control group,nursing routine was used for single risk assessment.Patients in the observation group filled in the self-made risk comprehensive assessment and measure sheet and drew the radar chart,which was used as the front page of the assessment in combination with each single assessment sheet.The pain scores,risk prevention and health education effects and satisfaction degree of nursing risk prevention service of patients were compared between two groups.Incidence of pressure injury,pulmonary infection,acute hypotension and complications were recorded and compared between the two groups.Results The pain score and the incidence of nursing related complications in the observation group were lower than those in the control group while the awareness rate of risk prevention and health education knowledge were higher than those in the control group.The differences were statistically significant(P<0.05).Conclusions The application of radar chart in perioperative nursing risk assessment of elderly patients with spinal fractures can visualize multiple risks assessments,standardize pain management in elderly patients,reduce the occurrence of nursing related complications and improve the risk prevention and health education effects and nursing service satisfaction.