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Effect of high-quality nursing on orthopedic trauma based on a fast-track surgery model

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机构: [1]Chunan Hosp Tradit Chinese Med, Operating Room, Hangzhou 311700, Zhejiang, Peoples R China [2]Eighth Peoples Hosp Hengshui, Dept Orthoped, Hengshui 253800, Hebei, Peoples R China [3]Matern & Child Hlth Care Zaozhuang, Dept Pediat Surg, Zaozhuang 277000, Shandong, Peoples R China [4]Penglai Tradit Chinese Med Hosp, Dept Emergency, Yantai 265600, Shandong, Peoples R China [5]Hebei Med Univ, Dept Emergency, Shijiazhuang Hosp 4, Shijiazhuang 050000, Hebei, Peoples R China [6]Haiyang Peoples Hosp, Dept Crit Care Med, Yantai 265100, Shandong, Peoples R China
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关键词: Orthopedic trauma FTS mode high quality nursing quality of life

摘要:
Objective: To explore the effect of fast-track surgery (FTS) based high quality nursing on orthopedic trau-ma. Methods: In this retrospective study, 94 patients who received orthopedic trauma surgery in our hospital from December 2018 to November 2020 were included. The patients were assigned to a research group (n=47) or a control group (n=47) according to which nursing method they received. The control group received routine nursing, while the research group also received FTS-based high-quality nursing. Perioperative situation, quality of life score (SF-36) before and after operation, incidence of complications, pain score (VAS) at different time periods after operation, and nursing satisfaction were compared between the two groups. Results: There was no significant dif-ference in operation time or blood loss between groups (P>0.05). The time to getting out of bed for the first time, time to drainage tube removal, and length of hospital stay in the research group were shorter than those in the control group (P<0.001). Repeated measurement analysis of variance revealed that the VAS score of the research group was lower than that of the control group at 1 h, 3 h, 6 h, 24 h and 48 h after operation (P<0.05). Intra-group comparison manifested that the VAS scores of both groups decreased at 1 h, 3 h, 6 h, 24 h and 48 h after opera-tion (P<0.05). Comparison at different time points revealed that the difference was statistically significant (P<0.05). The incidence of complications in the research group (4.26%) was lower than that in the control group (17.02%; P<0.05). The satisfaction rate of nursing in the research group (93.62%) was higher than that in the control group (78.72%; P<0.05). After intervention, the level of superoxide dismutase (SOD) and glutathione (GSH) in both groups decreased with a lesser decrease in the research group. The contents of reactive oxygen species (ROS) and malo-ndialdehyde (MDA) in groups after intervention were higher than those before intervention with a milder increase in the research group. Conclusion: FTS mode can shorten the recovery time, reduce the degree of pain and the reduce the time of analgesia. It also promotes the recovery and shortens the hospital stay of patients, and improves their quality of life, with high satisfaction. This may be related to an expeditedd surgical process and reduced oxidative stress response of patients undergoing surgery under the rapid recovery surgical model.

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出版当年[2022]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学 4 区 医学:研究与实验
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验 4 区 肿瘤学
JCR分区:
出版当年[2022]版:
Q4 MEDICINE, RESEARCH & EXPERIMENTAL Q4 ONCOLOGY
最新[2024]版:
Q3 MEDICINE, RESEARCH & EXPERIMENTAL Q4 ONCOLOGY

影响因子: 最新[2024版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

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第一作者机构: [1]Chunan Hosp Tradit Chinese Med, Operating Room, Hangzhou 311700, Zhejiang, Peoples R China
通讯作者:
通讯机构: [6]Haiyang Peoples Hosp, Dept Crit Care Med, Yantai 265100, Shandong, Peoples R China [*1]Haiyang Peoples Hosp, Dept Crit Care Med, 73 Haiyang Rd, Yantai 265100, Shandong, Peoples R China
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