文章摘要

医护一体化模式在老年骨折患者术后护理中的应用

作者: 1卢丛兰, 2陈静, 3靳晓柳, 1王丹敏, 1时冬琴, 1窦玲, 1李婷, 4王艳
1 中国人民解放军东部战区空军医院骨科,南京 210000
2 泰州职业技术学院护理系,江苏 泰州 225300
3 徐州矿务集团第二医院护理部,江苏 徐州 221000
4 空军军医大学唐都医院胸外科,西安 710049
通讯: 王艳 Email: 82069211@sina.com
DOI: 10.3978/j.issn.2095-6959. 2018.12.023
基金: 南京军区面上课题(12MA043)。

摘要

目的:观察医护一体化工作模式对老年骨折患者术后恢复的影响。方法:选取自2016年3月至 2018年3月收治的200例老年骨折患者作为研究对象,主要包括髋部骨折和长骨骨折。随机分为对照组与实验组,对照组采取传统骨折术后护理模式,实验组在传统护理的基础上应用医护一体化护理模式。比较两组患者的各项临床观察指标。结果:医护一体化护理模式可以促进患者伤口愈合,显著缩短患者伤口的愈合时间;同时可以显著减少坠积性肺炎、下肢静脉血栓、关节活动度受限、褥疮等并发症,提高患者的满意度。结论:医护一体化工作模式对老年骨折患者术后恢复具有显著的促进作用,值得在临床推广应用。
关键词: 医护一体化模式;老年骨折患者;术后护理

Application of nurse-physician collaboration model in postoperative nursing of elderly patients with fracture

Authors: 1LU Conglan, 2CHEN Jing, 3JIN Xiaoliu, 4WANG Danmin, 4SHI Dongqin, 4DOU Ling, 4LI Ting, 4WANG Yan
1 Department of Orthopedics, Air Force Hospital, Eastern Theater of the PLA, Nanjing 210000, China
2 Department of Nursing, Taizhou Polytechnic College, Taizhou Jiangsu 225300, China
3 Department of Nursing, Second Hospital of Xuzhou Mining Group, Xuzhou Jiangsu 221000, China
4 Department of Thoracic Surgery, Tangdu Hospital, Air Force Medical University, Xi’an 710049, China

CorrespondingAuthor: WANG Yan Email: 82069211@sina.com

DOI: 10.3978/j.issn.2095-6959. 2018.12.023

Foundation: This work was supported by the Nanjing Military Region Project, China (12MA043).

Abstract

Objective: To observe the effect of nurse-physician collaboration model on postoperative recovery of elderly patients with fracture. Methods: A total of 200 elderly patients with fractures were selected as subjects from March 2016 to March 2018, including hip fracture and long bone fracture. All the patients were randomly divided into two groups of A and B. Group A as the control group, the traditional nursing mode was used, group B as the experimental group, and the nurse-physician collaboration model was used based on the traditional nursing. The clinical observation indexes of the two groups were compared. Results: The nurse-physician collaboration model promoted wound healing and shorten the recovery time of the patients, and reduced the complications such as the accretion pneumonia, the venous thrombosis of the lower limbs, the limited joint activity, the bedsore and so on, and also improved the patient’s satisfaction. Conclusion: The nurse-physician collaboration model has significant effect on postoperative recovery of elderly patients with fracture, and is worthy of popularization and application in clinical.
Keywords: nurse-physician collaboration model; elderly patients with fracture; postoperative nursing

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