骨科康复独立护理门诊的设立与实施效果
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摘要
目的探讨设立骨科康复独立护理门诊实施效果。方法设立骨科康复独立护理门诊,选择符合资质的护士坐诊,建立规范化工作模式并实施,包括对患者各项功能进行评定、健康教育、骨科护理用具使用方法的指导、电话随访等。按护理门诊就诊次序编号,根据随机数字表法从2016年1月至2017年12月接受了3个月护理门诊干预患者中随机选取150例设为试验组;按出院先后次序编号,根据随机数字表法从2016年1月至2017年12月在本院住院治疗后出院3个月没有接受护理门诊干预患者中随机选取150例设为对照组,比较两组患者肘、膝和踝关节功能评分的差异。结果试验组膝关节功能、肘关节功能、踝关节功能均优于对照组,差异均有统计学意义(P<0.05)。结论骨科护理康复门诊的开设,搭建了一个为患者延续护理服务的平台,是延续性护理的有效途径,满足了患者多元化的健康服务需求,可提高骨创伤患者关节功能的康复。
Objective To explore the effect of establishment of an independent nursing outpatient clinic for orthopedic rehabilitation. Methods An orthopaedic rehabilitation independent nursing clinic was established, and one qualified nurse was designated to establish a standardized working mode and implement it, including evaluation of various functions of patients, health education, guidance on the use of orthopedic nursing appliances, and telephone follow-up. According to the order of nursing clinic visits, 150 patients who were randomly selected from the nursing intervention clinics from January 2016 to December 2017 were randomly selected as the experimental group and numbered according to the order of discharge, according to random numbers. The table method was randomly selected from the patients who were discharged from the hospital for 3 months after being hospitalized in our hospital from January 2016 to December 2017. Another 150 patients were randomly selected as the control group. The two groups were compared in terms of the functions of hip, knee and ankle. Result The knee function, hip function and ankle function were better in the experimental group than those in the control group(P<0.05). Conclusions The orthopedic nursing rehabilitation clinic provides a platform for continuous nursing care for patients. It is an effective way for continuous nursing, which satisfies the diversified health service needs of patients. It not only improves the rehabilitation of joint function of patients with bone trauma, but also reduces various complications.
Objective To explore the effect of establishment of an independent nursing outpatient clinic for orthopedic rehabilitation. Methods An orthopaedic rehabilitation independent nursing clinic was established, and one qualified nurse was designated to establish a standardized working mode and implement it, including evaluation of various functions of patients, health education, guidance on the use of orthopedic nursing appliances, and telephone follow-up. According to the order of nursing clinic visits, 150 patients who were randomly selected from the nursing intervention clinics from January 2016 to December 2017 were randomly selected as the experimental group and numbered according to the order of discharge, according to random numbers. The table method was randomly selected from the patients who were discharged from the hospital for 3 months after being hospitalized in our hospital from January 2016 to December 2017. Another 150 patients were randomly selected as the control group. The two groups were compared in terms of the functions of hip, knee and ankle. Result The knee function, hip function and ankle function were better in the experimental group than those in the control group(P<0.05). Conclusions The orthopedic nursing rehabilitation clinic provides a platform for continuous nursing care for patients. It is an effective way for continuous nursing, which satisfies the diversified health service needs of patients. It not only improves the rehabilitation of joint function of patients with bone trauma, but also reduces various complications.
引文
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[11]蒋莹卿,王洁,朱红霞,等.居家骨科护理平台在膝关节置换术后患者康复锻炼中的应用[J].实用临床医药杂志,2018,22(8):66-68,72.
[12]田发秀,陈湘玉,陈丽萍.骨科护理门诊高级护理实践现况调查分析[J].护理学杂志,2018,33(14):56-59.
[13]薛晶,曾晓卉,黄金定.心血管疾病专科慢病护理门诊的设立与实施[J].护理学杂志,2013,33(15):35-37.
[14]程俊亚,张锦辉,孟朝琳.糖尿病专科护理门诊工作现况调查分析[J].护理学杂志,2015,30(5):26-29.
[15]张玲玲,夏小鹏,崔益珍,等.专科护士主导的延续护理在胸腰椎骨折中青年患者术后康复中的应用[J].护理学报,2018,25(2):74-76.
[2]楚姝,陈湘玉,吴玲,等.出院后病人专科护理门诊管理实践[J].中国护理管理,2015,15(9):1032-1034.
[3] HUMMELS B,LANKVELDJ J V, OLDENBURG H S, et al. Internet-based cognitive behavioral therapy for sexual dysfunctions in women treated for breast cancer:design ofa multicenter, randomized controlled trial[J].Bmc Cancer,2015,15(1):321.
[4]赵瑾,许春娟.护理门诊发展现状及展望[J].中国护理管理,2013,13(6):78-80.
[5]李春霞,李翔宇.疼痛护理质量管理在股骨开放性骨折中的应用[J].山西医药杂志,2016,45(14):1724-1726.
[6] INSALL J N,RANAWAT C S,AGLIETTI P,et al. A comparison of four models of total knee-replacement prostheses[J]. J Bone Joint Surg, 1976,58(6):754-765.
[7] CELIK D. Psychometric properties of the mayo elbow performance Score.[J]. Rheumatology International, 2015,35(6):1015-1020.
[8] KOSTUJ T,KRUMMENAUER F,SCHAPER K,et al.Analysis of agreement between the german translation of the American foot and ankle society's ankle and hindfoot scale(AOFAS-AHS)and the foot function index in its validated german translation by naal et al(FFI-D)[J].Archives of Orthopaedic&Trauma Surgery,2014,134(9):1205-1210.
[9] HUMMEL S B,LANKVELDJ J V, OLDENBURG H S,et al. Internet-based cognitive behavioral therapy for sexual dysfunctions in women treated for breast cancer:design of a multicenter,randomized controlled trial[J」.Bmc Cancer,2015,15(1):321.
[10]赵楠,许蕊凤,姜宇,等.正强化理论护理在骨科颈椎康复患者中的应用[J].中华全科医学,2017,15(2):346-348.
[11]蒋莹卿,王洁,朱红霞,等.居家骨科护理平台在膝关节置换术后患者康复锻炼中的应用[J].实用临床医药杂志,2018,22(8):66-68,72.
[12]田发秀,陈湘玉,陈丽萍.骨科护理门诊高级护理实践现况调查分析[J].护理学杂志,2018,33(14):56-59.
[13]薛晶,曾晓卉,黄金定.心血管疾病专科慢病护理门诊的设立与实施[J].护理学杂志,2013,33(15):35-37.
[14]程俊亚,张锦辉,孟朝琳.糖尿病专科护理门诊工作现况调查分析[J].护理学杂志,2015,30(5):26-29.
[15]张玲玲,夏小鹏,崔益珍,等.专科护士主导的延续护理在胸腰椎骨折中青年患者术后康复中的应用[J].护理学报,2018,25(2):74-76.