基于微信的健康宣教联合加速康复外科模式对骨科患者围手术期肢体运动功能及并发症的影响。

Effect of WeChat-Based Health Preaching Combined with an Enhanced Recovery after Surgery Model on Perioperative Limb Motor Function and Complications in Orthopaedic Patients.

机构信息

Department of Rehabilitation, The 2nd Affiliated Hospital of Qiqihar Medical University, Qiqihar 161000, Heilongjiang Province, China.

Department of Neurology, The 2nd Affiliated Hospital of Qiqihar Medical University, Qiqihar 161000, Heilongjiang Province, China.

出版信息

J Healthc Eng. 2022 Mar 8;2022:9538138. doi: 10.1155/2022/9538138. eCollection 2022.

DOI:10.1155/2022/9538138

PMID:35299684

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8923771/

Abstract

OBJECTIVE

To evaluate the effect of WeChat-based health preaching combined with an enhanced recovery after surgery (ERAS) model on perioperative limb motor function and complications in orthopaedic patients.

METHODS

By means of retrospective analysis, the medical data of 68 orthopaedic patients who received surgical treatment in our hospital (from 01, 2020-12, 2021) were collected, and the patients were equally divided into the study group (SG) and control group (CG) according to their admission order, with 34 cases each. From 7 d before surgery to the time of hospital discharge, WeChat-based health preaching combined with ERAS perioperative nursing was performed to patients in the SG, and routine orthopaedic perioperative nursing was performed to those in the CG. Before and after nursing, patients' Visual Analog Scale for Fatigue (VAS-F) scores, Houston Pain Outcome Instrument (HPOI) scores, and brief Fu-gI-Meyer (FMA) motor scores were investigated and the incidence rates of postoperative complications and nursing satisfaction of patients in the two groups were recorded.

RESULTS

After nursing, SG obtained a significantly better VAS-F score and HPOI score ( < 0.001), significantly higher postoperative 7 d and predischarge lower limb FMA scores (20.06 ± 2.13 vs 18.38 ± 2.36, 27.50 ± 1.90 vs 24.09 ± 2.25, < 0.05), and significantly lower annual incidence rate of complications compared with those of the CG ( < 0.05); and the nursing satisfaction scores of the SG and CG were 9.18 ± 0.82 points and 6.76 ± 0.91 points, respectively, indicating significantly higher nursing satisfaction in the SG than in the CG ( < 0.001).

CONCLUSION

The nursing model of WeChat-based health preaching combined with ERAS can effectively improve the knowledge level of orthopaedic patients, thereby improving their abilities of pain management and self-management, accelerating the recovery of their limb function, and reducing the incidence rate of postoperative complications. The patients are more satisfied with such nursing model, indicating its better promotion value.

摘要

目的

评估基于微信的健康宣教结合加速康复外科（ERAS）模式对骨科患者围手术期肢体运动功能及并发症的影响。

方法

采用回顾性分析方法，收集我院 2020 年 1 月至 2021 年 12 月收治的 68 例接受手术治疗的骨科患者的临床资料，根据入院顺序将患者分为研究组（SG）和对照组（CG），每组 34 例。SG 患者在术前 7 d 至出院期间接受基于微信的健康宣教结合 ERAS 围手术期护理，CG 患者接受常规骨科围手术期护理。护理前后，调查患者的视觉模拟疲劳评分（VAS-F）、休斯顿疼痛结局工具（HPOI）评分和简易 Fugl-Meyer（FMA）运动评分，记录两组患者术后并发症发生率和护理满意度。

结果

护理后，SG 的 VAS-F 评分和 HPOI 评分明显更低（<0.001），术后 7 d 和出院时的下肢 FMA 评分明显更高（20.06±2.13 比 18.38±2.36、27.50±1.90 比 24.09±2.25，<0.05），并发症年发生率明显更低（<0.05）；SG 和 CG 的护理满意度评分分别为 9.18±0.82 分和 6.76±0.91 分，SG 的护理满意度明显更高（<0.001）。