全程风险管理下的系统护理在脊柱骨折手术患者中的应用效果

Application effects of systemic nursing under whole course risk management in patients undergoing spinal fracture surgeries

目的:观察全程风险管理下的系统护理在脊柱骨折手术中的应用效果。方法:选取2020年1月至2022年1月该院收治的266例脊柱骨折手术患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各133例。对照组实施常规护理,观察组在对照组基础上实施全程风险管理下的系统护理。比较两组护理前后风险意识、自护能力[自我护理能力测定量表(ESCA)]、生命质量[健康调查简表(SF-36)]评分,以及不良事件发生率。结果:护理后,两组风险了解、风险管理、意识态度、行为动力等风险意识评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);护理后,两组自护责任感、自我概念、自我护理技能、健康知识水平等ESCA评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);护理后,两组SF-36评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组不良事件发生率为9.02%(12/133),低于对照组的19.55%(26/133),差异有统计学意义(P<0.05)。结论:全程风险管理下的系统护理应用于脊柱骨折手术患者可提高风险意识、自护能力、生命质量评分,降低不良事件发生率,效果优于常规护理。

Objective:To observe application effects of systemic nursing under whole course risk management in patients undergoing spinal fracture surgeries.Methods:A prospective study was conducted on 266 patients with spinal fracture surgeries admitted to this hospital from January 2020 to January 2022.According to the random number table method,they were divided into control group and observation group,133 cases in each group.The control group was given routine nursing,while the observation group was given the systemic nursing under whole process risk management on the basis of that of the control group.The scores of risk awareness,self-care ability[exercise of self-care agency scale(ESCA)]and quality of life[the MOS 36-item short form health survey(SF-36)]before and after the nursing,and the incidence of adverse events were compared between the two groups.Results:After the nursing,the risk awareness scores of risk understanding,risk management,awareness attitude and behavioral motivation in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the ESCA scores of self-care responsibility,self-concept,self-care skills and health knowledge level in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the SF-36 scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of adverse events in the observation group was 9.02%(12/133),which was lower than 19.55%(26/133)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The systemic nursing under the whole process risk management in the patients with spinal fracture surgeries can improve the risk awareness,self-care ability and quality of life score,and reduce the incidence of adverse events.Moreover,it is superior to the routine nursing.