Medical and nursing integrated management mode in patients with vascular and nerve injury in limbswith microscopic repair Application of Enhanced Recovery in Nursing
医护一体化管理模式在四肢血管神经损伤显微修复患者加速康复护理中的应用

摘要

目的 探讨四肢血管神经损伤显微修复患者加速康复护理中医护一体化管理模式的应用效果。方法 纳入2021年1月至2022年1月期间在我院进行四肢血管神经损伤显微修复患者60例为研究对象开展对照研究，根据护理措施的不同随机分为对照组和研究组，30例/组。对照组应用常规护理，研究组应用医护一体化管理模式，在加速康复护理期间密切观察并记录两组患者生命体征，采用t检验或卡方检验比较两组住院时间、并发症发生情况、护理前后肢体功能（简化Fugl-Meyer评定量表）、生活质量（SF-36量表）、心理状态（SAS及SDS量表）及患者满意度。结果 研究组住院时间短于对照组，护理后肢体功能、生活质量、心理状态及患者满意度均优于对照组（P＜0.05）。结论 医护一体化管理模式在四肢血管神经损伤显微修复患者加速康复护理中具有良好应用效果，不仅可以在一定程度上缩短患者住院时间，降低并发症发生风险，还能有效改善患者肢体功能及生活质量，患者满意度较高。

Abstract

Objective To explore the application effect of the integrated management model of Chinese medicine and nursing in accelerated rehabilitation nursing for patients with microscopic repair of vascular and nerve injury of limbs.
Methods A control study of 60 patients with extremity vascular and nerve injury microscopic repair in our hospital from January 2021 to January 2022 was included as the research objects. Group. The control group applied routine nursing, while the research group applied the integrated medical and nursing management model. During the accelerated rehabilitation nursing period, the vital signs of the two groups of patients were closely observed and recorded, and the t test or chi-square test was used to compare the hospitalization time, complications, and before and after nursing between the two groups. Limb function (simplified Fugl-Meyer rating scale), quality of life (SF-36 scale), psychological status (SAS and SDS scales) and patient satisfaction.
Results The hospital stay in the study group was shorter than that in the control group, and the limb function, quality of life, psychological state and patient satisfaction after nursing were all better than those in the control group (P<0.05).
Conclusion   The medical-nursing integrated management model has a good application effect in the accelerated rehabilitation nursing of patients with vascular and nerve injury of limbs. quality and patient satisfaction.