改变快速康复刻板印象护理模式对下肢骨折术后患者的影响

Effect of Changing the Stereotype of Rapid Recovery Nursing Model on Postoperative Patients with Lower Extremity Fracture

目的:分析改变快速康复刻板印象护理模式对下肢骨折术后患者的影响。方法:选取2020年8月—2021年2月中国人民解放军联勤保障部队第九一○医院收治的206例骨科术后患者进行前瞻性临床对照研究。将其随机均分为对照组(常规护理模式)和试验组(改变快速康复刻板印象护理模式),各103例。比较两组出院1个月随访时医嘱遵从情况(注意休息、避免早期负重、加强肌肉关节锻炼、加强营养、不适随诊)、规范运动执行情况(执行分期康复训练、注意动作规范性、严格控制训练时长、严格控制训练频率、主动寻找专业指导)、护理满意度和依从性。结果:患者出院1个月随访时,试验组医嘱遵从率均高于对照组,差异有统计学意义(P<0.05)。试验组范运动执行情况率均高于对照组,差异有统计学意义(P<0.05)。两组患者护理满意度、依从性比较,差异有统计学意义(P<0.05)。结论:基于心理干预和健康宣教,从认知层面改变下肢骨科术后患者对快速康复的刻板印象,有助于患者规范运动方式,增强遵医行为,提高护理依从性及满意度。

Objective:To analyze the effect of changing the stereotype of rapid recovery nursing model on postoperative patients with lower extremity fracture.Method:A prospective clinical control study was conducted on 206 orthopedic postoperative patients admitted to the 910th Hospital of the Joint Logistics Support Force of the People's Liberation Army of China from August 2020 to February 2021.They were randomly divided into control group(conventional nursing mode)and experimental group(changing the stereotype of rapid recovery nursing mode),103 cases in each group.The compliance with medical instructions(pay attention to rest,avoid early weight-bearing,strengthen muscle and joint exercise,strengthen nutrition,discomfort follow-up),standardized exercise implementation(perform phased rehabilitation training,pay attention to movement norms,strictly control training duration,strictly control training frequency,actively seek professional guidance),nursing satisfaction and compliance at 1-month follow-up were compared between the two groups.Result:At 1-month follow-up,the proportion of compliance with medical orders in experimental group was higher than that in control group,the difference was statistically significant(P<0.05).The proportion of exercise performance in experimental group was higher than that in control group,and the difference was statistically significant(P<0.05).There were significant differences in nursing satisfaction and compliance between the two groups(P<0.05).Conclusion:Based on psychological intervention and health education for patients after lower limb orthopedic surgery,changing the stereotypical impression of patients on rapid recovery from the cognitive level can help patients standardize their exercise mode,enhance their compliance behavior,improve nursing compliance and satisfaction.