SWOT分析在门诊前臂骨折手法复位术后健康教育中的应用及效果(1)
[摘要] 目的 研究优势、劣势、机会、威胁(SWOT)分析应用于门诊前臂骨折者手法复位手术后健康教育的效果和护理满意度。 方法 回顾性分析2015年10月～2016年10月内蒙古医科大学附属医院收治的136例前臂骨折患者资料。所有患者均采取门诊手法复位手术治疗，按照术后所采用护理方案分成2组，每组各68例；对照组采用常规性护理，观察组在常规性护理基础上增加SWOT分析健康教育。比较两组心理状态、并发症、前臂功能及护理效果的满意度。 结果 护理后两组心理状态较护理前均明显改善，且观察组心理状态优于对照组(P < 0.01)。观察组并发症发生率低于对照组(P < 0.05)，前臂功能优于对照组(P < 0.01)。观察组护理满意度高于对照组(P < 0.01)。 结论 SWOT分析应用于门诊前臂骨折手法复位手术后健康教育效果较好，能够改善患者负性心理，减少术后并发症，且利于恢复患者前臂功能，提高护理满意度，值得临床推广使用。
[关键词] 门诊；前臂骨折；SWOT分析；手法复位；健康教育；满意度
[中图分类号] R47 [文献标识码] A [文章编号] 1673-7210(2017)04(b)-0163-04
[Abstract] Objective To study the effects of SWOT (strengths， weaknesses， opportunities， threats) and analysis the application of health education after manual reduction for forearm fracture in outpatient department and its nursing satisfaction. Methods From October 2015 to October 2016， the clinical data of 136 patients with forearm fracture who had received treatment at the Affiliated Hospital of Inner Mongolia Medical University were analyzed.After outpatient manual reduction， the patients were divided into control group (68 cases) and observation group (68 cases) according to the different nursing options after the operation. The patients were given to routine nursing in the control group， and the patients were given to SWOT analysis in health education combined with routine nursing in the observation group. The psychological state， rate of complications， forearm function and nursing satisfaction in the two groups were compared. Results After nursing， the psychological state of the two groups had improved， and the psychological state of observation group was better than that of control group (P < 0.01). The rate of complications of the observation group was lower than that of the control group (P < 0.05)， and Forearm function in the observation group was better than that in the control group (P < 0.01). The nursing satisfaction in the observation group was higher than that in the control group (P < 0.01). Conclusion SWOT analysis has better effect in health education after manual reduction of forearm fracture in outpatients， which can improve the negative moods and nursing satisfaction of the patients， reduce postoperative complications and boost their forearm function. Therefore， it is worthy of clinical application.
[Key words] Outpatient； Forearm fracture； SWOT analysis； Manual reduction； Health education； Satisfaction
前臂骨折屬于临床常见骨折，其中小夹板固定治疗为此类骨折常用方式，具疗效满意和费用低等特点，且通过手法复位手术后无需住院，但考虑手术具有较大创伤，常累及患者神经系统，骨折愈合时间较长，不利于肢体功能恢复，临床需结合有效护理措施[1-3]。临床骨折治疗目的不仅要恢复患肢正常外观，而且需恢复骨折正常功能，以减少患者功能障碍，促进预后生活质量提高；近年来，伴随骨折治疗方式不断更新，较多骨科医师强化骨折固定强度，忽视手术后功能锻炼，增加患者出现肢体功能障碍风险，需强化临床医师和患者重视度，并依据患者实际状况(性格、手教育程度等)于手术后尽早实施康复锻炼，从而提高护理效果，恢复患者关节功能[4-6]。本文对2015年10月～2016年10月内蒙古医科大学附属医院(以下简称“我院”)收治的前臂骨折136例患者采取门诊手法复位手术治疗后应用不同护理方案效果予以分析，旨在寻求临床理想护理方法，促进患者前臂功能恢复，现将结果报道如下：, 百拇医药(任海燕 武文玲)
[关键词] 门诊；前臂骨折；SWOT分析；手法复位；健康教育；满意度
[中图分类号] R47 [文献标识码] A [文章编号] 1673-7210(2017)04(b)-0163-04
[Abstract] Objective To study the effects of SWOT (strengths， weaknesses， opportunities， threats) and analysis the application of health education after manual reduction for forearm fracture in outpatient department and its nursing satisfaction. Methods From October 2015 to October 2016， the clinical data of 136 patients with forearm fracture who had received treatment at the Affiliated Hospital of Inner Mongolia Medical University were analyzed.After outpatient manual reduction， the patients were divided into control group (68 cases) and observation group (68 cases) according to the different nursing options after the operation. The patients were given to routine nursing in the control group， and the patients were given to SWOT analysis in health education combined with routine nursing in the observation group. The psychological state， rate of complications， forearm function and nursing satisfaction in the two groups were compared. Results After nursing， the psychological state of the two groups had improved， and the psychological state of observation group was better than that of control group (P < 0.01). The rate of complications of the observation group was lower than that of the control group (P < 0.05)， and Forearm function in the observation group was better than that in the control group (P < 0.01). The nursing satisfaction in the observation group was higher than that in the control group (P < 0.01). Conclusion SWOT analysis has better effect in health education after manual reduction of forearm fracture in outpatients， which can improve the negative moods and nursing satisfaction of the patients， reduce postoperative complications and boost their forearm function. Therefore， it is worthy of clinical application.
[Key words] Outpatient； Forearm fracture； SWOT analysis； Manual reduction； Health education； Satisfaction
前臂骨折屬于临床常见骨折，其中小夹板固定治疗为此类骨折常用方式，具疗效满意和费用低等特点，且通过手法复位手术后无需住院，但考虑手术具有较大创伤，常累及患者神经系统，骨折愈合时间较长，不利于肢体功能恢复，临床需结合有效护理措施[1-3]。临床骨折治疗目的不仅要恢复患肢正常外观，而且需恢复骨折正常功能，以减少患者功能障碍，促进预后生活质量提高；近年来，伴随骨折治疗方式不断更新，较多骨科医师强化骨折固定强度，忽视手术后功能锻炼，增加患者出现肢体功能障碍风险，需强化临床医师和患者重视度，并依据患者实际状况(性格、手教育程度等)于手术后尽早实施康复锻炼，从而提高护理效果，恢复患者关节功能[4-6]。本文对2015年10月～2016年10月内蒙古医科大学附属医院(以下简称“我院”)收治的前臂骨折136例患者采取门诊手法复位手术治疗后应用不同护理方案效果予以分析，旨在寻求临床理想护理方法，促进患者前臂功能恢复，现将结果报道如下：, 百拇医药(任海燕 武文玲)