Abstract:

Objective　To explore the effect of seamless nursing in operation room combined with diversified health education on psychological state, rehabilitation quality, and nursing satisfaction of patients with femoral fractures undergoing internal fixation. Methods　A total of 99 patients femoral fractures who underwent internal fixation of in the operation room in Tengzhou Central People's Hospital, Jining Medical College from June 2021 to December 2022 were selected for the randomized controlled trial, and were divided into an observation group (50 cases) and a control group (49 cases) by the random number table method. There were 34 males and 15 females in the control group; they were (57.23±5.78) years old. There were 36 males and 14 females in the observation group; they were (57.36±5.89) years old. The control group took routine nursing intervention; in addition, the observation group took seamless nursing in the operation room and diversified health education. The perioperative mood states [assessed by mood state (POMS) scale], rehabilitation quality [assessed by Harris Hip Score Scale (HHS) and Functional Independence Measurement Scale (FIM)], cognitive levels, incidences of complications, and nursing satisfaction were compared between the two groups. t test and χ² test were used. Results　After the intervention, the negative mood score of the observation group was lower than that of the control group [(74.84±4.06) vs. (85.70±4.97)], and the positive mood score of the observation group was higher than that of the control group [(27.74±3.56) vs. (18.22±3.55)], with statistical differences (t=-11.918 and 13.322; both P<0.05). After the intervention, the scores of treatment-related knowledge, disease-related knowledge, and self-care-related knowledge of cognitive level in the observation group were higher than those in the control group [(4.08±0.42) vs. (3.32±0.82), (3.98±0.41) vs. (3.19±0.52), and (4.05±0.29) vs. (3.27±0.46)], with statistical differences (t=5.821, 8.403, and 10.114; all P<0.05). The scores of HHS and FIM in the observation group were higher than those in the control group [(86.48±4.56) vs. (72.32±3.82) and (112.26±10.58) vs. (86.71±9.26)], with statistical differences (t=15.968 and 12.776; both P<0.05). The nursing satisfaction of the observation group was higher than that of the control group [92.00% (46/50) vs. 75.51% (37/49)], with a statistical difference (χ²=4.966; P=0.026). The total incidence of complications in the observation group was lower than that in the control group [6.00% (3/50) vs. 20.45% (11/49)], with a statistical difference (χ²=5.515; P=0.059). Conclusion　Seamless nursing combined with diversified health education during perioperative period and after discharge for patients with femoral fractures after internal fixation can improve their psychological state, quality of rehabilitation, cognitive level of disease, and nursing satisfaction, and reduce the occurrence of complications, so it is worthy of application in clinical nursing.

Key words:

Femoral fractures, Internal fixation, Seamless nursing in operation room, Diversified health education, Psychological state,  , Rehabilitation effect

摘要：

目的　探讨手术室无缝护理结合多元化健康教育对股骨骨折内固定患者心理状态、康复质量和护理满意度的影响。方法　选取2021年6月至2022年12月济宁医学院附属滕州市中心人民医院收治的99例在手术室接受股骨骨折内固定手术患者进行随机对照试验，按照随机数字表法分为观察组（50例）和对照组（49例）。对照组男34例、女15例，年龄（57.23±5.78）岁，接受常规护理干预；观察组男36例、女14例，年龄（57.36±5.89）岁，在常规护理基础上接受手术室无缝护理结合多元化健康教育干预。对比两组患者围手术期心境状态［心境状态量表（POMS）评估］、康复质量［Harris髋关节评分量表（HHS）和功能独立性测量量表（FIM）评估］、认知水平、并发症发生情况及护理满意度。采用t检验、χ²检验。结果　干预后，观察组消极心境评分［（74.84±4.06）分］低于对照组［（85.70±4.97）分］，积极心境评分［（27.74±3.56）分］高于对照组［（18.22±3.55）分］，差异均有统计学意义（t=-11.918、13.322，均P<0.05）。干预后，观察组认知水平中与治疗相关的知识［（4.08±0.42）分］、与疾病相关的知识［（3.98±0.41）分］、与自我护理相关的知识评分［（4.05±0.29）分］均高于对照组［（3.32±0.82）分、（3.19±0.52）分、（3.27±0.46）分］，差异均有统计学意义（t=5.821、8.403、10.114， 均P<0.05）。干预后，观察组HHS评分［（86.48±4.56）分］、FIM评分［（112.26±10.58）分］均高于对照组［（72.32±3.82）分、（86.71±9.26）分］，差异均有统计学意义（t=15.968、12.776，均P<0.05）。观察组干预后护理满意度为92.00%（46/50），高于对照组的75.51%（37/49），差异有统计学意义（χ²=4.966，P=0.026）。观察组干预后并发症发生率［6.00%（3/50）］低于对照组［20.45%（11/49）］，差异有统计学意义（χ²=5.515，P=0.059）。结论　在围手术期及患者出院后实施无缝护理联合多元化健康教育可改善股骨骨折内固定患者术后心理状态，提高康复质量、对疾病的认知水平和护理满意度，减少并发症的发生，值得在临床护理中推广应用。

关键词:

股骨骨折, 内固定, 手术室无缝护理, 多元化健康教育, 心理状态, 康复效果