何美珍　李晓艳

【摘要】 目的：探讨对胫腓骨骨折患者实施综合护理干预的应用效果。方法：选取笔者所在医院在2016年2月-2017年2月收治的112例胫腓骨骨折患者，并随机分为两组，对照组56例患者实施常规护理，观察组56例患者则实施综合护理，然后对两组患者住院时间、并发症发生率及患者对护理工作满意度进行观察和对比。结果：观察组患者住院时间为（30.7±10.5）d，对照组患者住院时间为（49.2±9.6）d，观察组短于对照组，差异有统计学意义（P<0.05）；观察组患者并发症发生率为5.4%，明显低于对照组的23.2%，差异有统计学意义（字2=5.910，P<0.05）；观察组患者对护理工作满意度为100%，对照组患者对护理工作满意度为83.9%，观察组明显高于对照组，差异有统计学意义（字2=7.730，P<0.05）。结论：对胫腓骨骨折患者实施综合护理干预不仅能够明显缩短患者住院时间，降低并发症发生率，而且能够显著提高患者对护理工作的满意度，效果显著，值得推广。

【关键词】 胫腓骨骨折； 综合护理； 应用价值

doi：10.14033/j.cnki.cfmr.2018.4.035 文献标识码 B 文章编号 1674-6805（2018）04-0072-02

Application Value of Comprehensive Nursing Mode in Tibia and Fibula Fracture Nursing/HE Meizhen，LI Xiaoyan.//Chinese and Foreign Medical Research，2018，16（4）：72-73

【Abstract】 Objective：To explore the effect of comprehensive nursing intervention on tibia and fibula fractures.Method：A total of 112 patients with tibial and fibular fractures were randomly divided into two groups.Fifty-six patients in the control group were treated with routine nursing，and other fifty-six patients in the observation group were treated with comprehensive nursing，and the hospitalization time，the incidence of complications and patient satisfaction with the care of the work in two groups were compared.Result：The hospitalization time in the observation group was （30.7±10.5） days，and in the control group was （49.2±9.6） days，the observation group was shorter than the control group，the difference was statistically significant （P<0.05）.The incidence of complications in the observation group was 5.4%，lower than 23.2% in the control group，the difference was statistically significant （字2=5.910，P<0.05）.The satisfaction rate in the observation group was 100%，better than 83.9% in the control group，the difference was statistically significant （字2=7.730，P<0.05）.Conclusion：Comprehensive nursing intervention in patients with tibial and fibular fractures can not only shorten the hospital stay and reduce the incidence of complications，but also can significantly improve the satisfaction of patients with nursing work，the effect is remarkable and worthy of promotion.

【Key words】 Tibial and fibular fractures； Comprehensive nursing； Application value

First-authors address： Ningde City Hospital Affiliated to Fujian Medical University，Ningde 352100，China

脛腓骨骨折最普遍的是四肢长管状骨的骨折，约占整个身体骨折12%左右，好发于10岁以下的儿童及青壮年[1]。儿童患者以无移位骨折或青枝骨折为多见，同时又以胫腓骨双骨折最普遍，其次为胫骨骨折，而单纯的腓骨骨折则较为少见[2]。胫腓骨骨折多为开放性，创口很容易导致并发感染。且一旦发生骨折，引起局部软组织发生缺损，出现坏死的概率较高。同时，因血液的供给较差，如果治疗或护理不当很容易造成感染，最终将致使骨折愈合延迟，严重时乃至无法愈合。所以，对于胫腓骨骨折患者除了及时的治疗，准确、有效的护理措施也具有非常重要的意义[3-4]。本次研究为了探讨实施基于胫腓骨骨折患者的综合护理干预应用疗效，并选取笔者所在医院2016年2月-2017年2月收治的112例胫腓骨骨折患者随机分为两组，对其进行护理资料的对比与分析，现报道如下。

1 资料与方法

1.1 一……