个性化人文关怀联合手术室系统化护理在下肢骨折患者术中压力性损伤的效果

Effect of Personalized Humanistic Care Combined with Systematic Nursing in Operating Room on Pressure Injury in Patients with Lower Limb Fracture during Operation

目的:探讨个性化人文关怀联合手术室系统化护理在下肢骨折患者术中压力性损伤的效果。方法:研究对象为我院2020年2月-2022年8月进行手术诊治的98例下肢骨折患者,根据1:1随机信封法把患者分为观察组49例与对照组49例。对照组采用手术室系统化护理,观察组在对照组护理的基础上给予个性化人文关怀护理,观察组与对照组护理观察时间到术后7天,记录与判定压力性损伤发生情况。结果:观察组与对照组的体位安置时间、手术时间、术中出血量与术后住院时间比较,观察组更短(P<0.05)。观察组术后7天的压力性损伤发生率为2.0%,与对照组的14.3%相比有显著降低(P<0.05)。观察组术后7天的静脉血栓、肺部感染、切口感染、关节僵直等并发症发生率为4.1%,与对照组的18.4%相比有明显降低(P<0.05)。2组术后7天的凝血酶原时间与活化部分凝血酶原时间明显低于术前1天(P<0.05),观察组术后7天的凝血酶原时间与活化部分凝血酶原时间与对照组相比也显著降低(P<0.05)。观察组与对照组术后7天的护理满意度分别为100.0%和89.8%,观察组显著高于对照组的(P<0.05)。结论:个性化人文关怀联合手术室系统化护理在下肢骨折患者的应用能减少压力性损伤的发生,缩短体位安置时间,促进患者康复,还可降低压力性损伤等并发症的发生率,减少凝血酶原时间与活化部分凝血酶原时间,改善护患关系。

Objective:To explore and analysis the effects of personalized humanistic care combined with systematic nursing in operat-ing room on pressure injury in patients with lower limb fracture during operation.Methods:The study period were from February 2020 to August 2022.98 cases of patients with lower limb fractures who underwent surgery in a certain hospital were selected as the study sub-jects.Accorded to the 1:1 random envelope method,the patients were divided into the combination group of 49 patients and the control group of 49 patients.The control group were given systematic nursing care in the operating room.The combination group were given per-sonalized humanistic care care based on the nursing care in the control group.The nursing observation time of the combination group and the control group were 7 days after the operation,and the occurrence of stress injury were recorded and determined.Results:Compared with the control group,the postural placement time,operation time,intraoperative blood loss and postoperative hospital stay in the combi-nation group were shorter(P<0.05).The incidence of stress injury 7 days after operation in the combination group was 2.0%,which was significantly decreased compared with 14.3%in the control group(P<0.05).Compared with the control group,the incidence of venous thrombosis,pulmonary infection,incision infection,joint rigidity and other complications 7 days after surgery was lower in the combination group(4.1%vs.18.4%,P<0.05).The prothrombin time and activated partial prothrombin time at 7 days after surgery in the two groups were lower than that at 1 day before surgery,and the reduction in the combined group was more significant(P<0.05).The nursing satisfaction of the combination group was higher than that of the control group at 7 days after surgery(100.0%vs89.8%,P<0.05).Conclusion:The application of personalized humanistic care combined with systematic nursing in the operating room in pa-tients with lower limb fractures can reduce the occurrence of stress injury,shorten the time of positioning,promote the rehabilitation of patients,reduce the incidence of complications such as stress injury,reduce the prothrombin time and activated partial prothrombin time,and improve the nurse-patient relationship.