每日目标化管理模式联合快速康复护理路径在跟腱断裂患者中的应用

Application of daily targeted management model combined with rapid rehabilitation nursing pathway in patients with Achilles′tendon rupture

目的探讨每日目标化管理模式联合快速康复护理路径在跟腱断裂患者中的应用价值。方法选择2019年6月—2021年6月60例行跟腱修复手术的跟腱断裂患者为研究对象,根据随机数字表法将其分为对照组及干预组,每组30例。对照组患者接受跟腱修复围术期常规护理,干预组按照快速康复计划建立护理路径并结合每日目标化管理模式进行护理。比较2组患者术后疼痛评分与口渴评分及患肢肿胀时间、术后并发症发生率、护理满意度评分及平均住院时间。结果干预组患者术后疼痛评分及口渴评分低于对照组,患肢肿胀持续时间及平均住院时间均短于对照组,护理满意度评分高于对照组,差异有统计学意义(P<0.05)。干预组患者切口感染发生率和肌肉萎缩发生率分别为3.33%(1/30)、0,分别低于对照组的26.67%(8/30)、20.00%(6/30),差异有统计学意义(P<0.05)。结论每日目标化管理联合快速康复护理路径在跟腱断裂围术期护理中有明显优势,可减轻患者术后疼痛及肿胀程度,促进早期离床活动,降低术后感染、肌肉萎缩等并发症发生率。对患者进行目标化管理有利于护士精准执行,能够提高患者的参与度和护理质量。

Objective To explore the application of daily targeted management combined with rapid rehabilitation nursing pathway in patients with Achilles′tendon rupture.Methods From June 2019 to June 2021,60 patients with Achilles′tendon rupture undergoing repair surgery were selected and randomly divided into control group(n=30)and intervention group(n=30).The patients in the control group were given perioperative routine nursing of Achilles′tendon repair,and the intervention group was given rapid rehabilitation nursing pathway combined with daily targeted management.Postoperative pain score,thirst score,swelling time of affectedlimb,incidence of postoperative complications,nursing satisfaction score and average length of hospital stay were compared between the two groups.Results The postoperative pain score and thirst score of the intervention group were lower than that of the control group,the duration of swelling of the affected limb and the average length of hospital stay were shorter than that of the control group,and the nursing satisfaction score was higher than that of the control group,the differences were statistically significant(P<0.05).The incidence rates of incision infection and muscle atrophy in the intervention group were 3.33%(1/30)and 0,respectively,which were lower than 26.67%(8/30)and 20.00%(6/30)in the control group(P<0.05).Conclusion Daily targeted management combined with rapid rehabilitation nursing pathway has obvious advantages in perioperative nursing of Achilles′tendon rupture,which can relieve postoperative pain and swelling degree,promote early removal from bed,and reduce incidence rate of complications such as postoperative infection and muscle atrophy.Targeted management of patients is conducive to accurate execution by nurses and can improve patients′participation and nursing quality.