Effect of high-quality nursing on orthopedic trauma based on a fast-track surgery model

Weihong Wang; Ping Liu; Qin Zhang; Ge Jiang; Hanjing Zheng; Weiwei Zhang

Effect of high-quality nursing on orthopedic trauma based on a fast-track surgery model

Am J Transl Res. 2022 Jul 15;14(7):4812-4820. eCollection 2022.

Authors

Weihong Wang¹, Ping Liu², Qin Zhang³, Ge Jiang⁴, Hanjing Zheng⁵, Weiwei Zhang⁶

Affiliations

¹ Operating Room, Chun'an Hospital of Traditional Chinese Medicine Hangzhou 311700, Zhejiang, China.
² Department of Orthopedics, The Eighth People's Hospital of Hengshui Hengshui 253800, Hebei, China.
³ Department of Pediatric Surgery, Maternity and Child Health Care of Zaozhuang Zaozhuang 277000, Shandong, China.
⁴ Department of Emergency, Penglai Traditional Chinese Medicine Hospital Yantai 265600, Shandong, China.
⁵ Department of Emergency, Shijiazhuang Fourth Hospital Affiliated to Hebei Medical University Shijiazhuang 050000, Hebei, China.
⁶ Department of Critical Care Medicine, Haiyang People's Hospital Yantai 265100, Shandong, China.

PMID: 35958504
PMCID: PMC9360902

Abstract

Objective: To explore the effect of fast-track surgery (FTS) based high quality nursing on orthopedic trauma.

Methods: In this retrospective study, 94 patients who received orthopedic trauma surgery in our hospital from December 2018 to November 2020 were included. The patients were assigned to a research group (n=47) or a control group (n=47) according to which nursing method they received. The control group received routine nursing, while the research group also received FTS-based high-quality nursing. Perioperative situation, quality of life score (SF-36) before and after operation, incidence of complications, pain score (VAS) at different time periods after operation, and nursing satisfaction were compared between the two groups.

Results: There was no significant difference in operation time or blood loss between groups (P>0.05). The time to getting out of bed for the first time, time to drainage tube removal, and length of hospital stay in the research group were shorter than those in the control group (P<0.001). Repeated measurement analysis of variance revealed that the VAS score of the research group was lower than that of the control group at 1 h, 3 h, 6 h, 24 h and 48 h after operation (P<0.05). Intra-group comparison manifested that the VAS scores of both groups decreased at 1 h, 3 h, 6 h, 24 h and 48 h after operation (P<0.05). Comparison at different time points revealed that the difference was statistically significant (P<0.05). The incidence of complications in the research group (4.26%) was lower than that in the control group (17.02%; P<0.05). The satisfaction rate of nursing in the research group (93.62%) was higher than that in the control group (78.72%; P<0.05). After intervention, the level of superoxide dismutase (SOD) and glutathione (GSH) in both groups decreased with a lesser decrease in the research group. The contents of reactive oxygen species (ROS) and malondialdehyde (MDA) in groups after intervention were higher than those before intervention with a milder increase in the research group.

Conclusion: FTS mode can shorten the recovery time, reduce the degree of pain and the reduce the time of analgesia. It also promotes the recovery and shortens the hospital stay of patients, and improves their quality of life, with high satisfaction. This may be related to an expeditedd surgical process and reduced oxidative stress response of patients undergoing surgery under the rapid recovery surgical model.

Keywords: FTS mode; Orthopedic trauma; high quality nursing; quality of life.