摘要
目的:探讨以结构—过程—结果三维质量评价模式为理论框架的延续性护理在跟腱断裂微创手术患者中的应用效果。方法:选择2018年7月—2020年7月郑州市骨科医院收治的102例行微创手术治疗的跟腱断裂患者作为研究对象,按随机数表法分为对照组和观察组,每组各51例。对照组采取常规护理,观察组在对照组的基础上实施以结构—过程—结果三维质量评价模式为理论框架的延续性护理。比较两组患者干预前和干预3个月后膝关节功能、心理状态评分,调查并比较两组患者对护理满意度。结果:观察组干预后HSS评分和护理满意度高于对照组,PHQ-9、GAD-7评分低于对照组,差异有统计学意义(t=12.404,3.947,8.709,5.131,P<0.05)。结论:跟腱断裂微创手术患者经以结构—过程—结果三维质量评价模式为理论框架的延续性护理干预后,能够改善患者膝关节功能和负面情绪,从而提高护理满意度。
Objective:To explore the application effect of continuous nursing based on the three-dimensional quality evaluation model of structure-process-result as the theoretical framework in patients with Achilles tendon rupture minimally invasive surgery.Methods:A total of 102 patients with Achilles tendon rupture treated by minimally invasive surgery who were admitted to the hospital from July 2018 to July 2020 were selected and divided into two groups according to the random number table method,with 51 cases in each group.The control group received routine nursing care,while the observation group received continuous nursing based on the structure-process-result three-dimensional quality evaluation model as the theoretical framework on the basis of the control group.The scores of knee joint function[Hospital for Special Surgery(HSS)]and psychological state[Patient Health Questionnaire(PHQ-9),Generalized Anxiety Disorder Scale(GAD-7)]were compared between the two groups before intervention and after 3 months of intervention.The two groups of patients’satisfaction with nursing were investigated and compared.Results:After intervention,the HSS score and nursing satisfaction of the observation group were higher than those of the control group,and the PHQ-9 and GAD-7 scores were lower than those of the control group,with statistically significant differences(t=12.404,3.947,8.709,5.131,P<0.05).Conclusion:In patients with Achilles tendon rupture minimally invasive surgery,continuous nursing intervention based on the structure-process-result three-dimensional quality evaluation model as the theoretical framework can improve the patients’knee function and negative emotions,thereby improving nursing satisfaction.
作者
黄芳
石黔珠
HUANG Fang;SHI Qian-zhu(Department of Micro-Orthopedics of Hand Surgery,Zhengzhou Orthopaedic Hospital,Zhengzhou,Henan,450000,China)
出处
《黑龙江医学》
2022年第4期499-500,503,共3页
Heilongjiang Medical Journal
基金
河南省科技攻关项目(200803046)。
关键词
跟腱断裂
微创手术
结构—过程—结果三维质量
延续性护理
膝关节功能
心理状态
满意度
Achilles tendon rupture
Minimally invasive surgery
Structure-process-result three-dimensional quality
Continuous nursing
Knee joint function
Psychological state
Satisfaction
