Effect of seamless nursing in operation room combined with diversified health education for patients with femoral fractures undergoing internal fixation
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 x2 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(x2=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(x2=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.
Femoral fracturesInternal fixationSeamless nursing in operation roomDiversified health educationPsychological stateRehabilitation effect
万方数据
维普
