Practical Value of Predictive Nursing in the Operating Room for Stress Reaction and Risk Events in Elderly Patients with Lower Limb Fractures

Overview

Journal Am J Transl Res

Specialty General Medicine

Date 2023 Dec 11

PMID 38074822

Authors

Yan Lu

Xiujun Liang

Jun Tian

Yuxin Qu

Affiliations

Soon will be listed here.

Abstract

Objective: To explore the effects of predictive nursing in the operating room on the stress response and risk events of elderly patients with lower limb fractures.

Methods: The medical records of 114 elderly patients with lower limb fractures who underwent surgical reduction from August 2020 to May 2022 in Baiyin First People's Hospital were collected for this retrospective analysis. Among them, 54 patients who received routine nursing during the perioperative period were the control group, and 60 patients who received predictive nursing in operating room during the perioperative period were the observation group. The two groups were compared in terms of the changes of intraoperative stress response indexes and the occurrence of risk events, general data, postoperative complications, nursing satisfaction and changes in anxiety and depression. Logistic regression was used to analyze the risk factors affecting the occurrence of risk events in patients.

Results: After nursing, the observation group showed significantly lower levels of heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), noradrenaline (NE), and adrenaline (AD) than the control group (P<0.05). After nursing, the observation group got significantly lower self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores than the control group (P<0.05). A lower incidence of risk events was found in the observation group than in the control group (P=0.037). Additionally, the observation group experienced less intraoperative blood loss and shorter operation time than the control group (P<0.05). The observation group presented a lower incidence of complications after operation than the control group (P=0.009), and greatly higher nursing satisfaction than the control group (P=0.001). According to multivariate logistic regression analysis, age and nursing plan were independent risk factors affecting the risk events in patients (P<0.05).

Conclusion: Predictive nursing in the operating room can substantially improve the intraoperative nursing quality of elderly patients with lower limb fractures, which can reduce intraoperative stress reaction, negative emotions, and surgical risk events and complications, and improve postoperative rehabilitation.

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