引用本文:罗建宏,卢国芳.[cn_title][J].[journal_cn_name],2018,[volume]([issue]):108-111.[点击复制]
laojianhong and Lu Guofang.[en_title][J].[journal_en_name],2018,[volume]([issue]):108-111.[点击复制]
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快速康复外科理念指导围手术期护理对四肢骨折患者术后生活质量的影响
罗建宏,卢国芳
0
(甘肃省民勤县医院骨外科)
摘要:
目的 探讨以快速康复外科理念指导围手术期护理,对四肢骨折患者预后影响。方法 回顾分析2015年1月至2016年12月在甘肃省民勤县医院手术治疗的361例四肢骨折患者的临床护理资料,其中204例患者应用了快速康复理念指导围手术期护理,为观察组。另157例患者给予常规护理为对照组。比较两组患者术后并发症、不良反应、疼痛评分、住院时间,随访比较两组骨折愈合时间及生活质量。结果 观察组术后并发症及不良反应发生率均低于对照组(P<0.05),术后住院时间及骨折愈合时间也短于对照组(P<0.05)。两组术后VAS评分均逐渐下降,但观察组低于对照组(P<0.05)。术后1、3个月观察组的生理职能、社会功能、情感职能、精神健康评分均高于对照组(P<0.05)。结论 应用围手术期快速康复外科理念指导围手术期护理可减少四肢骨折手术患者术后并发症发生率,缩短住院时间及骨折愈合时间,改善患者术后生活质量。
关键词:  快速康复外科理念  围手术期  护理  四肢骨折  生活质量
DOI:
基金项目:
Effect of the postoperative quality of life of patients with limbs fracture by the concept of rapid rehabilitation surgery on perioperative nursing
laojianhong,Lu Guofang
(Department of Bone surgery, the county hospital of Minqin)
Abstract:
Objective To investigate the effect on the prognosis of patients with limbs fracture guided by the concept of rapid rehabilitation surgery on perioperative nursing. Methods From January 2015 to December 2016, 361 patients with limbs fracture were treated in Minqin People’s hospital. According to the nursing methods, all of the patients who received surgical treatment were divided into control group and observation group. The patients in control group (n=157) received routine nursing. Meanwhile, 204 patients received perioperative nursing guided by the concept of rapid rehabilitation were selected into observation group. The postoperative complications, adverse reactions, postoperative hospitalization time and VAS scores between two groups were compared as well as the postoperative quality of life and fracture healing time. Results Complications and adverse reactions of the patients in observation group were significantly lower than those in control group (P<0.05). Postoperative hospitalization time and fracture healing time in observation group were significantly shorter than those in control group (P<0.05). The two groups of postoperative VAS score decreased, and VAS scores of the patients in observation group was significantly lower than that in control group (P<0.05). RP, SF, RE, MH in observation group were significantly higher than those in control group after 1 and 3 months respectively(P<0.05). Conclusion Guided by the concept of rapid rehabilitation surgery in perioperative nursing, the incidence rates of postoperative complications and adverse reactions could be reduced. And the time of hospitalization and fracture healing could be shortened with the postoperative quality of life being improved.
Key words:  Concept of rapid rehabilitation surgery  Perioperative period  Nursing  Limbs fracture  Quality of life

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