摘要
目的探讨基于信息不对称理论的共同决策护理对胸腰椎体骨折患者围手术期信息不对称的调整与适应效果。方法2018年1—12月选取328例胸腰椎骨折患者作为研究对象,按入院时间分为对照组(2018年1—6月)161例与观察组(2018年7—12月)167例。对照组胸腰椎体骨折围手术期常规护理实施,观察组在此基础上制订共同决策护理方案,以"针对性、连续性、主动性、多样性"为原则,实施系统信息支持护理。比较两组患者信息接收程度、治疗依从性以及术后康复效果。结果观察组胸腰椎体骨折患者信息接收程度评分高于对照组,差异有统计学意义(P<0.05);观察组治疗依从性优于对照组,差异有统计学意义(P<0.05);观察组术后康复效果优于对照组,差异有统计学意义(P<0.05)。结论基于信息不对称理论的围手术期护理方案可实充分满足围手术期患者对专业知识、医疗信息的渴求,提高其信息接收程度,改善患者对手术与康复的依从性,推动术后康复效果。
Objective To explore the effect of shared decision-making nursing based on information asymmetry theory on adjusting and adapting information asymmetry in patients with thoracolumbar vertebral fracture during perioperative period.Methods From January to December 2018,328 patients with thoracolumbar fractures were selected as the study object,and divided into the control group with 161 cases(January to June 2018)and the observation group with 167 cases(July to December 2018)according to the time of admission.The routine nursing care was given for the control group during the perioperative period for thoracolumbar fracture,on the basis of that the observation group was given the shared decision-making nursing plan on the principle of"pertinence,continuity,initiative and diversity",and the nursing care was supported by systematic information.The information receiving degree,treatment compliance and postoperative rehabilitation effect of the two groups were compared.Results The score of information receiving degree of patients with thoracolumbar fracture in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05);the treatment compliance in the observation group was better than the control group,the difference was statistically significant(P<0.05);the postoperative rehabilitation in the observation group was better than the control group,the difference was statistically significant(P<0.05).Conclusions The perioperative nursing plan based on the theory of information asymmetry can fully meet the needs of perioperative patients for professional knowledge and medical information,improve their information reception,improve the compliance of patients with surgery and rehabilitation,and promote the effect of postoperative rehabilitation.
作者
袁甜
赵衍
陈晶晶
Yuan Tian;Zhao Yan;Chen Jingjing(Department of Orthopedics,Nanjing Hospital Affiliated to Nanjing Medical University,Nanjing First Hospital,Nanjing 210006,China)
出处
《中华现代护理杂志》
2019年第32期4194-4198,共5页
Chinese Journal of Modern Nursing
关键词
围手术期
胸腰椎骨折
康复护理
信息支持
共同决策
Perioperative period
Thoracolumbar fracture
Rehabilitation nursing
Information support
Shared decision-making nursing
