劉雪梅

[摘要]目的 研究系統(tǒng)化護(hù)理干預(yù)在骨外固定支架治療四肢長管狀骨骨折患者中的應(yīng)用效果。方法 選取2015年3月～2017年3月我院收治的98例四肢長管狀骨骨折患者作為研究對象，根據(jù)隨機(jī)數(shù)字表法分為干預(yù)組和對照組，每組各49例。對照組患者給予常規(guī)護(hù)理，干預(yù)組患者給予系統(tǒng)化護(hù)理干預(yù)，對比兩組患者的預(yù)后優(yōu)良率、自我護(hù)理管理評分、護(hù)理總滿意度及不良反應(yīng)總發(fā)生率。結(jié)果 干預(yù)組預(yù)后優(yōu)良率與護(hù)理總滿意度高于對照組（P<0.05）;兩組患者的自我護(hù)理管理評分均高于護(hù)理前，且干預(yù)組高于對照組（P<0.05）;干預(yù)組患者的不良反應(yīng)總發(fā)生率低于對照組（P<0.05）。結(jié)論 系統(tǒng)化護(hù)理干預(yù)對于骨外固定支架治療四肢長管狀骨骨折患者，能夠有效改善患者的預(yù)后情況，提高患者的護(hù)理滿意度，且安全有效，值得臨床應(yīng)用。

[關(guān)鍵詞]系統(tǒng)化護(hù)理干預(yù);骨外固定支架術(shù);四肢長管狀骨;護(hù)理滿意度

[中圖分類號] R473.6? ? ? ? ? [文獻(xiàn)標(biāo)識碼] A? ? ? ? ? [文章編號] 1674-4721（2019）6（c）-0244-03

[Abstract] Objective To study the application effect of systematic nursing intervention on patients with long bone fractures of extremities treated with external fixation. Methods A total of 98 patients with long bone fractures of the extremities treated in our hospital from March 2015 to March 2017 were selected as the subjects. By random number table method， they were divided into intervention group and control group， with 49 cases in each group. In the control group， routine care was used， while in the intervention group， systematic nursing intervention was provided. The good prognosis rate， self-care management score， total nursing satisfaction and total incidence of adverse reactions were compared between the two groups. Results The good prognosis rate and total nursing satisfaction of the intervention group were higher than those of the control group （P<0.05）. The self-care management scores of the two groups were higher than those before nursing， and the scores in the intervention group were higher than those in the control group （P<0.05）. The total incidence of adverse reactions was lower than that in the control group （P<0.05）. Conclusion Systematic nursing intervention in patients with long bone fractures of the extremities treated with external fixation can effectively improve the prognosis of patients， and increase patients′ satisfaction on nursing. It is safe and effective， and worthy of clinical application.

[Key words] Systematic nursing intervention; External fixation stent; Long bone of four extremities; Nursing satisfaction

四肢長管狀骨骨折是骨科常見的疾病，相關(guān)研究顯示長管狀骨周圍常常分布著肌肉的止點，在外力作用下，可通過長骨傳導(dǎo)而引起相應(yīng)部位的骨折[1]。近年來隨著社會老齡化的進(jìn)程，長管狀骨骨折的患者不斷增加，其致殘率也隨之增高[2]。臨床中手術(shù)是治療本病最有效的方法[3]，但完美的手術(shù)并不意味著功能的完全恢復(fù)，還需術(shù)后康復(fù)治療，而術(shù)后康復(fù)期是一個漫長的過程，患者需要優(yōu)質(zhì)的護(hù)理及正規(guī)的指導(dǎo)，但傳統(tǒng)護(hù)理方式易導(dǎo)致患者預(yù)后情況欠佳，護(hù)理滿意度較低，且增加術(shù)后不良反應(yīng)發(fā)生的風(fēng)險，影響患者術(shù)后康復(fù)，給患者日后生活帶來諸多不便[4]。近年來，系統(tǒng)化護(hù)理干預(yù)凸顯出其優(yōu)勢，本研究選取98例四肢長管狀骨骨折患者作為研究對象，旨在探討系統(tǒng)化護(hù)理干預(yù)在骨外固定支架治療四肢長管狀骨骨折患者中的應(yīng)用效果，現(xiàn)報道如下。

1資料與方法

1.1一般資料