Study on the effectiveness of the enhanced recovery nursing model in patients with extensive burns
加速康复护理模式在大面积烧伤患者中的应用效果研究

摘要

目的 探讨加速康复护理模式在大面积烧伤患者中的应用效果。方法 经患者和家属同意选取40例本院神经外科烧伤整形外科患者作为此次研究的样本，烧伤程度均为大面积烧伤，烧伤部位不一致。收治时间从2024年2月至2025年3月。将蓝红2个颜色的小球放入黑色盒子中，用随机抽球的方式分为两组，蓝色小球代表常规护理组；红色小球代表康复护理组，每组各20例。常规护理组按照常规护理干预，康复护理组则在常规护理的基础上，结合加速康复护理模式干预方案。对比两组患者并发症发生几率、生活质量评分、护理服务满意度。结果 康复护理组患者并发症几率明显低于常规护理组；生活质量评分也可以从不同纬度看出，康复护理组评分高于常规护理组；护理服务满意度康复护理组相较于常规护理组更让患者满意，差异具有统计学意义（P ＜ 0.05）。结论 在为大面积烧伤患者进行护理时，为患者予以加速康复护理模式能够提高护理效果，更加有效地控制并发症发生几率，提高患者生活质量，增加护理满意程度。大面积烧伤患者结合加速康复护理模式在实际护理中值得广泛应用借鉴。

Abstract

Objective To investigate the effectiveness of the enhanced recovery nursing model in patients with extensive burns.
Methods Forty patients from the Departments of Neurosurgery and Burns and Plastic Surgery at our hospital were selected for this study with the consent of the patients and their families. All patients suffered extensive burns, with varying burn locations. The patients were admitted from February 2024 to March 2025. Two colored balls, blue and red, were placed in a black box and randomly assigned to two groups: the conventional care group (blue balls) and the rehabilitation care group (red balls). Each group consisted of 20 patients. The conventional care group received conventional nursing intervention, while the rehabilitation care group received conventional care combined with the enhanced recovery nursing model. The incidence of complications, quality of life scores, and satisfaction with nursing services were compared between the two groups.
Results The incidence of complications in the rehabilitation nursing group was significantly lower than that in the conventional nursing group. Quality of life scores were also higher in the rehabilitation nursing group than in the conventional nursing group, as shown by various dimensions. Patients in the rehabilitation nursing group were more satisfied with nursing services than those in the conventional nursing group, with the difference being statistically significant (P < 0.05).
Conclusion   Accelerated rehabilitation nursing can improve nursing outcomes, more effectively control the incidence of complications, improve patients' quality of life, and increase nursing satisfaction in patients with extensive burns. The application of accelerated rehabilitation nursing in the actual nursing of patients with extensive burns is worthy of widespread application and reference.