Exploration on the application effect of orthopedic nursing clinical pathways in the treatment of patients with ankle fractures
骨科护理临床路径在治疗踝关节骨折患者中的应用效果探究

摘要

目的 探讨骨科护理临床路径在踝关节骨折患者中的应用效果，优化护理流程，提升康复质量。方法 选取2023年6月至2024年6月我院收治的120例踝关节骨折患者，随机分为观察组（60例）与对照组（60例）。对照组采用常规护理，观察组实施骨科护理临床路径，包括标准化评估、围手术期精准护理、分阶段康复训练、并发症防控及健康教育。比较两组患者各项指标。结果 观察组术后1天、3天、7天的VAS评分均低于对照组（P<0.05）；骨折愈合时间短于对照组（P<0.05）；并发症总发生率低于对照组（P<0.05）；关节功能恢复优良率高于对照组（P<0.05）；护理满意度高于对照组（P<0.05）。结论 骨科护理临床路径可显著减轻踝关节骨折患者疼痛，加速骨折愈合，降低并发症风险，改善关节功能，提升护理满意度，具有显著的临床应用价值。

Abstract

Objective To explore the application effect of orthopedic nursing clinical pathway in patients with ankle fractures, optimize nursing process, and improve rehabilitation quality.
Methods 120 patients with ankle fractures admitted to our hospital from June 2023 to June 2024 were randomly divided into an observation group (60 cases) and a control group (60 cases). The control group received routine nursing care, while the observation group received orthopedic nursing clinical pathways, including standardized assessment, perioperative precision nursing, staged rehabilitation training, complication prevention and control, and health education. Compare various indicators between two groups of patients.
Results The VAS scores of the observation group were lower than those of the control group on postoperative days 1, 3, and 7 (P<0.05); The fracture healing time was shorter than that of the control group (P<0.05); The overall incidence of complications was lower than that of the control group (P<0.05); The excellent rate of joint function recovery was higher than that of the control group (P<0.05); The nursing satisfaction was higher than that of the control group (P<0.05).
Conclusion   The clinical pathway of orthopedic nursing can significantly alleviate pain in patients with ankle fractures, accelerate fracture healing, reduce the risk of complications, improve joint function, and enhance nursing satisfaction, with significant clinical application value.