摘要
目的 调查重症股骨干骨折术后患者的临床护理要点及现状，并对个体化护理的实行价值作出研究。方法 研究经讨论后于2020年6月-2022年9月，在骨科现有病例信息中遴选出60份，且所属信息的诊疗结果均为重症股骨干骨折，结合双盲法原则对信息予以组别匹配，研究组、对照组为该研究内执行比较的组别，组内对应的护理措施分为个体化护理干预、常规护理干预，后续比较中提及的项目为整体生活质量、情绪变化、恢复情况。结果 研究组在过程中对各项生活指标预见性防护措施的落实程度及对患者院内的预后保障性、对情绪变化的自主控制性及对已派发护理任务的执行情况、骨折部位经修复后的功能表现力及对住院天数的缩短成效，均高于对照组，数据间比较价值较高（P＜0.05）。结论 个体化护理干预有效调节了患者的情绪变化，对于患者整体生活质量和康复速度的提升有一定作用。
关键词： 个体化护理干预；重症股骨干骨折；影响分析
Abstract
Objective To investigate the clinical nursing points and current situation of patients with severe femoral shaft fracture after surgery, and to study the implementation value of individualized nursing. Methods After discussion, from June 2020 to September 2022, 60 cases were selected from the existing orthopedics case information, and the diagnosis and treatment results of the information were all severe femoral shaft fracture. The information was matched by groups based on the principle of double-blind method. The study group and the control group were the groups for comparison in this study. The corresponding nursing measures in the group were divided into individualized nursing intervention and routine nursing intervention. The items mentioned in the follow-up comparison were overall quality of life, mood change and recovery. Results The study group was higher than the control group in the implementation degree of predictive protective measures for various life indicators, the prognostic protection of patients in hospital, the independent control of emotional changes, the implementation of the distributed nursing task, the functional expression of the fracture site after repair and the shortening effect of the length of hospital stay, the comparative value between the data was higher (P < 0.05). Conclusion Individualized nursing intervention can effectively regulate the emotional changes of patients, and has a certain effect on the improvement of the overall quality of life and recovery speed of patients.
Key words： Individualized nursing intervention; Severe femoral shaft fracture; Impact analysis
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