创伤性骨折术后红外线治疗及基于根本原因分析法的预见性护理研究

Infrared treatment of traumatic fractures and predictive nursing based on root cause analysis

目的:探讨创伤性骨折术后红外线治疗及基于根本原因分析法(root cause analysis,RCA)的预见性护理的应用效果。方法:选取2020年1月至2021年7月于江苏省人民医院接受创伤性骨折术的162例患者为研究对象,依据随机数表法分对照组与研究组,各81例。对照组于术后接受常规治疗、红外线治疗及康复护理,研究组在对照组的基础上接受基于RCA的预见性护理。出院前,对比两组视觉模拟量表(visual analog scale,VAS)评分、并发症发生率(包括压疮、肺部感染、深静脉血栓、关节僵直、便秘、泌尿感染)及肿胀度。结果:术后12 h,两组VAS评分相比,差异无统计学意义(P>0.05);术后24、48、72 h,两组VAS评分逐渐降低,且研究组患者的VAS评分明显低于对照组,差异有统计学意义(P<0.05)。研究组患者的并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。研究组患者的肿胀II、III度占比明显低于对照组,差异有统计学意义(P<0.05)。结论:创伤性骨折术后红外线治疗联合基于RCA的预见性护理可明显改善肿胀度、减轻疼痛,同时可有效降低并发症发生率,值得推广应用。

Objective:To explore the effect of infrared treatment after traumatic fractures and predictive nursing based on root cause analysis(RCA).Methods:A total of 162 patients who underwent traumatic fracture surgery in Jiangsu Provincial People’s Hospital from January 2020 to July 2021 were selected as the research subjects.According to the random number table method,they were divided into a control group and a study group,each with 81 cases.The control group received conventional treatment,infrared therapy,and rehabilitation nursing after surgery,and the study group received RCA-based predictive nursing on the basis of the control group.Before discharge,the visual analog scale(VAS)score,the incidence of complications(including pressure sores,lung infections,joint stiffness,constipation,urinary infection),and the degree of swelling were compared between the 2 groups.Results:At 12 h after operation,there was no significant difference in VAS score between the 2 groups(P>0.05);at 24,48,and 72 h after the operation,the VAS scores of the 2 groups gradually decreased,and the VAS score of the study group were significantly lower than that of the control group,and the difference were statistically significant(P<0.05).The complication rate of patients in the study group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).The proportion of degree Ⅱ and Ⅲ swelling in the study group were significantly lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion:Infrared therapy combined with RCA-based predictive care after traumatic fractures can significantly improve swelling,reduce pain,and effectively reduce the incidence of complications.