护理质量敏感指标在生物陶瓷系统微创治疗早期股骨头坏死围术期护理中的应用

Application of nursing sensitive index in minimally invasive treatment of femoral head necrosis with ceramic rod

目的探讨护理质量敏感指标在生物陶瓷系统微创治疗早期股骨头坏死围术期护理中的应用效果.方法将70例实施β-磷酸三钙生物陶瓷系统微创治疗的股骨头坏死患者按照随机数字表法分为研究组与对照组,各35例.两组均给予骨科常规护理,研究组在此基础上给予护理质量敏感指标管理,干预前及干预1个月、3个月、6个月末采用视觉模拟评分法评定患者的疼痛程度,采用深静脉血栓危险因素评估量表评定患者的血栓发生风险,采用焦虑自评量表评定两组的焦虑情绪,比较两组不良事件发生率及护理工作满意度.结果干预后两组视觉模拟评分法、深静脉血栓危险因素评估量表及焦虑自评量表评分均较干预前显著下降(P<0.01),研究组较对照组下降更显著(P<0.01).研究组不良事件发生率显著低于对照组(P<0.05),护理满意率显著高于对照组(P<0.05).结论护理质量敏感指标可以有效缓解股骨头坏死患者生物陶瓷系统微创治疗围术期的疼痛程度及焦虑情绪,降低血栓发生风险及不良事件发生率,提高患者满意度.

Objective To observe the application effect of nursing sensitive index in minimally invasive treatment of femoral head necrosis with ceramic rod.Methods A total of 70 patients with avascular necro-sis of the femoral head treated withβTCP ceramic rod system were randomly divided into study group and control group.35 cases in each group.The two groups were given routine orthopedic nursing and the stud-y group was given nursing sensitive index management.Before the intervention and at the end of 1 month,3months and 6months,the pain degree of patients was assessed by visual analog score method,the risk of thrombosis was assessed by Autar scale,and the anxiety of the two groups was evaluated by SAS,the in-cidence of adverse events and nursing satisfaction were compared between the two groups.Results After the intervention.the VAS,Autar scale and SAS scores of the two groups were significantly lower than those before the intervention(P<0.01),and the reduction in the study group was more significant than that of the control group(P<0.01).The incidence of adverse events in the study group was significantly lower than that in the control group(P<0.05),and the nursing satisfaction rate was significantly higher than that in the control group(P<0.05).Conclusions Nursing sensitive indicators can effectively allevi-ate the pain and anxiety during the perioperative period of minimally invasive treatment of femoral head necrosis with bioceramic system,reduce the risk of thrombosis and the incidence of adverse events.and improve patient satisfaction.