Observation on the effect of predictive nursing in emergency treatment of traumatic fracture patients
预见性护理在急诊创伤性骨折患者急救中的应用效果观察

摘要

目的 分析急诊在抢救创伤性骨折患者过程中使用预见性护理的效果。方法 从2021年4月-2022年4月的创伤性骨折患者中随机抽取124例，双盲法均分为A组（常规护理）和B组（预见性护理），对比两组效果。结果 B组并发症发生率3.23%＜A组14.52%（χ2=4.888，P=0.027）；B组护理满意度93.54%＞A组的79.03%（χ2=5.415，P=0.019），B组抢救情况[抢救时间（51.23±9.06）min、住院时间（14.12±2.27）d、抢救成功率98.39%]优于A组（p＜0.05）；护理后B组心理状态评分[精神焦虑（1.17±0.56）分、睡眠障碍（1.14±0.59）分、躯体焦虑（1.12±0.41）分]优于A组（p＜0.05）；护理后B组VAS评分（2.38±0.19）分低于A组的（2.74±0.25）分（P＜0.05）。结论急诊在抢救创伤性骨折患者的过程中应用预见性护理，能取得更好的抢救效果。

Abstract

Objective To analyze the effect of predictive nursing in emergency treatment of traumatic fracture patients.
Methods 124 patients with traumatic fracture from April 2021 to April 2022 were randomly selected and divided into group A (routine nursing) and group B (predictive nursing) by double-blind method. The effects of the two groups were compared.
Results The incidence of complications in group B was 3.23%, while that in group A was 14.52% (χ2=4.888, P=0.027); The nursing satisfaction of group B was 93.54% higher than that of group A (79.03%, χ2=5.415, P=0.019). The rescue situation of group B [rescue time (51.23 ± 9.06) min, hospital stay (14.12 ± 2.27) d, rescue success rate 98.39%] was better than that of group A (p<0.05); After nursing, the scores of psychological state in group B [mental anxiety (1.17 ± 0.56), sleep disorder (1.14 ± 0.59), and physical anxiety (1.12 ± 0.41)] were better than those in group A (p<0.05)；VAS score of group B after nursing (2.38±0.19) was lower than that of group A (2.74±0.25) (P < 0.05).
Conclusion   The application of predictive nursing in emergency treatment of traumatic fracture patients can achieve better rescue effect.