摘要
目的降低四肢骨折患者肢体肿胀度,加快肢体肿胀消退速度,增加舒适度。方法将168例四肢骨折患者按住院时间分为对照组(83例)和观察组(85例),对照组按常规护理,观察组按"三现"法则对影响肿胀消退的原因进行现场查检分析,制订改进计划,采取临床实验论证,改良护理用具,制作摇床标识,创新锻炼工具,开展趣味康复等措施。结果观察组患肢肿胀程度及护理措施落实率显著优于对照组(均P<0.01)。结论运用"三现"法则获取真实数据对专科护理进行改进,可以促进四肢骨折患者肢体肿胀的消退,提高患者满意度,促进骨折愈合。
Objective To explore a way to reduce limb swelling in patients with limb fractures and enhance their perception of comfort.Methods A total of 168 patients hospitalized for limb fractures were randomly divided into a control group and an observation group.The control group（n=83）was provided with routine nursing,while for the observation group（n=85）,nurses analyzed the factors affecting subsiding of wound swelling based on on-the-spot checking and analysis,worked out improvement plans,modified nursing devices,ran clinical experiments,and implemented measures including making signs of raising up or down the beds,inventing new devices for patient exercises and carrying out funny games for rehabilitation.Results Limb swellingness was significantly milder in the observation group than in the control group,and the nursing measures were better carried out in the former than the latter（P〈0.01 for all）.Conclusion Continuous quality improvement program based on real data can boost recovery of limb swelling in patients with limb fractures,enhance their satisfaction,and promote the healing of fracture.
出处
《护理学杂志》
CSCD
2016年第12期17-19,共3页
Journal of Nursing Science
基金
2014年度镇江市科技计划(科技支撑-社会发展)项目(SH2014088)
关键词
四肢骨折
肿胀
持续质量改进
护理
limb fracture
swelling
continuous quality improvements
nursing care
