An Introduction To Orthopedic Nursing Essay Sample

Abstract The purpose of the study is to explore the application effect of operating room nursing intervention in the prevention of orthopedic incision infection. Methods 88 cases of orthopedic surgery patients admitted to Ningjin County Hospital in May 2014?October 2015 were selected and divided into the control group and the experimental group according to the method of randomized numerical table, each with 44 cases. The control group was subjected to conventional nursing care, and the experimental group was subjected to operating room nursing intervention, and the incidence of incisional infection and nursing satisfaction were observed in the two groups. ResultsThe incidence of incision infection in patients of the experimental group was lower than that of the control group, and the nursing satisfaction was higher than that of the control group, and the difference was statistically significant (P<0.05). Conclusion The application of operating room nursing intervention in the prevention of orthopedic incision infection is remarkable, can effectively reduce the infection rate and improve nursing satisfaction.

Keywords hospital, orthopedic; incision infection; operating room nursing

In surgery, incision infection is a major complication with a high incidence. Incision infection in addition to the patient's own reasons, there are hospital infections [1]. Orthopedic surgery is of various types, and the care is also different. The operating room is a place for surgery and resuscitation, and operating room nursing interventions can affect surgical outcomes. Inadequate orthopedic surgical care can trigger patient incision infections and increase the incision infection rate [2]. Finding operating room nursing interventions to prevent orthopedic incision infections, and providing proven, scientific nursing intervention programs for strengthening orthopedic surgical treatment to prevent incision infections is the focus of current research. Strengthening the operating room nursing intervention on the basis of routine care can help patients detoxify negative emotions, positively face the changes brought by the disease, improve patients' treatment cooperation and drug compliance, strengthen doctor-patient and nurse-patient communication, and improve nursing satisfaction [3]. This study aims to explore the application effect of operating room nursing intervention in the prevention of orthopedic incision infection, which is now reported as follows.

1 Data and Methods

1.1 Inclusion and Exclusion Criteria

Inclusion Criteria[4]:Surgery are aseptic operation, general anesthesia is used; patients and their families have signed informed consent. Exclusion criteria[5]:Open fracture surgery, emergency surgery; patients with infectious diseases, patients with multiple fractures, the presence of serious cardiac, pulmonary and renal diseases.

1.2 General information selected

88 cases of orthopedic surgery patients admitted to Ningjin County Hospital in May 2014?October 2015 were divided into the experimental group and the control group in accordance with the method of randomized numerical table, each with 44 cases. In the control group, there were 29 males and 15 females; their ages ranged from 23 to 76 years, with a mean age of (49.8?5.1) years. In the control group, there were 27 males and 17 females, aged 25-77 years, with a mean age of (49.0?6.3) years. Comparison of the general information of the two groups of patients, the difference was not statistically significant (P>0.05), and is comparable.

1.3 Methods The control group was given routine care.

The experimental group was given operating room nursing intervention, as follows:

(1) Preoperative nursing intervention:

Nursing staff visited the patients preoperatively, instructed patients to wash with antibacterial soap 1d before the operation, and instructed the patients to make good preparations for the skin. Use 2% chlorhexidine ethanol to disinfect the surgical site for patients who cannot bathe. Actively communicate with patients, inform the surgical operation process in advance, make patients and their families understand the knowledge related to surgery, and encourage and comfort patients more. Inform patients that entering the sterile area of the operating room can reduce the incidence of incision infection. Nursing staff in the patient preoperative 0.5 ~ 2.0h use of antibiotics, the indwelling urinary catheter and placed incision drain patients to inform the significance of the patient to improve the degree of cooperation.

(2) Preparation of the operating room:

Wet cleaning and disinfection methods are used to sterilize various instruments, floors, and tables in the operating room. Nursing staff and medical staff in the operating room should reduce the number of walks, in and out of the operating room. Enhance the nursing intervention on the air quality in the operating room, control the temperature in the operating room at 22 to 25 ℃, and keep the humidity at 40% to 60%.

