6-16,谢敏脊柱外伤骨折护理中医护一体化模式的应用研究,山西医药杂志).docxVIP

脊柱外伤骨折护理中医护一体化模式的应用研究Application Research of integrative model of TCM nursing for fracture nursing of spinal trauma【摘要】目的：探讨医护一体化护理模式应用在脊柱外伤骨折护理中的应用价值，以便为临床护理提供思路。方法：按照随机抽样的方式选择自愿接受本研究的脊柱外伤骨折患者88例进行研究，纳入研究对象有完整临床资料，签署知情同意书，纳入时间在2015年1月-2017年1月之间。按照随机数表法进行分组，每组44例，对照组患者按照常规护理模式处理，研究组患者则采取医护一体化护理模式处理。对两组患者对医生满意率、对护士满意率进行调查，记录他们的术中大出血率、术后并发症发生率及住院时间，并测评护理前后焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分及生活质量GQOL-74量表评分，利用统计学分析软件比较这些指标。结果：研究组患者术中大出血率、术后并发症发生率及住院时间均明显低于对照组（P0.05）；研究组患者对医生满意率、护士满意率均明显高于对照组（P0.05）；两组患者在护理前SAS、SDS评分均无差异（P0.05），护理结束后评价显示研究组均明显低于对照组（P0.05）；两组患者在护理前GQOL-74量表各个维度与总评分无差异（P0.05），护理结束后测评显示研究组均明显高于对照组（P0.05）。结论：医护一体化护理模式应用在脊柱外伤骨折护理中不仅能提高医生满意率、护士满意率，而且能缩短住院时间，减少术中大出血发生率与术后并发症发生率，甚至可以更好地改善患者的负面情绪，提高生活质量，值得推广应用。【关键词】脊柱；外伤骨折；医护一体化；负面情绪；生活质量Abstract: Objective: To explore the application value of integrated nursing care model in the nursing care of spinal trauma fractures, so as to provide ideas for clinical nursing. Methods: This study voluntarily accept the spinal trauma fractures in 88 patients were studied by random sampling method, included in the study with complete clinical data, signed informed consent, included in the time between January 2015 -2017 January. Grouped according to the random number table method, 44 cases in each group, control group patients according to routine nursing treatment, patients in study group were taken care of integrated nursing care model. Investigation on the rate of the two groups of nursing, satisfaction rate of doctor satisfaction, record the bleeding rate and the incidence of postoperative complications and hospitalization time of their operation, and evaluation of nursing before and after the self rating Anxiety Scale (SAS) score, self rating Depression Scale (SDS) score and GQOL-74 score of quality of life using statistical analysis software, compare these indicators. Results: the rate of hemorrhage, the incidence of postoperative complications and hospitalization time were significantly lower than the control group of patients