临床护理路径对踝关节骨折手术围术期患者护理分析

Analysis of Clinical Nursing Pathway on Perioperative Nursing of Patients with Ankle Fracture

目的:分析临床护理路径对踝关节骨折手术围术期患者进行护理时的护理效果。方法:选取我院在2018年9月-2019年11月接受的70例踝关节骨折患者作为此次研究对象,按照一比一分组的方法将70例患者分为人数相同的2组。将接受常规护理模式的35例患者作为对照组,将接受临床围术期护理的35例患者作为观察组。通过对比2组患者护理满意度以及接受护理前后焦虑情绪和恐慌情绪评分,判断临床护理路径对踝关节骨折手术围术期患者的护理效果。结果:观察组患者护理满意度高于对照组,在接受护理前观察组和对照组焦虑情绪和恐慌情绪评分相差并不明显,P>0.05;在接受护理后观察组负性情绪明显缓解,观察组患者接受临床护理后治疗效果好于对照组,P<0.05;观察组患者QLI评分中各项分数较对照组患者提高程度更明显,Pv0.05;观察组患者踝关节运动度数护理后较对照组改善程度更明显,P<0.05;观察组患者Baird评分与AOFAS评分较对照组患者提高程度更明显,P<0.05;观察组患者踝关节肿胀程度评分与初始下地VAS评分护理后降低程度较对照组更明显,P<0.05;观察组患者并发症发生率较对照组患者显著降低,P<0.05。结论:踝关节骨折会影响患者的心理情绪和生活质量,在踝关节骨折围术期对患者实施临床护理,可以缓解患者的负性情绪,加快患者的恢复速度,提升患者的恢复效果,值得在临床治疗中进行借鉴。

Objective;To analyze the nursing effect of clinical nursing pathway on perioperative patients with ankle fracture.Methods:70 patietits with ankle fracture accepted in our hospital from September 2018 to November 2019 were selected as the research object.According to the method of one-to-one grouping,70 patients were divided into two groups with the same number.35 patients receiving routine nursing mode were used as the control group and 35 patients receiving clinical perioperative nursing were used as the experimental group.The nursing effect of clinical nursing pathway on perioperative patients with ankle fracture was judged by comparing the nursing satisfaction of the two groups and the scores of anxiety and panic before and after nursing.Results:The nursing satisfaction of patients in the experimental group was higher than that in the control group.There was no significant difference in the scores of anxiety and panic between the experimental group and the control group before receiving nursing,P>0.05;After receiving nursing,the negative emotion in the experimental group was significantly relieved.The treatment effect of patients in the experimental group was better than that in the control group(P<0.05);The scores of QLI in the experimental group were significantly higher than those in the control group(P<0.05);After nursing,the improvement of ankle motion degree in the observation group was more obvious than that in the control group(P<0.05);The Baird score and AOFAS score in the observation group were significantly higher than those in the control group(P<0.05);The ankle swelling score and initial VAS score in the observation group decreased more significantly after nursing than that in the control group(P<0.05);The incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:Ankle fracture will affect patientsvpsychological emotion and quality of life.The implementation of clinical nursing in the perioperative period of ankle fracture can alleviate patients' negative emotion,accelerate patients' recovery speed and improve patients' recovery effect,which is worthy of reference in clinical treatment.