Lean Management in Nursing Care of PFNA Internal Fixation for Femoral Intertrochanteric Fractures
精益管理在股骨粗隆间骨折 PFNA 内固定术护理

摘要

目的 探究精益管理在股骨粗隆间骨折 PFNA 内固定术护理效果。方法 选取我院 2021 年 5 月～2022 年 12 月收治的 80 例股骨粗隆间骨折 PFNA 内固定术患者作为研究对象，按照 Spread 软件分组方法分为对照组 （40 例）与观察组（40 例），对照组采用常规护理方法，观察组采用精益管理护理干预方法。比较两组患者髋 关节功能（Harris 评分）、护理质量、并发症发生率、护理满意度。结果 ①髋关节功能：护理前两组患者 Harris 评分无显著差异，护理后观察组高于对照组（P＜0.05）；②护理质量：观察组患者护理质量显著高于对照组（P ＜0.05）；③并发症发生率：观察组 VS 对照组=7.50%（3/40）VS25.00%（10/40），观察组＜对照组（P＜0.05）； ④护理满意度：观察组 VS 对照组=95.00%（38/40）VS75.00%（30/40），观察组＞对照组（P＜0.05）。结论 在 股骨粗隆间骨折 PFNA 内固定术护理中实施精益管理护理干预可改善患者髋关节功能，提升患者护理质量，降低 其并发症发生率，并提升护理满意度，值得推广实施。

Abstract

Objective To explore the nursing effect of lean management in PFNA internal fixation for femoral intertrochanteric fractures.
Methods 80 patients with femoral intertrochanteric fractures treated with PFNA internal fixation in our hospital from May 2021 to December 2022 were selected as research subjects. They were divided into a control group (40 cases) and an observation group (40 cases) according to the Spread software grouping method. The control group used conventional nursing methods, while the observation group used lean management nursing intervention methods. The hip joint function (Harris score), nursing quality, complication rate, and nursing satisfaction were compared between the two groups.
Results ① Hip joint function: There was no significant difference in Harris scores between the two groups before nursing, and after nursing, the observation group was higher than the control group (P<0.05) Nursing quality: The nursing quality of patients in the observation group was significantly higher than that in the control group (P<0.05) Complication rate: observation group vs control group=7.50% (3/40) vs 25.00% (10/40), observation groupcontrol group (P<0.05).
Conclusion   The implementation of lean management nursing intervention in the nursing of PFNA internal fixation for femoral intertrochanteric fractures can improve the function of patients' hip joints, improve the quality of patient care, reduce the incidence of complications, and enhance nursing satisfaction. It is worth promoting and implementing.