医护一体化模式在脊柱外伤骨折护理中的应用分析

刘风玲 王文萍

【摘要】目的：探析脊柱外伤骨折护理中实施医护一体化模式的应用效果。方法：选择70例脊柱外伤骨折患者，随机划为2组：对照组和观察组，分别为35例。对照组施于普通护理，观察组则按照医护一体化模式展开，比较两组患者的护理结果。结果：（1）两组患者的住院时长、骨折愈合时长（临床指标）比较：对照组的时长均比观察组患者长，两组对比有统计学差异（P<0.05）。（2）两组患者的心理状态：焦虑抑郁评分对比，对照组的评分比观察组要高，有统计学差异（P<0.05）。（3）两组患者的满意感受比较：对照组低于观察组，两组对比有统计学差异（P<0.05）。结论：在脊柱外伤骨折护理中应用医护一体化模式，其护理效果良好，可明显改善患者临床指标，起到缓解患者负性情绪的作用，患者获得更好的护理感受，值得肯定。

【关键词】医护一体化模式;脊柱外伤骨折;护理模式

[中图分类号]R473.6[文献标识码]A[文章编号]2096-5249（2021）21-0108-02

Application Analysis of Integrated Medical Care Mode in Nursing Care of Spinal Trauma Fracture

LIU Feng-ling， WANG Wen-ping（Qingzhou Hospital Affiliated to Shandong First Medical University·Qingzhou People’s Hospital， Qingzhou Shandong 262500， China）  [Abstract] Objective： To explore the application effect of integrated medical care mode in the nursing of spinal trauma fracture. Methods：70 patients with spinal trauma fracture were selected. They were randomly divided into two groups： control group and observation group， with 35 cases respectively. The control group was given general nursing， while the observation group was carried out according to the mode of integration of medical care and nursing， The nursing results of the two groups were compared. Results：（1） comparison of hospitalization time and fracture healing time （clinical indexes） between the two groups： the time in the control group was longer than that in the observation group， and there was significant difference between the two groups （P <0.05）.（2） Comparison of psychological status between the two groups： the scores of anxiety and depression in the control group were higher than those in the observation group， and there was significant difference between the two groups （P<0.05）.（3） Comparison of satisfaction between the two groups： the control group was lower than the observation group， and there was significant difference between the two groups （P<0.05）. Conclusion： the application of the integrated model of medical care in the nursing of spinal trauma and fracture has a good nursing effect， which can significantly improve the clinical indicators of patients， alleviate the negative emotions of patients， and patients can obtain better nursing feelings， which is worthy of recognition.

[Key words] Medical Integration Mode; Spinal Trauma Fracture; Nursing Mode

脊柱外傷骨折多因车祸、坠落、砸伤等因素所致 ， 是临床常见的疾病之一[1]。此病疼痛感剧烈，极大影响患者的生活[2]。脊柱外伤骨折，在全身性骨折中占据着5%的比例，致残率极高，并且会引发各类并发症，轻者引发伤口感染，重者导致脊髓损伤，甚至面临截瘫的危险[3]。临床中，一般选用手术方案治疗这种疾病，具有直接而显著的效果。然而，在术后，手术患者可能出现一些不适症状，如静脉血栓或关节僵硬、创口感染等，有一定风险性，因此，在手术治疗的同时，实施适宜的护理干预具有重大意义。……