[1]黄瑞珍,胡带玉,曾焰辉,等.基于损伤控制理论的中西医结合护理在四肢多发骨折患者中的应用效果[J].西部中医药,2022,35(04):139-142.[doi:10.12174/j.issn.2096-9600.2022.04.33]
　HUANG Ruizhen,HU Daiyu,ZENG Yanhui,et al.Application of Integrated Chinese and Western Medicine Nursing in Patients with Multiple Fractures of Limbs Based on Damage Control Operation[J].Western Journal of Traditional Chinese Medicine,2022,35(04):139-142.[doi:10.12174/j.issn.2096-9600.2022.04.33]
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基于损伤控制理论的中西医结合护理在四肢多发骨折患者中的应用效果
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
35
期数:
2022年04期
页码:
139-142
栏目:
出版日期:
2022-04-15

文章信息/Info

Title:
Application of Integrated Chinese and Western Medicine Nursing in Patients with Multiple Fractures of Limbs Based on Damage Control Operation
作者:
黄瑞珍, 胡带玉, 曾焰辉, 董佩文, 熊俊琴
佛山市中医院，广东 佛山 528000
Author(s):
HUANG Ruizhen, HU Daiyu, ZENG Yanhui, DONG Peiwen, XIONG Junqin
Foshan City Hospital of TCM, Foshan 528000, China
关键词:
四肢骨折; 损伤控制理论; 中西医结合护理; 心理状态; 生活质量
Keywords:
fracture of limb; DOC; integrated Chinese and Western medicine nursing; psychological state; quality of life
分类号:
R683.4
DOI:
10.12174/j.issn.2096-9600.2022.04.33
文献标志码:
B
摘要:
目的探讨基于损伤控制理论（damage control operation，DCO）的中西医结合护理在四肢多发骨折患者中的应用效果。 方法将121例四肢多发骨折分为对照组58例，观察组63例，对照组给予常规急救护理，观察组给予基于DCO的中西医结合护理干预，比较两组围术期指标、院内死亡率、心理状态［汉密顿焦虑量表（Hamilton anxiety scale，HAMA）、汉密顿抑郁量表（Hamilton depression scale，HAMD）］、髋关节功能评定表评分（Harris hip score）、Barthel指数（Barthel index，BI）、疼痛程度（visual analogue score，VAS）评分、生活质量（quality of life questionnaire-Core 30，QLQ-C30）评分、并发症发生率及患者满意度。 结果观察组手术时间和住院时间短于对照组，术中出血量和输血量少于对照组，院内死亡率低于对照组（P＜0.05）；干预后两组HAMA、HAMD、VAS评分较干预前降低，Harris评分、BI、QLQ-C30评分较干预前升高（P＜0.05），且观察组HAMA、HAMD、VAS评分低于对照组，Harris、BI、QLQ-C30评分高于对照组（P＜0.05）；观察组并发症发生率低于对照组（P＜0.05）；干预后观察组满意度评分高于对照组（P＜0.05）。 结论基于DCO的中西医结合护理可缓解四肢多发骨折患者不良情绪和疼痛程度，提高患肢功能和生活质量，减少并发症发生，降低院内死亡率。
Abstract:
ObjectiveTo explore the application of integrated Chinese and Western medicine nursing in patients with multiple fracture of limbs based on damage control operation (DCO). MethodsAll 58 patients suffering multiple fracture of limbs were chosen as the control group, and 63 cases as the observation group, the control group adopted conventional emergency nursing, and the observation group integrated Chinese and Western medicine nursing based on DCO. To compare perioperative indicators, hospital mortality rate, psychological state [HAMA, HAMD], Harris hip score, BI, VAS, QLQ-C30 scores, and the incidence of the complications and the patients’ satisfaction degrees between both groups. ResultsThe observation group was shorter than the control group in operation time and hospitalization time, less than the control group in intraoperative bleeding and blood transfu-sion, lower than the control group in hospital mortality rate (P<0.05); after the intervention, HAMA, HAMD and VAS scores of both groups reduced compared with these before intervention, Harris, BI and QLQ-C30 scores increased than these before the intervention (P<0.05), and the observation group was lower than the control group in HAMA, HAMD and VAS scores, higher than the control group in Harris, BI and QLQ-C30 scores (P<0.05). The incidence of the complications of the observation group was lower than that of the control group (P<0.05); after the intervention, the observation group was higher than the control group in satisfaction scores (P<0.05). ConclusionDCO-based integrated Chinese and Western medicine nursing could relieve the patients′ bad moods and pain degrees, lift the limb function and quality of life, reduce the incidence of the complications and decrease hospital mortality rate.

备注/Memo

备注/Memo:
黄瑞珍（1970—），女，副主任护师。研究方向：四肢创伤骨折的临床护理。广东省医学科研基金（A20171510）。
更新日期/Last Update: 2022-06-24