The application of patient participatory nursing in the nursing of pressure injury in fracture patients
病人参与式护理在骨折病人压力性损伤护理中的应用

摘要

目的 观察分析对骨折患者实施病人参与式护理在压力性损伤护理中的应用效果和应用价值。方法采用回顾性研究方法，选择院内就诊的60例骨折患者（样本纳入例数：60例；样本纳入时间：2022年5月至2023年5月），以随机摸球为基础分组方式，分为对照、实验两个小组，观察例数高度一致。分别实施常规护理，病人参与式护理。收集分析护理效果。结果 （1）护理前，两组患者的IL-6、IL -8、hs-CRP以及TNF –a等炎症因子水平未表现出明显差异性，（P＞0.05）无意义，而护理后实验组患者的IL-6、IL -8、hs-CRP以及TNF –a等炎症因子水平明显低于对照组，组间数据表现出明显差异性（P＜0.05）具有统计学意义；（2）相较于对照组，实验组患者的压力性损伤发生率明显更低，组间数据表现出明显差异性（P＜0.05）具有统计学意义；（3）护理前，两组患者的决策性参与评分、决策性参与评分以及诉求性参与评分未表现出明显差异性，（P＞0.05）无意义，而护理后实验组患者的决策性参与评分、决策性参与评分以及诉求性参与评分明显高于对照组，组间数据表现出明显差异性（P＜0.05）具有统计学意义。结论 病人参与式护理可以有效促进骨折患者恢复，加强压力性损伤预防，提升患者护理参与度与依从性，有较高应用价值。

Abstract

Objective Observation and analysis of the application effect and value of patient participatory nursing in the care of pressure injuries for fracture patients.
Methods A retrospective study was conducted to select 60 patients with fractures who visited the hospital (sample size: 60 cases; sample inclusion time: May 2022 to May 2023). They were randomly divided into two groups based on ball touching, control and experimental, with a highly consistent number of observed cases. Implement routine care and patient participatory care separately. Collect and analyze nursing outcomes.
Results (1) Before nursing, the levels of inflammatory factors such as IL-6, IL-8, hs-CRP and TNF-A in the two groups did not show significant differences (P > 0.05), while the levels of inflammatory factors such as IL-6, IL-8, hs-CRP and TNF-A in the experimental group were significantly lower than those in the control group after nursing. The data between groups showed significant difference (P < 0.05), which was statistically significant. (2) Compared with the control group, the incidence of stress injury in the experimental group was significantly lower, and the inter-group data showed a significant difference (P < 0.05), with statistical significance; (3) Before nursing, there was no significant difference in the scores of decision making, decision making and appeal participation between the two groups (P > 0.05), while after nursing, the scores of decision making, decision making and appeal participation in the experimental group were significantly higher than those in the control group. The data between groups showed significant difference (P < 0.05), which was statistically significant.
Conclusion   Patient participatory nursing can effectively promote the recovery of fracture patients, strengthen the prevention of pressure injuries, enhance patient nursing participation and compliance, and has high application value.