(3) Intraoperative nursing intervention:

Sterilize the skin of the patient's incision and prepare the surgical instruments and surgical gown. Preheat the operating table 15min before surgery, use the thermostatic blanket to heat the patient to keep warm during surgery, and use objects to cover the parts of the patient that do not need surgery. The rinsing solution and medication used in the operation are warmed up in advance and kept at about 37℃.

(4) Postoperative nursing interventions:

Strengthen the protection of surgical incisions, strictly follow the normative operation of medication change, and disinfect the hands of nursing staff after completing the change of medication to avoid cross-infection. Drug change should be centered on the incision to the periphery 10cm range for skin disinfection. If the patient's incision is found to be oozing, bacteriologic culture of the incisional exudate is carried out in a timely manner, and symptomatic treatment is adopted. Strengthen the management of environmental hygiene in the ward to provide patients with a good ward environment. After the patient was sent back to the ward, the patient was instructed to turn over.

(5) Discharge guidance, health guidance:

Dietary guidance for patients after discharge, and return visits if necessary.

1.4 Observation indicators

Compare the incidence of incision infection and nursing satisfaction between the two groups of patients. Comparison of nursing satisfaction was analyzed using the hospital's own nursing satisfaction questionnaire, scoring >95 as very satisfied, 80 to 94 as satisfied, 60 to 79 as basically satisfied, <60 as dissatisfied. Nursing satisfaction = very satisfied rate + satisfaction rate.

1.5 Statistical methods

SPSSl9.0 statistical software was used for data processing, and the counting information was tested by ?2 test; the measurement information was expressed by x?s, and t test was used. The difference was statistically significant at P<0.05.

2 Results

2.1 Comparison of the incidence of incisional infection between the two groups of patients

The incisional infection rate of patients in the control group was 13.6% (6/44); the incisional infection rate of the test group was 2.3% (1/44). The incision infection rate of the experimental group was lower than that of the control group, and the difference was statistically significant (?2=6.345, P<0.05).

2.2 Comparison of patient care satisfaction between the two groups

Nursing satisfaction in the experimental group was higher than that in the control group, and the difference was statistically significant (?2=8.938, P<0.05.

3 Discussion

Surgical site infections have so far been one of the most important hospital infections, accounting for about 14.0%-16.0% of all hospitalized patient infections. Preventing and reducing the rate of postoperative incision infection in patients is an important issue for healthcare professionals. Orthopedic surgery has its own specificity, and there are many types of orthopedic surgeries, but they are generally reparative or reconstructive surgeries, such as internal fixation of the spine, orthopedic surgeries, and joint replacement surgeries, etc. These surgeries generally require the use of internal fixation materials. These surgeries generally require the use of internal fixation materials to fix the relevant parts of the skeleton, therefore, a little inattention to the patient in the postoperative incision is prone to infection, and orthopedic surgery patients due to postoperative stress reaction resistance to decline, easy to make the pathogenic bacteria through the incision infection. At the same time, due to the patient's unclean skin did not pay attention to the protection of the surgical site and incision and caused infection [6]. In order to reduce the incision infection rate and improve patient satisfaction, nursing staff need to apply scientific and effective nursing care to patients. Operating room nursing intervention adopts reasonable and standardized operating room nursing intervention measures to strengthen skin cleaning, disinfection, and protection before, during, and after surgery [7-8], which effectively reduces the incision infection rate of orthopedic patients and improves nursing satisfaction. Relevant studies have shown that preoperative skin preparation, prophylactic antibiotic administration time, and duration of surgery are the main factors affecting the prevention of post-surgical incision infections in the operating room among the factors of infection associated with aseptic orthopedic surgical incisions. Orthopedic surgical incision infections are the result of a combination of causes, so incision infections focus on all aspects and all segments of prevention. Comprehensive nursing interventions on the risk factors in each link can effectively prevent postoperative incisional infections in patients, thus improving the prognosis as well as the quality of survival of patients. Li Xiaoxia et al [8] showed that standardized operating room nursing interventions for patients during orthopedic surgery can effectively prevent postoperative incision infections in patients. In this study, the operating room nursing intervention was strengthened in three stages: preoperative nursing, intraoperative nursing, and postoperative nursing. Preoperative care is based on preparation to provide patients with a good intraoperative environment. Intraoperative nursing medical staff in strict accordance with the requirements of aseptic operation, do a good job of medical staff hand and patient incision skin disinfection, to ensure that the dressing around the incision is dry and clean, and do a good job of routine surgical instruments, surgical gowns ready. Nursing intervention to shorten the operation time is adopted in the operation to reduce the incision infection rate of patients. Adopt heat preservation measures to avoid the decline of patient resistance caused by hypothermia. Postoperative nursing intervention to strengthen the protection of surgical incisions, while strengthening the environmental hygiene of the ward to reduce the incision infection rate. The results of this study show that the incision infection rate of the experimental group is lower than that of the control group, and the satisfaction rate is higher than that of the control group, with significant differences. It shows that the application of operating room nursing intervention in the prevention of orthopedic incision infection has a significant effect, which can effectively reduce the infection rate and improve nursing satisfaction, and is worthy of clinical promotion.

