科室一级护理质控联合负压封闭引流在四肢骨折患者中的应用效果分析

Application Effect Analysis of Primary Nursing Quality Control Combined with Negative Pressure Closed Drainage in Patients with Limb Fracture

目的:探讨与分析科室一级护理质控联合负压封闭引流(VSD)在四肢骨折患者中的应用效果.方法:选取2019年12月—2022年12月我院收治的63例四肢骨折手术患者为研究对象,根据1:1随机掷硬币原则分为质控组(n=32)与对照组(n=31).2组给予负压封闭引流,对照组给予常规护理,质控组在此之上增加科室一级护理质控,护理14 d,比较2组的预后效果差异.结果:所有患者都顺利完成VSD,质控组护理14 d期间的创面坏死、创面感染、压疮、静脉血栓等并发症发生率为3.13%,低于对照组的19.35%,差异有统计学意义(P<0.05).质控组的术后创面愈合与术后住院时间均短于对照组,组间差异有统计学意义(P<0.05).质控组护理第1、3、7、14 d的疼痛视觉模拟评分均低于对照组,组间差异有统计学意义(P<0.05).护理第14 d质控组的护理满意度为100.00%,高于对照组的83.87%,差异有统计学意义(P<0.05).结论:科室一级护理质控联合VSD在四肢骨折患者中的应用能降低并发症发生率,有利于缩短患者的术后创面愈合时间与术后住院时间,还能缓解患者的疼痛状况,提高患者的护理满意度.

Objective:To explore and analyze the application effect of primary nursing quality control combined with vacuum sealing drainage(VSD)in patients with limb fractures.Methods:63 patients with limb fracture surgery admitted to our hospital from December 2019 to December 2022 were selected as the research objects.According to the principle of 1:1 random coin toss,they were divided into a quality control group(n=32)and a reference group(n=31).The two groups were given vacuum sealing drainage,the reference group was given routine nursing,and the quality control group was added with primary nursing quality control for 14 days.The prognosis effect of the two groups was compared.Results:All patients successfully completed VSD.During 14 days of nursing,the incidence of complications such as wound necrosis,wound infection,pressure ulcer and venous thrombosis in the quality control group was 3.13%,which was lower than 19.35%in the reference group,and the difference was statistically significant(P<0.05).The postoperative wound healing time and postoperative hospital stay of the quality control group were shorter than those of the reference group,and the differences between the two groups were statistically significant(P<0.05).The pain Visual Analogue Scale scores of the quality control group on the 1st,3rd,7th and 14th day of nursing were lower than those of the reference group,and the differences between the two groups were statistically significant(P<0.05).On the 14th day of nursing,the nursing satisfaction of the quality control group was 100.00%,which was higher than 83.30%of the reference group,and the difference was statistically significant(P<0.05).Conclusion:The application of primary nursing quality control combined with VSD in patients with limb fractures can reduce the incidence of complications,shorten the postoperative wound healing time and postoperative hospital stay of patients,relieve the pain of patients,and improve the nursing satisfaction of patients.