摘要
目的探讨临床护理路径在闭合性pilon氏骨折中的应用效果。方法选取内蒙古医科大学第二附属医院创伤骨科2013年11月至2015年2月期间闭合性pilon骨折病人50例,所有患者对本次研究均知情同意,签署知情同意书,并通过我院伦理委员会审核。所有患者均随机分配研究小组(实验组和对照组),实验组25例,对照组25例。比较两组患者住院时间、住院费用、首次锻炼时间、出院时的满意度、出院时以及随访3个月时踝关节活动度评分情况。结果实验组住院时间(12.4±2.4)d,对照组(15.7±3.1)d,差异有统计学意义(P<0.05);实验组住院费用(48039.61±14454.27)元,对照组住院费用(51905.20±13905.58)元,差异无统计学意义(P>0.05);实验组首次锻炼时间(1.04±0.19)d,对照组(1.24±0.35)d,差异有统计学意义(P<0.05);实验组出院时满意度(95.4±2.33)分,对照组满意度(91.6±2.5)分,差异有统计学意义(P<0.05);实验组出院时踝关节活动度评分(33.24±4.81)分,对照组(27.84±6.71)分,差异有统计学意义(P<0.05);实验组随访3个月时踝关节活动度评分(93.88±4.30)分,对照组(90.48±3.40)分,差异有统计学意义(P<0.05)。结论临床护理路径能够缩短患者的住院时间,减少住院费用,提前首次锻炼时间,提高患者的满意度及踝关节活动度评分,进一步提高了pilon氏骨折的护理质量,值得临床推广使用。
Objective To investigate the effect of clinical nursing path in the application of pilon＇s frac- ture. Methods The second affiliated hospital of Inner Mongolia medical university selected orthopaedic trauma in November 2013 - February 2015 during the 50 cases closed pilon fractures patients, all patients were in- formed consent for this study, signed informed consent, and by the hospital ethics committee review. All of the patients are voluntary choice nursing way, way is divided into the experimental group 25 cases, control group 25 cases. Compare two groups of patients in hospital time, hospitalization expenses, exercise time, when I left the hospital satisfaction, for the first time in discharge and followed up for 3 months ankle activity score. Results The length of hospital stay （12.4 ± 2.4） days, the control group（15.7 ± 3.1） days, the difference was statisti- cally significant（P 〈 0.05）; Experimental group hospitalization expenses（48039.61± 14454.27） yuan, control group hospitalization expenses （51905.20 ± 13905.58） yuan, there was no statistically significant difference（P〉0.05）; Experimental exercise time （1.04 ± 0.19） days, for the first time in the control group（1.24 ±0.35） days, the difference was statistically significant（P 〈 0.05） ; Experimental group in discharge satisfaction （95.4 ± 2.33）, the control satisfaction （91.6 ± 2.5）, the difference was statistically significant （ P 〈 0.05） ; Experi- mental group at discharge ankle activity score （33.24 ±4.81）, the control group （27.84 ＋ ± 6.71）, the differ- ence was statistically significant（P 〈 0.05）; The ankle joint activity score was followed up for 3 months after the experiment group（93.88 ± 4.30）, the control group （90.48 ± 3.40）, the difference was statistically signifi- cant（P 〈 0.05 ）. Conclusion Clinical nursing path can effectively shorten the hospitalization time of patients and reduce the hospitalization expenses, exercise time for the first ti
出处
《内蒙古医学杂志》
2015年第11期1378-1381,共4页
Inner Mongolia Medical Journal