References

[1]Guo Liubo. Clinical application of nursing intervention in the prevention of surgical wound infection in the operating room[J]. China Modern Physician, 2014, 19(21):77-79.

[2]Zhu Jing. Observation on the application effect of comprehensive nursing intervention in preventing surgical wound infection in operating room[J]. China Medical Guide, 2015, 57(35):238.

[3]Wei Yuanhua, Li Shuilian. Application of operating room nursing intervention for effective prevention of orthopedic surgical incision infection[J]. China Medical Engineering, 2016, 11(1):17-19.

[4]Lei XH, He YX. Analysis of factors related to orthopedic aseptic surgical incision infection and operating room nursing intervention[J]. China Rural Health, 2015, 23(1):50-52.

[5]Bai Yuqiu. Analyzing the clinical application of nursing intervention in preventing wound infection outside the operating room[J]. World Digest of Latest Medical Information, 2015, 25(9):184.

[6]Cai JF, Li XL. Analysis of the prevention effect of nursing intervention on incision infection in operating room[J]. China Modern Physician, 2014, 29(21):70-73.

[7]Wang Chunyan, Shi Fengying. Clinical application value of nursing intervention in preventing surgical wound infection in operating room[J]. World Digest of Latest Medical Information, 2015, 52(92):281-282.

[8]Li Xiaoxia, Gu Xiuqing, Chen Xiaoqiong. Analysis of the prevention effect of operating room nursing intervention on orthopedic incision infection[J]. China Medical Guide, 2013, 11(11):31-32.

"Exploration of Humanized Orthopedic Nursing"

Abstract: With the development of the society, the nursing care work has gradually become humanized. Orthopaedics is an important part of the hospital department, in order to improve the quality of orthopaedic nursing, and further highlight the importance of nursing work, the orthopaedic ward of our hospital has opened a humanization of the nursing theme of the relevant work, and in the work of the work of the humanization of the nursing work of the management, and achieved good results, but also for the hospital to better occupy the market has laid the foundation.

Keywords: orthopedic nursing; humanization; management

0 Introduction

With the development of society, the nursing model is also progressing, today's nursing model pays more attention to humanized care, humanized care is a very optimized nursing model. Humanized nursing is patient-centered, all care is for the patients, so that patients in the physiological, psychological, social and other aspects of the most comfortable experience, so that the patient's various negative reactions significantly reduced, so that patients actively cooperate with the treatment, to achieve a better therapeutic effect. Orthopaedics is an important part of the hospital department, in order to improve the quality of orthopaedic nursing, and further highlight the importance of nursing work, the orthopaedic ward of this hospital has opened a humanized nursing theme related work, and in the work of solid advancement, the humanized management of nursing work, has achieved good results, and it is worthwhile to promote the application of clinical.

1 humanized nursing concept of promotion and education

To be able to implement humanized nursing, we need to require nurses to know what the concept of humanized nursing, detailed understanding of the connotation of humanized nursing, so that the orthopaedic department can carry out better humanized service. In this regard, our hospital has carried out training on the knowledge of humanized nursing care for the basic situation of nurses, and regularly conducts courses on humanized nursing care, so that nurses can really understand what humanized nursing care is and the development trend of humanized nursing care, etc. On this basis, we have carried out training on humanized nursing care for nurses. On this basis, we also evaluate the effect of humanized care actually implemented by the nurses, find out the problems in the actual work and solve them in time.

