以SBAR模式为基础五常法护理在踝关节骨折患者中的应用

The application of five-routine nursing based on SBAR model in patients with ankle fracture

目的 分析以现状-背景-评估-建议(SBAR)模式为基础五常法护理在踝关节骨折患者中的应用效果。方法 将我院2020年6月~2022年6月期间收治的116例踝关节骨折患者采用随机数表法分为观察组(n=58)和对照组(n=58),对照组给予常规临床干预,观察组给予以SBAR模式为基础五常法护理干预,均干预6个月。比较两组的疼痛、踝关节运动、美国足踝外科协会踝后足(AOFAS)评分、并发症、生存质量核心量表(QLQ-C30)评分情况。结果 干预后观察组的静息(1.31±0.55分)和活动状态VAS评分(1.55±0.42分)均低于对照组(2.32±0.72分及2.69±0.64分);干预后观察组的踝关节伸度(7.91±0.83°)、屈度(25.95±2.45°)、旋前度(13.65±1.51°)、旋后度(17.49±1.88°)水平均高于对照组(6.35±0.72°、20.04±2.25°、10.42±1.25°、16.14±1.53°);干预后观察组的各项AOFAS评分(37.33±2.83分、42.93±4.34分、9.50±0.52分、89.77±8.20分)均高于对照组(32.23±3.56分、37.75±5.62分、8.02±0.79分、77.62±9.41分);观察组的各项并发症发生率(3.45%)低于对照组(17.24%);干预后观察组的各项QLQ-C30评分(68.71±7.25分、75.06±8.12分、70.39±5.69分、68.25±7.45分、66.83±7.28分)均高于对照组(59.26±5.65分、65.72±5.65分、62.07±6.52分、59.93±6.53分、58.66±6.26分),差异统计学有意义(P<0.05)。结论 踝关节骨折患者采用以SBAR模式为基础五常法护理干预能够在一定程度上缓解疼痛,改善踝关节功能,减少并发症,提高生命质量。

Objective To analyze the application effect of five-routine nursing care in patients with ankle fracture based on the status quo-background-evaluation-suggestion(SBAR)model.Methods 116 patients with ankle fracture admitted to our hospital from June 2020 to June 2022 were randomly divided into the observation group(n=58)and the control group(n=58).The control group was given routine clinical intervention,and the observation group was given five-routine nursing intervention based on the SBAR model,all of which were pre-intervention for 6 months.The pain,ankle joint movement,AOFAS score,complications,and QLQ-C30 score of the two groups were compared.Results After intervention,the VAS scores of the observation group in rest(1.31±0.55 points)and active state(1.55±0.42 points)were lower than those of the control group(2.32±0.72 points and 2.69±0.64 points);After intervention,the ankle joint extension(7.91±0.83°),flexion(25.95±2.45°),pronation(13.65±1.51°)and supination(17.49±1.88°)in the observation group were higher than those in the control group(6.35±0.72°,20.04±2.25°,10.42±1.25°,16.14±1.53°);After intervention,the AOFAS scores of the observation group(37.33±2.83 points,42.93±4.34 points,9.50±0.52 points,89.77±8.20 points)were higher than those of the control group(32.23±3.56 points,37.75±5.62 points,8.02±0.79 points,77.62±9.41 points);The incidence of complications in the observation group(3.45%)was lower than that in the control group(17.24%);After intervention,the QLQ-C30 scores of the observation group(68.71±7.25,75.06±8.12,70.39±5.69,68.25±7.45,66.83±7.28)were significantly higher than those of the control group(59.26±5.65,65.72±5.65,62.07±6.52,59.93±6.53,58.66±6.26),and the difference was significant(P<0.05).Conclusion The five-routine nursing intervention based on SBAR model for patients with ankle fracture can relieve pain,improve ankle function,reduce complications and improve quality of life to a certain extent.