The effect of case management model combined with continuous specialist nursing management on wound management of patients discharged after fracture surgery
个案管理模式联合延续性专科护理管理对骨折术后出院患者伤口管理的效果研究

摘要

目的 本文探究个案管理+延续性专科护理管理对骨折术后出院患者伤口管理的效果。方法 此次针对在我院骨科接受手术治疗后进行居家护理的患者分别使用常规延续护理和个案管理+延续性专科护理，对比两组患者伤口愈合情况、患者满意度及生活质量和疼痛评分、伤口感染发生率。结果 研究组伤口愈合情况、护理满意度及生活质量和疼痛评分均优于参照组，而伤口感染率显著低于参照组，P＜0.05说明存在对比意义。结论 个案管理模式和延续性专科护理管理的结合，对于骨折术后出院患者的伤口管理具有显著的正面效果，不仅优化了患者的康复进程，还增强了整个医疗体系的服务连续性和人性化水平，提高了患者的满意度。

Abstract

Objective To explore the effect of case management + continuous specialist nursing management on wound management of patients discharged after fracture surgery.
Methods Conventional extended nursing and case management + continuous specialist nursing were used to compare the wound healing, patient satisfaction, quality of life, pain score and wound infection rate of the two groups of patients who received home nursing after surgery in our orthopedics department.
Results The wound healing, nursing satisfaction, quality of life and pain scores of the study group were better than those of the reference group, while the wound infection rate was significantly lower than that of the reference group, P < 0.05 indicating comparative significance.
Conclusion   The combination of case management model and continuous specialized nursing management has a significant positive effect on wound management of patients discharged after fracture surgery. It not only optimizes the rehabilitation process of patients, but also enhances the continuity of service and humanization level of the entire medical system, and improves the satisfaction of patients.