A study on the synergistic effect of an integrated nursing model on the rehabilitation of patients undergoing orthopedic surgery combined with alcohol withdrawal syndrome
整合护理模式对骨科手术合并酒精戒断综合征患者康复的协同增效研究

摘要

目的 探讨多维度整合护理模式对骨科手术合并酒精戒断综合征患者心理、术后感染发生率及住院时间的影响。方法 将 60 例骨科手术合并酒精戒断综合征患者按照随机数字表法分为研究组与对照组，各 30 例。对照组病人给予常规治疗及护理，研究组在常规护理的基础上对病人、照护者实施 2 - 6 周的整合护理干预，干预后 2 周、4 周、6 周末对两组病人的心理情况、功能恢复情况进行评估，同时比较两组病人术后感染发生率及住院时间。结果 干预后两组症状自评量表评分均较干预前显著降低（P <0.01），研究组较对照组下降更显著（P <0.01）。干预后 2 周末两组术后感染发生率比较差异无统计学意义（P >0.05），干预后 4 周、6 周末研究组术后感染发生率显著低于对照组（P <0.05）。研究组住院时间较对照组短（P <0.05）。结论 整合护理模式能显著提高骨科手术合并酒精戒断综合征患者的心理健康水平，不仅给病人及照护者带来支持，且能降低病人术后感染发生率，缩短住院时间，促进病人恢复，具有临床推广价值。​

Abstract

Objective To investigate the effects of a multidimensional integrated nursing model on the psychological well-being, incidence of postoperative infection, and length of hospital stay in patients undergoing orthopedic surgery combined with alcohol withdrawal syndrome.
Methods Sixty patients undergoing orthopedic surgery combined with alcohol withdrawal syndrome were randomly divided into a study group and a control group, 30 patients in each group. The control group received conventional treatment and nursing care, while the study group implemented an integrated nursing intervention for patients and caregivers for 2-6 weeks in addition to conventional care. The psychological well-being and functional recovery of the patients in both groups were assessed at the end of the 2nd, 4th, and 6th week after the intervention. The incidence of postoperative infection and length of hospital stay were also compared between the two groups.
Results After the intervention, the symptom self-rating scale scores in both groups were significantly lower than those before the intervention (P < 0.01), with the decrease in the study group being more significant than that in the control group (P < 0.01). There was no statistically significant difference in the incidence of postoperative infection between the two groups at the end of the two weeks after the intervention (P > 0.05). However, the incidence of postoperative infection in the study group was significantly lower than that in the control group at the end of the four and six weeks after the intervention (P < 0.05). The length of hospital stay in the study group was shorter than that in the control group (P < 0.05).
Conclusion   The integrated nursing model significantly improves the psychological well-being of patients undergoing orthopedic surgery combined with alcohol withdrawal syndrome. It not only provides support to patients and caregivers, but also reduces the incidence of postoperative infection, shortens hospital stay, and promotes patient recovery. It has clinical application value.