2 Orthopaedic ward to carry out humanized care[1]

2.1 Humanized care at the time of admission

The vast majority of patients admitted to the orthopaedic ward are patients with bone fractures, and the patients may be life-threatening when their condition is serious. When patients are first hospitalized, they are usually accompanied by severe pain, and when they are suddenly changed from healthy people to patients, they feel unfamiliar with the treatment environment, and patients and their families are often worried that the disease will not be cured or that they will suffer from after-effects in the future. Some patients are hospitalized after the implementation of bone traction or plaster, splints for external fixation, some patients with serious conditions are admitted to the hospital directly into the operating room for treatment, which will make the patients (family members) have a feeling of fear. Therefore, nurses should communicate with patients (family members), understand what they think and think, and treat patients (family members) in a cordial and enthusiastic manner. To explain the disease to the patient (family) in a timely manner, so that they have a comprehensive understanding of their own disease, for the patient (family) to produce a timely answer to the question, their reasonable requests to try to meet, so that the patient to maintain a good state of mind to actively cooperate with the treatment and care.

2.2 Perioperative humanized nursing measures

2.2.1 Preoperative care

Before surgery, we should try to make the patient relax and enhance self-confidence. Nurses should explain health knowledge to patients so that they can fully grasp it, stabilize their mood, and increase their confidence in surgery. Nurses should explain to the patient in layman's terms the relevant matters of the operation, so that the patient has a detailed understanding of the treatment process, and to tell the patient that the medical and nursing staff who will perform the operation for him are rich in surgical experience, so that the patient can rest assured. If the patient's excessive tension can not be relieved, you can give the patient the application of sedatives to help patients relax.

2.2.2 Postoperative care

After surgery, after the patient woke up from anesthesia and then pushed back to the ward, the nurse should immediately go to the patient's ward, and the anesthesiologist to do a good job of handover. The nurse should kindly talk to the patient, tell the patient that the surgery has been done, and tell him that the surgery is very successful. The nurse should observe the patient more, understand the patient's emotional changes, and meet the patient's reasonable needs in time. Usually, we should carefully observe the patient's situation, and report the patient's condition to the doctor in time, follow the doctor's instructions to carry out various operations, improve the quality of care, and achieve the best therapeutic effect[2].

2.3 Humanized care and functional exercise

Early and timely functional exercise after surgery is essential for the rehabilitation of orthopedic patients. Nurses should correctly grasp the method of functional exercise, and explain to patients the importance and necessity of early and timely postoperative functional exercise. When the patients start to exercise, they will have pain, so some of them can't insist on it. Nurses should encourage patients to insist on exercise, do not give up, and enhance the patient's confidence.

2.4 Language should be humanized

The nurse's language is very important in humanized nursing, and language is a two-way function. Kind and affectionate language can enhance the patient's confidence and courage in treatment, so that the patient can actively cooperate with the treatment in a relaxed mood. On the contrary, impolite and indifferent language can make patients suffer from bad stimulation and bring negative influence to patients. Nurses in the clinical work, to communicate with patients and their families, and patients (family members) to talk to the tone of voice to be polite, when the patient anxiety, insecurity, the use of language positive and encouraging, which can make the patient's mental relaxation, to achieve better results.

3 humanized management of nursing staff

Humanized management of nursing staff is to work in the usual work, people-oriented as the principle of work, fully mobilize and stimulate human enthusiasm, creativity as a fundamental means to improve the efficiency of treatment and to promote the continuous development of the purpose of the human being.

4 humanized management of nursing staff, and constantly deepen the process of humanized management

Humanized management is not the same as lax management, the head nurse should be people-oriented, in the scientific view of human nature on the basis of the implementation of humanized management, to do to set an example, think differently, fair and just, less criticism and more encouragement, and to lead the nursing staff for continuous learning, and constantly improve the team cohesion ability.

