Application of clinical pathway of orthopedic nursing in the treatment of ankle fracture patients
骨科护理临床路径在治疗踝关节骨折患者中的应用研究

摘要

目的 本文观察骨科治疗踝关节骨折患者临床实施临床路径护理的影响及价值。方法 参与本 次研究患者均选自近 4 年间（2018 年至 21 年）在我院进行手术治疗的踝关节骨折患者，筛选其中 200 例临 床数据较为完整，且表示愿意参加研究患者，进行 1-200 随机数字编号，结合奇偶数字分组方法均分为两组， 以基数组作为对照组给予我院常规护理，偶数组作为研究给予骨科临床路径护理服务，总结分析两组患者 护理后临床恢复情况（骨愈合消耗时间、住院时间、平均下床时间）疼痛评分、SAS、SDS 评分、医疗服 务（护理技能、护患沟通、护理态度、人文关怀）质量以及护理满意度数据结局。结果 研究组相关数据与 另一组之间差异皆呈现优势性 P＜0.05，表明统计学意义。结论 骨科临床路径护理在治疗踝关节骨折患者 应用中效果理想，不仅有利于舒缓患者焦虑、抑郁情绪、缓解疼痛程度，提高患者生活质量，并可改善医 疗服务质量，促进临床医学有效发展，患者及家属对此护理措施较为满意，应用价值突出，建议对此护理 措施广泛推广。

Abstract

Objective To observe the influence and value of clinical pathway nursing in the treatment of ankle fracture in orthopedics.
Methods All the patients participating in this study were selected from the ankle fracture patients who had undergone surgical treatment in our hospital in the past 4 years (2018 to 21 years). Among them, 200 patients with relatively complete clinical data and who expressed their willingness to participate in the study were screened. They were randomly numbered from 1 to 200. They were divided into two groups according to the odd and even word grouping method. The base array was used as the control group to provide routine care in our hospital, and the even number group was used as the study group to provide clinical pathway care in orthopaedics, Summarize and analyze the clinical recovery (bone healing consumption time, hospitalization time, average time out of bed), pain score, SAS, SDS score, medical service (nursing skills, nurse patient communication, nursing attitude, humanistic care) quality and nursing satisfaction data outcome of the two groups of patients after nursing.
Results The difference between the study group and the other group was statistically significant (P<0.05).
Conclusion   The clinical pathway nursing of orthopedics has an ideal effect in the treatment of ankle fracture patients. It is not only conducive to relieving patients' anxiety and depression, relieving pain, improving patients' quality of life, but also can improve the quality of medical services and promote the effective development of clinical medicine. The patients and their families are satisfied with this nursing measure, which has outstanding application value. It is suggested that this nursing measure be widely promoted.