以奥马哈系统为基础的护理干预在骨折患儿中的应用效果

Application effect of nursing intervention based on the Omaha system in children with fractures

目的探究以奥马哈系统为基础的护理干预在骨折患儿中的应用效果。方法以2020年1月至2021年12月昆山市第一人民医院收治的100例骨折患儿作为本研究对象,依据护理方式的不同分为对照组(50例)和观察组(50例)。对照组施行常规护理,观察组在对照组的基础上增加以奥马哈系统为基础的护理干预。比较2组患儿骨痂出现、骨折愈合及骨性愈合的时间,护理前后的应激指标、骨代谢指标,以及家长对护理的满意率。结果观察组患儿骨痂出现、骨折愈合及骨性愈合的时间均早于对照组,家长对护理的总满意率高于对照组(P均<0.05)。出院时及出院2个月后,2组的血清骨钙素(OCN)、骨形态发生蛋白-2(BMP-2)和骨保护素(OPG)水平均高于护理前,血清促甲状腺激素(TSH)、肾上腺素(E)及皮质醇(Cor)水平均低于护理前(P均<0.05);观察组的OCN、BMP-2、OPG水平均高于同期对照组,Cor、TSH、E水平均低于同期对照组(P均<0.05)。结论在骨折患儿中实施以奥马哈系统为基础的护理干预,可缩短患儿的骨折愈合时间,改善其骨代谢水平,降低其机体应激水平,提高家长对护理的满意率。

Objective To study the application effect of nursing intervention based on the Omaha system in children with fractures.Methods A total of 100 children with fractures admitted to the First People’s Hospital of Kunshan from January 2020 to December 2021 were selected as the study subjects.According to different nursing methods,they were divided into the control group(50 cases)and the observation group(50 cases).The control group was given routine nursing,and the observation group was given nursing intervention based on the Omaha system in addition to the control group.The time of callus appearance,fracture healing,and bony union,stress indicators before and after nursing,bone metabolism indicators,and nursing satisfaction rate of parents were compared between the two groups.Results The time of callus appearance,fracture healing,and bony union in observation group was shorter than that in the control group,and the overall nursing satisfaction rate of parents was higher than that in the control group(all P<0.05).At discharge and 2 months after discharge,the serum levels of osteocalcin(OCN),bone morphogenic protein-2(BMP-2),and osteoprotectin(OPG)were higher than those before nursing,and the serum levels of thyroid-stimulating hormone(TSH),epinephrine(E),and cortisol(Cor)were lower than those before nursing(all P<0.05).The levels of OCN,BMP-2,and OPG in the observation group were higher than those in the control group,and the levels of Cor,TSH,and E in the observation group were lower than those in the control group(all P<0.05).Conclusion The implementation of nursing intervention based on the Omaha system in children with fractures can shorten the time of fracture healing,improve the level of bone metabolism,reduce the level of stress,and improve the nursing satisfaction rate of parents.