论文部分内容阅读
目的观察优质护理服务在骨科中的应用效果。方法选取2013年5月—2016年8月行全髋关节置换术患者102例,根据随机数字表法将患者分为观察组与对照组分别51例。对照组给予常规护理,观察组给予优质护理服务。对比两组切口愈合情况、术后1个月患者康复程度、并发症发生情况、住院时间、住院费用及护理满意度。计量资料比较采用t检验,计数资料比较采用χ~2检验,P<0.05为差异有统计学意义。结果观察组甲级愈合率92.16%、乙级愈合率7.84%;对照组甲级愈合率72.55%,乙级愈合率27.45%;两组甲级愈合率比较差异有统计学意义(P<0.05)。观察组康复程度优良率为92.16%,对照组为74.51%,两组康复程度优良率比较差异有统计学意义(P<0.05)。观察组并发症发生率为15.69%,对照组为37.25%,两组并发症发生率比较差异有统计学意义(P<0.05)。观察组住院时间(13.97±4.09)d、住院费用(24 961±457)元;对照组住院时间(20.01±7.34)d、住院费用(26 840±497)元;两组住院时间、住院费用比较差异有统计学意义(均P<0.05)。观察组满意度100%,对照组80.39%,两组满意度比较差异有统计学意义(P<0.05)。结论采用优质护理服务可促进骨科患者切口愈合及患者康复,降低并发症发生率、住院时间及住院费用,提高患者满意度。
Objective To observe the effect of quality nursing service in orthopedics. Methods Totally 102 patients undergoing total hip arthroplasty from May 2013 to August 2016 were selected and divided into observation group and control group according to random number table method. The control group was given routine care and the observation group was given quality nursing care. The wound healing was compared between the two groups. The degree of recovery, the incidence of complications, the length of stay, the cost of hospitalization and the degree of nursing satisfaction were observed at 1 month after operation. Measurement data were compared using t test, count data were compared using χ ~ 2 test, P <0.05 for the difference was statistically significant. Results The healing rate of grade A in the observation group was 92.16%, the healing rate of grade B was 7.84%. The healing rate of grade A in the control group was 72.55%, the healing rate of grade B was 27.45%. There was significant difference in grade A healing between the two groups (P <0.05) . The excellent and good rate of rehabilitation in the observation group was 92.16%, while that of the control group was 74.51%. There was significant difference between the two groups in the excellent and good rate of rehabilitation (P <0.05). The incidence of complications in the observation group was 15.69% and that in the control group was 37.25%. There was significant difference in the incidence of complications between the two groups (P <0.05). The hospitalization time (13.97 ± 4.09) d, hospitalization cost (24 961 ± 457) yuan in the observation group, the length of stay in the control group (20.01 ± 7.34) d and the hospitalization cost (26 840 ± 497) yuan The difference was statistically significant (all P <0.05). The satisfaction of the observation group was 100% and that of the control group was 80.39%. There was significant difference between the two groups in satisfaction (P <0.05). Conclusion The use of quality nursing services can promote incision healing and patient rehabilitation in orthopedic patients, reduce the incidence of complications, hospitalization time and hospitalization costs, and improve patient satisfaction.