5 Summary

5 Summary

In summary, with the development of society, the nursing model is also progressing, today's nursing model pays more attention to humanized care, humanized care is a very optimized nursing model. Humanized nursing is patient-centered, all care is for the patients, so that the patients in the physiological, psychological, social and other aspects of the most comfortable experience, so that the patient's various negative reactions significantly reduced, so that the patients actively cooperate with the treatment, to achieve a better therapeutic effect. Orthopaedics is an important part of the hospital department, in order to improve the quality of orthopaedic nursing, and further highlight the importance of nursing work, the orthopaedic ward of this hospital has opened a humanized nursing theme of the relevant work, and in the work of the work of the humanized management of nursing work, and achieved good results, it is worthwhile to promote the application of clinical.

References

[1] He Yuehua. Application of humanized nursing model in orthopedic surgery ward[J]. Jilin Medicine,2010(11):134-135.

[2]Zhou Qin. Application of humanized nursing in orthopedic ward[J]. China Contemporary Medicine,2011(27):47-48.

The Application of Medical and Nursing Integration Mode in Orthopedic Nursing

Abstract: Purpose to analyze on the application of medical and nursing integration mode in orthopedic nursing. Methods Selected 100 cases of orthopedic patients admitted to our hospital during the period from January 2015 to January 2016 as the research object, randomly divided into two groups, respectively, for the control group and the experimental group, each group of 50 cases, for the control group of patients with the conventional mode of care, such as their relevant examination, medical advice, etc., and for the experimental group to give the integration of medical care nursing mode. In the control group, the examination appointment time (2.78?0.52)d, abnormal result feedback time (10.52?0.58)min, and the probability of disease occurrence (28.32%) were all higher than that in the experimental group, compared with the examination appointment time (0.68?0.14)d, abnormal result feedback time (6.78?0.38)min, and the probability of disease occurrence (10.23%). 10.23%) were significantly improved, meanwhile, the experimental group's satisfaction with nursing staff was as high as 90%, while the control group's satisfaction was only 50%.

Keywords: health care integration; orthopedic nursing; application analysis

0 Introduction

With the continuous advancement and innovation of the nursing model, the nursing model of health care integration has also been mentioned. Health care integration model is a more efficient nursing model, it is not simply health care work together, but both health care through a reasonable division of labor, mutual collaboration to achieve **** the same care and treatment goals, the implementation of its implementation can effectively improve the patient's satisfaction with the health care personnel, better cooperation with the health care personnel to carry out the relevant treatment, so that the effect of the treatment can be improved! [1]. And in order to study the effect of health care integration, our hospital also carried out the following analysis on the application of health care integration model in orthopaedic nursing:

1 Data and Methods

1.1 General information.

100 cases of orthopedic patients admitted to our hospital during the period from January 2015 to January 2016 were selected as the study object, and they were randomly divided into two groups, respectively, the control group and the experimental group, with 50 cases in each group. Among them, there were 35 males and 15 females in the control group, with an average age of (41.24?3.4) years; while there were 33 males and 17 females in the control group, with an average age of (40.22?3.0) years. Through the investigation and comparison found that the two groups of patients in terms of gender, age and other aspects are not significantly different (P>0.05), comparable.

1.2 Methods.

The patients in the control group were cared for in the conventional mode, such as relevant examinations and medical prescriptions, etc., while the experimental group was given the care mode of medical and nursing integration, and the specific implementation methods were as follows:

1.2.1 Establishment of the medical and nursing integration group:

In the orthopedic department of our hospital, we chose the doctors with high qualifications and experience as well as the nursing staff **** with the formation of the medical and nursing integration group, and the main purpose of this group was to establish a medical and nursing integration group, and the main purpose of this group was to establish a medical and nursing integration group. Integration team, the main purpose of the team is responsible for the development, implementation and supervision of health care integration. After the patient is admitted to the hospital, the nursing staff will make a comprehensive inquiry and understanding of the patient's name, age, gender, and medical history, and then the doctor will conduct the relevant examination and assessment of the patient's condition, and at the same time write a hospitalization log.

