摘要
目的探讨整合疾病辅助检查指标的出院管理清单在髋部骨折手术患者中的应用效果。方法将67例髋部骨折手术患者按入院时间分为对照组34例和观察组33例。对照组给予常规术后护理及出院指导。观察组在常规术后护理基础上,采用整合疾病辅助检查指标的出院管理清单评估患者疾病辅助检查中的阳性指标,针对性地将出院后6个月的伤口护理、饮食指导、疼痛管理、药物使用、功能锻炼及并发症预防以清单方式呈现给患者,并辅以视频指导。结果对照组33例、观察组32例患者完成研究。观察组出院时出院指导质量的实际获得的内容、指导技巧及效果2个维度评分显著高于对照组(均P<0.05);术后1个月、3个月、6个月Barthel指数和髋关节Harris评分显著高于对照组(均P<0.05);两组术后并发症发生率差异无统计学意义(均P>0.05)。结论应用整合疾病辅助检查指标的出院管理清单对患者进行出院指导,有利于提高髋部骨折手术患者出院指导质量,促进髋关节功能恢复,提高患者日常生活能力。
Objective To explore the effect of a discharge management checklist integrating auxiliary examination indicators in patients undergoing hip fracture surgery.Methods A total of 67 patients undergoing hip fracture surgery were divided into a control group(n=34)and an intervention group(n=33)chronologically.The control group received routine postoperative nursing and discharge guidance,while the intervention group was additionally managed using a discharge checklist integrating positive findings from disease-related auxiliary examinations to assess positive indicators,then the targeted wound care,dietary guidance,pain ma-nagement,medication use,functional exercise,and complication prevention within 6 months after discharge were presented to patients in a checklist format and supplemented with video-based instruction.Results Thirty-three patients in the control group and 32 patients in the intervention group completed the study.At discharge,the two subscale scores(actual content obtained,guidance skills and effectiveness)of discharge guidance quality in the intervention group were significantly higher than those in the control group(both P<0.05).At 1,3,and 6 months after surgery,the Barthel Index and Harris Hip scores in the intervention group were significantly higher than those in the control group(all P<0.05).There were no significant differences in the incidence of postoperative complications between the two groups(all P>0.05).Conclusion Applying a discharge management checklist integrating auxiliary examination indicators for discharge guidance is conducive to improving the quality of discharge guidance in patients undergoing hip fracture surgery,promoting hip function recovery,and enhancing patients′ability in activities of daily living.
作者
刘丽丽
彭海恒
王正
徐嫚娟
曹园琦
胡明慧
刘卓
朱冰洁
胡婧
王欣
喻爱喜
杨璠
Liu Lili;Peng Haiheng;Wang Zheng;Xu Manjuan;Cao Yuanqi;Hu Minghu;Liu Zhuo;Zhu Bingjie;Hu Jing;Wang Xin;Yu Aixi;Yang Fan(Department of Orthopedics Trauma and Microsurgery,Zhongnan Hospital of Wuhan University,Wuhan 430071,China)
出处
《护理学杂志》
北大核心
2026年第1期33-38,共6页
Journal of Nursing Science
基金
湖北省财政厅学科建设项目(YYXKNL2022009)
湖北省自然科学基金项目(2025AFD365)。
关键词
髋部骨折
出院管理清单
康复指导
出院指导
髋关节功能
日常生活能力
康复护理
hip fracture
discharge management checklist
rehabilitation guidance
discharge guidance
hip joint function
activities of daily living
rehabilitation nursing
作者简介
通信作者:杨璠,yangfan666@163.com;刘丽丽:女,本科,副主任护师,19023371@qq.com。
