Abstract:
Objective To explore the application of medical and nursing integration model in orthopedic nursing.
Methods Total 120 patients planning orthopedic surgery in our hospital from February,2013 to June,2016 were enrolled and divided into control group and observation group according to the random number table method (
n=60).The operations for all patients were performed by the same group of medical staffs.The patients in the control group were given routine nursing care and the patients in the observation group were given the integrated nursing care mode.The visual analogue scale (VAS) was used to evaluate the postoperative pain degree of the two groups.The postoperative recovery and postoperative complications of the two groups were observed.The patient satisfaction with nursing care in the two groups was evaluated.
Results The VAS score of the observation group was significantly lower than that of the control group at each time point (
P<0.05).The postoperative bedtime,postoperative feeding time and hospital stay were shorter in the observation group as compared with the control group (
P<0.05).In the control group,there were 10 cases of constipation,3 cases of deep venous thrombosis in lower extremity,3 cases of pneumonia,and 4 cases of urinary system infection;in the observation group,there were 6 cases of constipation,1 case of deep venous thrombosis in lower extremity,1 case of pneumonia,and 2 cases of urinary system infection,the incidence of postoperative complications in the observation group was significantly lower than that in the control group.The total patient satisfaction with nursing care in the observation group was 100%,which was obviously higher than that (83.33%) in the control group (
Z=3.422,
P<0.05).
Conclusion The integrated health care model can postoperative pain in orthopedic patients,reduce the incidence of postoperative complications,shorten the postoperative recovery period and improve patient satisfaction with nursing care,so it is worthy of clinical application.