曲线型仰卧护理模式对骨科长期卧床患者的干预效果

Effect of Curve-Type Supine Nursing Mode on Orthopedic Patients with Long-Term Bed Rest

目的:探究曲线型仰卧护理模式对骨科长期卧床患者的干预效果.方法:选择2020年4-12月我院收治的60例骨科长期卧床患者作为研究对象,按随机数字表法分为观察组与对照组,各30例.其中对照组采用常规仰卧护理模式,观察组采用曲线型仰卧护理模式.比较2组术后护理后的压疮风险评估、舒适度、压疮发生率及腰背部功能.结果:护理前2组Braden评分比较,差异无统计学意义(P>0.05),护理后观察组Braden评分比对照组高,差异有统计学意义(P<0.05).护理后观察组生理状况、心理状况、社会状况及环境状况等舒适度评分均高于对照组,组间差异有统计学意义(P<0.05).护理后观察组压疮发生率低于对照组,差异有统计学意义(P<0.05).护理后2组患者Oswestry功能障碍指数(ODI)评分均较护理前降低,且观察组较对照组低,差异有统计学意义(P<0.05).结论:曲线型仰卧护理模式可以减少压疮风险,提高患者术后卧床舒适度,减少压疮发生率,同时提高其腰背部功能.

Objective:To explore the effects of curve-type supine nursing mode on orthopedic patients with long-term bed rest.Methods:60 cases of orthopedic postoperative patients in our hospital from April to December 2020 were selected as research objects,and were divided into an observation group and a control group according to random number table method,with 30 cases in each group.The control group adopted conventional supine nursing mode,and the observation group adopted curved supine nursing mode.The risk assessment,comfort,incidence of pressure injury and lower back function of the two groups were compared after postoperative care.Results:There was no statistically significant difference in Braden score between the two groups before nursing(P>0.05),but the Braden score in the observation group was higher than that in the control group after nursing,and the difference between the two groups was statistically significant(P<0.05).After nursing,the comfort scores of physiological,psychological,social and environmental conditions in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After nursing,the incidence of total stress injury in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After nursing,the Oswestry disability index(ODI)scores of both groups were lower than those before nursing,and the observation group was lower than the control group,with statistical significance(P<0.05).Conclusion:Curve-type supine nursing mode can reduce the risk of pressure ulcer,improve the postoperative bed comfort,reduce the incidence of stress injury,and improve the function of the lower back.