目的:促进整体护理模式下骨创伤科患者的全程管理,解决出院后患者的复查拍片、肢体功能障碍、拆线等问题,保障出院后患者的安全.方法 :我院于 2015 年 12 月开设骨创伤护理专科门诊,规范了护理门诊的运行机制.骨创伤护理专科门诊的服务内容包括患者症状及肢体功能的评估、康复锻炼指导、健康教育、拆线和随访.结果 :骨创伤护理专科门诊开设 2 年来,患者症状及肢体功能评估 2 843 例次,康复锻炼指导 2 796 例次,辅助器械使用指导 2 433 例次,拆线 2 612 例次,健康教育 2 838 例次,心理疏导 2 015 例次,随访 827 例次,院内护理会诊 32 次,患者及家属满意度为 99.10％,合作医生满意度为 99.32％.结论 :骨创伤护理专科门诊实践促进专科护理发展,提升了护理服务质量.%Objective: In order to promote the whole-process management of patients in the department of bone trauma under the guidance of holistic care, solve the problems caused by reexamination of radiography after discharge, limb dysfunction, and stitch removal, as well as ensure the safety of patients after discharge. Methods: Our hospital opened the special nurse-led clinic on bone trauma in December 2015, and standardized the operation mechanism of the nursing clinic. The services provided by the clinical department of orthopaedic trauma care included evaluation of patients' symptoms and limb function, rehabilitation and exercise guidance, health education, stitch removal, psychological counseling and followup. Results: During the two years, 2 843 times of evaluation of patients' symptoms and limb function were carried out, as well as 2 796 times of rehabilitation and exercise guidance, 2 433 times of guidance of auxiliary equipment usage, 2 612 times of stitch removal, 2 838 times of health education, 2015 times of psychological counseling, 827 times of follow-up and 32 times of nursing consultation. The satisfaction degree of patients and families and physicians cooperating with nurses reached 99.10％ and 99.32％, respectively. Conclusion: The practice of nurse-led orthopaedic trauma clinic in our hospital provide references for promoting the effective operation of the specialist nursing clinics and guaranteeing the quality of nursing service.
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