Study on the Effect of Nursing Initiatives and Rehabilitation Guidance in the Clinical Care of Patients with Triple Ankle Fractures (Published)
The study explores the application effect of nursing initiatives and rehabilitation guidance on the clinical care of patients with triple ankle fractures, and to lay the foundation for the development of triple ankle fracture care. 80 patients with triple ankle fracture received and treated in Huaian Second People’s Hospital of Jiangsu Province from January 2023 to December 2024 were selected as the study object, divided into the control group (routine nursing interventions) and the experimental group (psychological care, functional training, and rehabilitation guidance), and the nursing effectiveness produced by different nursing programs were compared against each other. All 80 patients were followed up for (12.80 ± 4.11) months (5~18 months) The score of AOFAS was (68.00±4.06) in the control group and (82.50±3.17) in the experimental group; after the implementation of different nursing programs, the experimental group was significantly better than the control group in terms of active leg lifting and ankle range of motion (P＜0.01). At the same time, the experimental group was also significantly better than the control group in improving the physical and mental health and quality of life of patients (P＜0.05).The application of nursing care and rehabilitation guidance in the clinical care process of patients with triple ankle fracture can significantly improve the physical ability of patients and enhance their quality of life, which is worthy of wide dissemination.
Keywords: Nursing care, Triple ankle fracture, rehabilitation guidance
ROLE OF NURSING CARE IN HEALING GANGRENOUS WOUNDS IN DIBETIC PATIENTS IN INDONESIA (Published)
Based on the initial survey, it was known that the number diabetic patients with gangrene at Dr. Pirngadi General Hospital Medan in the last five years were as many as 236 patients, and the diabetic cases increase annually. Gangrenous wound healing can be affected by diet, physical exercise, wound care, insulin administration, psychological, and social factors. The study analyzed the effect of diet, physical exercise, wound care, insulin administration, as well as psychological and social factors, to KGD wound healing, wound size, and time decreases. The study was a quasi-experimental design (quasi experiment), under the design of the separate pretest-posttest-sample control group design, involving two groups: the intervention group and the control group. Nursing care has a significant role to gangrenous wound healing in diabetic patients at Dr. Pirngadi General Hospital Medan. This is indicated by the role or influence of the sixth variables of nursing care consisting of diet, physical exercise, wound care, insulin administration, psychological factors, social factors, and wound healing with the value of the odds ratio greater than 1.Based on the multivariate analysis, the value of the role of nursing care to the gangrenous wound healing in diabetic patients is at 0410 x 100% = 41.0%. Gangrenous wound nursing care in patients with diabetes mellitus showed a significant effect with a significance value of 0.001, less than the sig- (0.05). This means that the six independent variables simultaneously bring significant influence on the dependent variable (gangrenous wound healing). It is recommended that further studies improve nursing care services on gangrenous wound healing in diabetic patients, especially with the provision of better diet and exercise facilities so gangrenous wound healing in diabetic patients can be improved
Keywords: Gangrene, Nursing care, Nursing service, and wound healing, insulin administration, nursing care consisting of diet, physical exercise, psychological factors, social factors, wound care