趙瑩 王芳 趙玉雙
【摘 要】目的:研究探討優(yōu)質(zhì)護(hù)理服務(wù)對(duì)多根多段肋骨骨折合并血?dú)庑氐挠绊?。方法:?jīng)患者同意后在我院2019年1月-2019年10月的多段肋骨骨折患者中選取80例并隨機(jī)均分為對(duì)照組和觀察組。對(duì)照組實(shí)施常規(guī)護(hù)理,觀察組實(shí)施優(yōu)質(zhì)護(hù)理,對(duì)兩組的護(hù)理質(zhì)量、護(hù)理滿意度和環(huán)境進(jìn)行評(píng)分對(duì)比。結(jié)果:觀察組的護(hù)理質(zhì)量、護(hù)理滿意度和環(huán)境評(píng)分高于對(duì)照組,且P<0.05,差異具有統(tǒng)計(jì)學(xué)意義。結(jié)論:優(yōu)質(zhì)護(hù)理服務(wù)可以在提高護(hù)理質(zhì)量的前提下提高患者滿意度,減輕患者術(shù)后疼痛,值得在臨床中推廣。
【關(guān)鍵詞】?jī)?yōu)質(zhì)護(hù)理服務(wù);多根多段肋骨骨折;血?dú)庑?/p>
Effect of quality nursing services on multiple multi-segment rib fractures with blood pneumothorax
Zhao Ying? Wang Fang? Zhao Yushuang
Binzhou People's Hospital? Binzhou, Shandong? 256600
Abstract:Objective To study the effect of high-quality nursing services on multiple multi-segment rib fractures with hemopneumothorax. Methods: With the consent of patients, 80 patients with multi-segment rib fractures in our hospital from January 2019 to October 2019 were selected and randomly divided into control group and observation group. The control group was given routine nursing care, and the observation group was given high-quality care. The nursing quality, nursing satisfaction and environment of the two groups were scored and compared.Results: The quality of care, nursing satisfaction, and environmental scores in the observation group were higher than those in the control group, and P <0.05, the differences were statistically significant. Conclusion: High-quality nursing services can improve patient satisfaction and relieve postoperative pain on the premise of improving the quality of care, which is worthy of promotion in the clinic.
Key words: quality nursing services; multiple rib fractures; pneumothorax
【中圖分類號(hào)】R473.6【文獻(xiàn)標(biāo)識(shí)碼】B【文章編號(hào)】1005-0019(2020)11--02
對(duì)多根多段肋骨骨折合并血?dú)庑刂委煼椒ǘ酁槭中g(shù)治療,再實(shí)施治療期間對(duì)患者的護(hù)理工作與患者的康復(fù)時(shí)間有著直接聯(lián)系。本次研究主要是探討優(yōu)質(zhì)護(hù)理服務(wù)對(duì)多根多段肋骨骨折合并血?dú)庑氐挠绊憽?/p>
1 資料與方法
1.1 一般資料
經(jīng)患者同意后在我院2019年1月-2019年10月的多段肋骨骨折患者中選取80例并隨機(jī)均分為對(duì)照組和觀察組。觀察組男25例,女15例;對(duì)照組男29例,女11例。兩組患者的一般資料無明顯差異,具有可比性(P>0.05)
1.2 方法
對(duì)照組進(jìn)行常規(guī)護(hù)理,觀察組在常規(guī)護(hù)理的基礎(chǔ)上進(jìn)行優(yōu)質(zhì)護(hù)理。優(yōu)質(zhì)護(hù)理具體方法如下:(1)強(qiáng)化基礎(chǔ)護(hù)理,加強(qiáng)對(duì)患者的基礎(chǔ)指標(biāo)的監(jiān)測(cè)記錄,針對(duì)患者實(shí)際情況制定對(duì)癥護(hù)理方案并實(shí)施。(2)心理護(hù)理,在護(hù)理過程中及時(shí)與患者和患者家屬進(jìn)行交流溝通,提高患者和患者家屬的配合度。(3)疼痛護(hù)理,使用科學(xué)手段減輕患者痛苦。(4)預(yù)防感染,減少術(shù)后并發(fā)癥發(fā)生率[1]。
1.3 觀察指標(biāo)
護(hù)理度滿意、護(hù)理質(zhì)量和環(huán)境評(píng)分都與患者滿意度呈正比(滿分100分)。
1.4 統(tǒng)計(jì)學(xué)分析
以SPSS23.0處理相關(guān)數(shù)據(jù),計(jì)量資料采用( ± s)表示,采用t檢驗(yàn),計(jì)數(shù)資料用百分比表示,采用c2檢驗(yàn),P<0.05本次研究具有統(tǒng)計(jì)學(xué)意義。
2 結(jié)果
觀察組的護(hù)理質(zhì)量、護(hù)理滿意度和環(huán)境評(píng)分高于對(duì)照組,且P<0.05,差異具有統(tǒng)計(jì)學(xué)意義,見表1。
3 討論
多根多段肋骨骨折合并血?dú)庑厥前l(fā)生率較高的骨科病,導(dǎo)致多根多段肋骨骨折合并血?dú)庑匕l(fā)生的原因多為工傷或者交通意外導(dǎo)致,所以較為鋒利的骨折端往往會(huì)刺破胸膜,從而形成血?dú)庑?。?fù)雜的病情不僅增加了治療難度,還增加了此項(xiàng)疾病的致死率。
對(duì)照組的常規(guī)護(hù)理注重患者及基礎(chǔ)數(shù)據(jù)監(jiān)測(cè)和患者的并情發(fā)展。觀察組的優(yōu)質(zhì)護(hù)理不僅對(duì)傳統(tǒng)的常規(guī)護(hù)理進(jìn)行強(qiáng)化,以患者的實(shí)際情況為根據(jù),針對(duì)性的制定護(hù)理方案。在進(jìn)行患者病情監(jiān)測(cè)的同時(shí)優(yōu)質(zhì)護(hù)理服務(wù)注重針對(duì)性對(duì)患者進(jìn)行心理調(diào)節(jié),對(duì)患者家屬也進(jìn)行針對(duì)性指導(dǎo)[2]。通過對(duì)兩組患者護(hù)理質(zhì)量、護(hù)理度滿意和環(huán)境評(píng)分的對(duì)比可知,觀察組的護(hù)理質(zhì)量、護(hù)理滿意度和環(huán)境評(píng)分高于對(duì)照組,由此可見優(yōu)質(zhì)護(hù)理服務(wù)比常規(guī)護(hù)理更具優(yōu)越性。
綜上所述,優(yōu)質(zhì)護(hù)理服務(wù)對(duì)國(guó)根多段肋骨骨折合并血?dú)庑氐挠绊戄^大,可以在提高護(hù)理質(zhì)量的前提下提高患者滿意度,減輕患者術(shù)后疼痛,值得在臨床中推廣。
參考文獻(xiàn)
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韓亮亮.優(yōu)質(zhì)護(hù)理干預(yù)在肋骨骨折合并血?dú)庑匦厍婚]式引流術(shù)患者中的應(yīng)用價(jià)值分析[J].中國(guó)醫(yī)藥指南,2019(21):285-285.