风险识别框架下的预见性护理在跟腱断裂术后患者中的应用效果

Application effects of predictive nursing under risk identification framework in patients with Achilles tendon rupture after surgeries

目的:观察风险识别框架下的预见性护理在跟腱断裂术后患者中的应用效果。方法:选取2021年1月至2022年1月该院收治的66例跟腱断裂术后患者进行前瞻性研究,按照随机数字表法分为研究组与对照组各33例。对照组给予常规护理,研究组在对照组基础上给予风险识别框架下的预见性护理,比较两组Marland足部功能评分(MFS)评分、负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]评分、并发症发生率和护理满意度。结果:出院后1、3、6个月,研究组MFS评分高于对照组,差异有统计学意义(P<0.05);出院后3个月,两组SAS、SDS评分低于护理前,且研究组低于对照组,差异均有统计学意义(P<0.05);研究组并发症发生率为0,低于对照组的18.18%,差异有统计学意义(P<0.05);研究组护理满意度为93.94%,高于对照组的75.76%,差异有统计学意义(P<0.05)。结论:在常规护理基础上给予风险识别框架下的预见性护理可提高跟腱断裂术后患者MFS评分和护理满意度,降低负性情绪评分和并发症发生率,效果优于单纯常规护理。

Objective:To observe application effects of predictive nursing under risk identification framework in patients with Achilles tendon rupture after surgeries.Methods:66 patients with Achilles tendon rupture treated in this hospital from January 2021 to January 2022 were selected for the prospective study.According to the random number table method,they were divided into study group and control group,33 cases in each group.The control group was given routine nursing,while the study group was given predictive nursing under the risk identification framework on the basis of that of the control group.The Marland foot function score(MFS)score,the negative emotion[self-rating depression scale(SDS),selfrating anxiety scale(SAS)]score,the incidence of complications,and the nursing satisfaction were compared between the two groups.Results:1 month,3 months and 6 months after discharge,the MFS scores of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).3 months after discharge,the scores of SAS and SDS in the two groups were lower than those before the nursing,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the study group was 0,which was significantly lower than 18.18%in the control group,the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the study group was 93.94%,which was significantly higher than 75.76%of the control group,the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the predictive nursing under the risk identification framework can improve the MFS scores and the nursing satisfaction of the patients with Achilles tendon rupture after surgeries,and reduce the negative emotion scores and the incidence of complications.Moreover,it is superior to single routine nursing.