整体护理责任体系模型对急性桡骨远端骨折 手法复位合并夹板固定的老年人 心理状态的影响

The Impact of the Comprehensive Nursing Responsibility System Model on the Psychological Status of Elderly Patients with Acute Distal Radius Fractures Undergoing Manual Reduction and Splint Fixation

摘要: 目标：评价整体护理责任模式对采用夹板固定治疗的老年桡骨远端骨折患者心理状态的改善效果，探讨其相较于传统护理模式在缓解焦虑、抑郁等负性情绪方面的优势。方法：本研究选定了2023年5月至2025年5月期间，在本院接受手法复位夹板矫正桡骨远端骨折的70名老年患者作为研究对象。他们被分为对照组和观察组，每组共计35例。对照组采用传统护理模式，研究组采用负责任的整体护理模式。观察并比较护理工作质量与护理人员的工作质量和满意度、患者的心理状态和满意度，以及临床不良事件风险。结果：研究结果显示，护理后两组护士的工作质量和满意度显著高于护理前。观察组的SERVQUAL量表得分和满意度显著高于对照组(P < 0.05)。观察组的HAMA和HAMD得分显著低于对照组(P < 0.05)。观察组的护理总体满意度为97.2%，显著高于对照组的77.1% (P < 0.05)。结论：为桡骨远端骨折急诊患者提供手法复位夹板固定治疗的整体护理模式管理与责任体系，能够为老年患者提供全面系统的临床护理，提升其护理信任和合规性，改善患者心理状态，提升临床满意度，实现理想的医患关系，具有临床应用价值。

Abstract: Objective: To evaluate the efficacy of the holistic nursing responsibility model in improving the psychological status of elderly patients with distal radius fractures treated with splint fixation, and investigate its advantages over the traditional nursing model in alleviating negative emotions such as anxiety and depression. Methods: This study selected 70 elderly patients who underwent manual reduction and splint correction for distal radius fractures in our hospital from May 2023 to May 2025. They were divided into a control group and an observation group, with 35 cases in each group. The control group received traditional nursing care, while the observation group received the accountable holistic nursing model. The quality of nursing work and the work quality and satisfaction of nursing staff, the psychological state and satisfaction of patients, and the risk of clinical adverse events were observed and compared. Results: The results showed that after nursing intervention, the work quality and satisfaction of nurses in both groups were significantly higher than before. The SERVQUAL scale scores and satisfaction in the observation group were significantly higher than those in the control group (P < 0.05). The HAMA and HAMD scores in the observation group were significantly lower than those in the control group (P < 0.05). The overall nursing satisfaction in the observation group was 97.2%, which was significantly higher than 77.1% in the control group (P < 0.05). Conclusion: The holistic nursing responsibility model for emergency patients with distal radius fractures undergoing manual reduction and splint fixation provides comprehensive and systematic clinical care for elderly patients, enhances their nursing trust and compliance, improves their psychological state, increases clinical satisfaction, and fosters an ideal doctor-patient relationship, demonstrating clinical application value.