Volume 19 Issue 6
Jun.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(6): 1049-1052
CHEN Zhi-hui, ZENG Zhong-you, QIAN Jin-feng. Application of cluster nursing management to the treatment of orthopaedic trauma with infection through vacuum sealing drainage[J]. Chinese Journal of General Practice, 2021, 19(6): 1049-1052. doi: 10.16766/j.cnki.issn.1674-4152.001982
Citation: CHEN Zhi-hui, ZENG Zhong-you, QIAN Jin-feng. Application of cluster nursing management to the treatment of orthopaedic trauma with infection through vacuum sealing drainage[J]. Chinese Journal of General Practice, 2021, 19(6): 1049-1052. doi: 10.16766/j.cnki.issn.1674-4152.001982
shu

Application of cluster nursing management to the treatment of orthopaedic trauma with infection through vacuum sealing drainage

doi: 10.16766/j.cnki.issn.1674-4152.001982
  • 1.

    Department of Orthopedic, Chinese People's Armed Police Force Coast Guard Hospital, Jiaxing, Zhejiang 314000, China

Funds:

 2020KY968

 2018AD32183

  • Received Date: 2021-01-05
    Available Online: 2022-02-16
    Abstract
  •   Objective  To investigate the application of cluster nursing management to the treatment of orthopaedic trauma patients with infection through vacuum sealing drainage and provide novel methods for clinical nursing.  Methods  A total of 150 patients with trauma infection who were hospitalized in the Department of Orthopaedics of The Coast Guard Headquarters Hospital of the Chinese People's Armed Police Force from July 2019 to July 2020 were divided into the intervention and control groups with a convenience sampling method. Each group included 75 patients. Both groups received VSD treatment, but the control group received routine care, whereas the intervention group was subjected to cluster nursing management preventing orthopaedic trauma. VSD failure rate, wound healing time, negative emotional symptoms (depression and anxiety self-rating scale, SDS/SAS), pain (visual analogue scale, VAS) and nursing satisfaction were compared between the two groups.  Results  The VSD failure rate in the intervention group was 8.00%, which was significantly lower than that in the control group (20.00%; P < 0.05). Wound healing time in the intervention group was significantly shorter than that in the control group (P < 0.05) before the intervention, and no significant changes in the SDS, SAS and VAS scores of the intervention group (P>0.05) were found after the intervention. The SDS and SAS scores of the intervention group were significantly lower than those of the control group (P < 0.05) after treatment. The VAS scores of patients in the intervention group were significantly lower than those in the control group [(2.11±0.97) points vs. (4.22±1.02) points; P < 0.05]. Nursing satisfaction rate was 96.00% in the intervention group, significantly higher than that of the control group (66.66%; P < 0.05).  Conclusion  The implementation of cluster nursing management to prevent infection in patients with orthopaedic trauma can effectively improve the therapeutic effect of VSD treatment.

     

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