摘要
目的探讨PDCA护理模式在下肢骨折患者中的应用效果及对自护能力的影响。方法选取2019年12月至2022年12月收治的82例下肢骨折患者,按照随机数字表法将其分为对照组和观察组,各41例。对照组采用常规护理,观察组在常规护理基础上采用PDCA护理模式。比较两组的焦虑状况、自我效能、自护能力、并发症发生情况及骨折康复效果。结果护理后,观察组的焦虑自评量表(SAS)评分低于对照组,一般自我效能感量表(GSES)评分高于对照组(P<0.05)。护理后,观察组的自我护理能力测定量表(ESCA)各维度评分高于对照组(P<0.05)。观察组的并发症总发生率为4.88%,低于对照组的19.51%(P<0.05)。术后3个月,观察组的患肢关节活动度大于对照组,Barthel指数评分高于对照组(P<0.05)。结论PDCA护理模式应用于下肢骨折患者中可有效改善其焦虑状况与自我效能,提高自护能力,降低并发症发生率,进一步提升骨折康复效果。
Objective To explore the application effect of PDCA nursing mode in patients with lower limb fracture and its influence on self-care ability.Methods A total of 82 patients with lower limb fractures admitted from December 2019 to December 2022 were selected and divided into control group and observation group according to the random number table method,with 41 cases in each group.The control group was given routine nursing,and the observation group was given PDCA nursing mode on the basis of routine nursing.The anxiety status,self-efficacy,self-care ability,complications and fracture rehabilitation effect of the two groups were compared.Results After nursing,the Self-Rating Anxiety Scale(SAS)score of the observation group was lower than that of the control group,and the General Self-Efficacy Scale(GSES)score was higher than that of the control group(P<0.05).After nursing,the scores of each dimension of the Exercise of Self-Care Agency Scale(ESCA)in the observation group were higher than those in the control group(P<0.05).The total incidence of complications in the observation group was 4.88%,which was lower than 19.51%in the control group(P<0.05).At 3 months after operation,the joint activity of the affected limb in the observation group was greater than that in the control group,and the score of Barthel index was higher than that in the control group(P<0.05).Conclusion The PDCA nursing mode application in patients with lower limb fracture can effectively improve their anxiety status and self-efficacy,enhance self-care ability,reduce the incidence of complications,and further improve the effect of fracture rehabilitation.
作者
雒科
宋晓丹
LUO Ke;SONG Xiaodan(Xi'an Central Hospital,Xi'an 710001;Xi'an No.1 Hospital,Xi'an 710002,China)
出处
《临床医学研究与实践》
2024年第31期163-166,共4页
Clinical Research and Practice
关键词
PDCA护理模式
下肢骨折
自护能力
并发症
康复效果
PDCA nursing mode
lower limb fracture
self-care ability
complication
rehabilitation effect
