Nursing Risk Assessment and Preventive Measures of Fractures with Extremely Severe Burns
Objective To evaluate the nursing risks of patients with fractures complicated with extremely severe bums and to propose the preventive measures.Methods 83 patients with fractures complicated with extremely severe burns admitted to Tangdu Hospital Air Force Medical University from June 2019 to June 2023were selected as the observation subjects,and the included patients were divided into control group(n=41)and observation group(n=42)by the random number table method.The control group was given routine nursing measures,and the observation group was given nursing risk evaluation on the basis of the control group.After 3weeks of intervention,the two groups were compared in terms of nursing knowledge mastery,psychological state,health behavior compliance,quality of life and nursing satisfaction.Results After 3weeks of intervention,the scores of turning over method,nutritional support,risk factors,predilection site and preventive methods were significantly increased in both groups(P＜0.05),and the scores in observation group were significantly higher than those in control group(P＜0.05).Perceived social support scale score was significantly increased in both groups(P＜0.05)while Hamilton anxiety scale score and Hamilton depression scale score were significantly decreased(P＜0.05),and there were significant differences in scores between observation group and control group(P＜0.05).The proportions of protecting the pressured part,keeping the skin clean,turning over regularly and changing clothes in time were significantly higher in observation group than those in control group(P＜0.05).The scores of general health status,psychological status,physical function and social function and total score of quality of life in both groups were significantly enhanced(P＜0.05),and the scores in observation group were significantly higher than those in control group(P＜0.05).The total nursing satisfaction rate of the observation group was 95.24％,which was significantly higher than 80.49％of the control group(P＜0.05).Conclusion Active nursing risk assessment and preventive measures for patients with fractures and extremely severe bums can effectively improve the nursing knowledge mastery,psychological state and health behavior compliance,and it is conducive to improving the quality of life and nursing satisfaction of patients.
fracturesextremely severe burnsnursing riskpreventive measuresrisk managementnursing satisfaction
万方数据
维普
