Research on the application effect of the integrated medical and nursing model in the nursing of spinal trauma fractures
医护一体化模式在脊柱外伤骨折护理中的应用效果研究

摘要

目的 以提高脊柱外伤骨折护理水平为研究目标，在临床护理中实施医护一体化模式，明确其对脊柱外伤骨折患者的影响。方法 以2023年1月-12月时间段中于院内接受诊疗的脊柱外伤骨折患者为分析对象，共计95例，按照诊疗先后顺序设置成对照组（49例）、观察组（46例），分别以常规手段、医护一体化模式手段实施两组护理干预，对干预情况进行分析。结果 下床活动时间、住院时间、脊柱外伤骨折愈合时间等方面，两组相比，观察组各项值更低（P<0.05）。满意度、生活质量方面，两组相比，观察组各项值更高；疼痛评分、腰部功能等方面，两组相比，观察组各项值更低（P<0.05）。结论 在临床护理中实施医护一体化模式，能够对脊柱外伤骨折患者产生积极影响，使其尽早下床活动、出院，减轻生理痛苦，促进骨折愈合，改善腰部功能、生活质量，为患者提供更为满意护理方案。

Abstract

Objective To improve the nursing level of spinal trauma fractures as the research objective, to implement the integrated nursing model in clinical nursing, and to clarify its impact on patients with spinal trauma fractures.
Methods A total of 95 patients with spinal trauma fracture who received treatment in the hospital from January to December 2023 were selected as the analysis objects. They were divided into control group (49 cases) and observation group (46 cases) according to the order of diagnosis and treatment. The two groups of nursing intervention were implemented by conventional means and integrated mode of medical care, and the intervention was analyzed.
Results The time of getting out of bed, the time of staying in hospital and the healing time of spinal injury fracture were lower in the observation group than in the two groups (P<0.05). In terms of satisfaction and quality of life, the values of observation group were higher than those of the two groups. Pain score and lumbar function were lower in the observation group than in the two groups (P<0.05).
Conclusion   The implementation of integrated nursing mode in clinical nursing can have a positive impact on patients with spinal trauma fractures, make them get out of bed as soon as possible, discharge from hospital, reduce physiological pain, promote fracture healing, improve lumbar function and quality of life, and provide more satisfactory nursing programs for patients.