The application effect of empowering health education in orthopedic nursing management
赋能健康教育在骨科护理管理中的应用效果

摘要

目的 探析在骨科护理管理中应用赋能健康教育的临床方法和效果。方法 本研究开始时间为2019年6月，结束时间为2020年6月，研究期间选取在我院骨科接受治疗的髋骨骨折手术患者共计90例作为主要分析对象；为了更好的明确赋能健康教育的效果，本研究使用对比的方法，故将所有患者分为两组，一组命名为对照组，另一组命名为观察组，分组依据随机数字表法完成，每组中各有患者45例。两组接受治疗期间均给予临床护理及健康教育，但方法不同，分别是对照组采用常规健康教育，观察组采用赋能健康教育；不同方法实施后对患者的临床情况进行观察和分析，并记录相关数据，主要包括：术前和术后两组患者的日常生活活动能力（使用Barthel指数量表、GSES自我效能量表进行评价）、并发症发生情况等数据，同时将两组记录后的数据进行比较。结果 观察组术前，无论是Barthel指数评分还是GSES评分与对照组相比，均无明显差异，无统计学意义（P＞0.05）；术后观察组和对照组Barthel指数、GSES评分均得到了明显改善，相对于术前较好，差异有统计学意义（P＜0.05），但对照组与观察组相比，后者相对于前者有较多优势，差异有统计学意义（P＜0.05）。对照组并发症发生率为（22.22%）相对于观察组（6.67%）较高，相比之下有明显区别，差异有统计学意义（P＜0.05）。结论 在骨科护理管理中，对赋能健康教育进行合理的应用，不仅能够提高患者的生活质量，还能够减少不良情况的发生，同时对患者自我管理能力的提升有着积极作用，有利于护理质量和安全性的提高。

Abstract

Objective: To explore the clinical methods and effects of applying empowering health education in orthopedic nursing management.
Methods: The study started in June 2019 and ended in June 2020. During the study period, a total of 90 fracture patients who received treatment in the orthopedics department of our hospital were selected as the main analysis objects; in order to better define the health education Effect, this study used the method of comparison, so all patients were divided into two groups, one group was named the control group, and the other group was named the observation group. The grouping was completed according to the random number table method. Each group had 45 patients. Both groups were given clinical nursing and health education during the treatment period, but the methods were different. The control group used routine health education and the observation group used empowering health education. After the implementation of different methods, the patients’ clinical conditions were observed and analyzed and recorded Relevant data mainly include: the activities of daily living of the two groups of patients before and after the operation (using the Barthel index scale and the GSES self-efficacy scale for evaluation), the occurrence of complications and other data, and the data after the two groups are recorded Compare.
Results: Before operation, there was no significant difference in Barthel index score or GSES score between the observation group and the control group, and there was no statistical significance (P>0.05); the Barthel index and GSES score of the observation group and control group were obtained after operation Compared with the preoperative better, the difference is statistically significant (P＜0.05), but compared with the observation group, the latter has more advantages over the former, and the difference is statistically significant (P＜0.05) ). The complication rate of the control group (22.22%) was higher than that of the observation group (6.67%). There was a significant difference in comparison, and the difference was statistically significant (P<0.05).
Conclusion  : In orthopedic nursing management, the reasonable application of empowering health education can not only improve the quality of life of patients, but also reduce the occurrence of adverse situations. At the same time, it has a positive effect on the improvement of patients' self-management ability, which is beneficial to the quality of care And the improvement of safety.