1.2.2 Implementation of integrated medical checkups:

During the patient's hospitalization, medical personnel need to check on the patient once a day in the morning and once in the evening, to grasp and understand the changes in the patient's condition. The content of the check includes the patient's diet, medication, changes in the condition of the patient, psychological changes and so on. Nursing staff in the inspection is completed and then reflect the specific situation to the doctor, and then the doctor according to the nursing staff to investigate the situation of the patient's condition to carry out a specific diagnosis, and then formulate the relevant measures and treatment programs, and then finally by the nursing staff will be the implementation of these measures.

1.2.3 The implementation of the integration of health care:

In the process of the implementation of the integration of health care, the relevant medical staff must ensure the implementation of the implementation of the integration of health care, *** with the cooperation, close cooperation to complete the nursing work. Before the operation, the doctor can tell the patients and their families about the specific process of the operation, tell the patients and their families to pay attention to the problems and risks that may occur, so that the patients and their families can have a specific understanding and psychological preparation. In the process of communication, you can draw on previous successful cases of surgery to increase the patient's confidence in surgical treatment.

1.3 Evaluation indicators.

The clinical indicators of the two groups of patients were compared and analyzed, specifically including the waiting time for the examination appointment, the probability of the occurrence of morbidity, and the feedback time of the abnormal results, and then through the form of questionnaire survey, the patients were investigated for their satisfaction with the medical staff, which was divided into general, satisfied, and very satisfied satisfied (satisfaction=satisfied+very satisfied).

1.4 Statistical methods:

SPSS17.0 Chinese software was chosen to process the data, the measurement data was used as a significance t-test, and the count data was used as a ?2 test, and P<0.05 represented that the difference was statistically significant [2].

2 Results

Through the investigation and comparison, it was found that the experimental group's waiting time for examination appointments, the probability of the occurrence of morbidity, and the feedback time of abnormal results were significantly lower than those of the control group, and the difference was significant (P<0.05) with statistical significance. Through the investigation of the two groups of patients' satisfaction with the nursing staff, it was found that the experimental group's satisfaction was as high as 90%, while the experimental group's satisfaction was only 50%.

3 Discussion

With the development of clinical medicine, people's understanding of medicine has also been improved, and patients also put forward relatively high requirements for the relevant caregivers, so how to improve patient satisfaction with care to ensure better treatment of patients has become a common focus of the problem [3]. The investigation of this study found that the examination appointment time, abnormal result feedback time, and the probability of disease occurrence in the control group with routine nursing care were significantly improved compared with the examination appointment time, abnormal result feedback time, and the probability of disease occurrence in the experimental group with the healthcare integration model, which indicates that the nursing care of patients with the healthcare integration model can effectively reduce the patients' appointment time, waiting time, and the probability of disease occurrence. The waiting time, the probability of disease occurrence, and the time of abnormal result feedback, which also brings great convenience to the treatment of medical staff. Moreover, through the questionnaire survey, we found that there is a significant difference between the two groups of patients' satisfaction with the nursing staff, the experimental group's satisfaction with the nursing staff is as high as 90%, while the experimental group's satisfaction is only 50%, which suggests that the model of healthcare integration can effectively improve the patients' satisfaction with the nursing staff, which in turn makes the patients better cooperate with the treatment. In summary, the application of health care integration model in orthopedic nursing can not only effectively reduce the time of patients waiting for appointments, abnormal results of the feedback time, the probability of the occurrence of morbidities, but also improve the patient's satisfaction with the nursing staff, it is worth promoting the use.

References

[1]Hou Xiaoling,Zhang Lin,Ren Li. The use and effect evaluation of medical and nursing integration model in orthopedic operation medical record management[J]. China Nursing Management,2014,7(6):651-653.

[2]Liu Xiaoluan. Analysis of the application effect of medical and nursing integration checkup in orthopedics and traumatology[J]. Contemporary Medicine,2014,14(20):120-121.

[3]Shi Lili,Chen Lingxuan,Ye Chunlan. Impact of patient satisfaction after hip arthroplasty under healthcare integration[J]. China Health Care Nutrition,2016,1(2):8-9.

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