Evidence-based nursing care of a patient treated with the Ilizarov method for lower limb length inequality

Małgorzata Moskal-Szybka, Anna Moskal, Renata Dziubaszewska
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Abstract

Abstract Aim. Presentation of selected elements of nursing care of a patient with lower limb length inequality treated with the Ilizarov method. Material and methods. A patient after surgical placement of an external fixator is presented in this work. An individual case study method was used in this work, whereas the research techniques were: interview, nursing observations, measurements, analysis of nursing records. The research tools included e.g. a guide to collecting patient data and numeric rating scale (NRS) for pain assessment. Results. The study presents nursing interventions based on EBN for 4 diagnoses, e.g.: post-operative wound pain associated with skin incision and deep tissue damage; low mood and sadness due to the perspective of long-term treatment and accompanying disability. Effective improvement of the patient’s health is achieved by implementing nursing care based on scientific evidence. Conclusions. Important aspects of the nursing care of a patient with Ilizarov apparatus include the awareness and knowledge of nursing and clinical problems resulting from skin, soft tissue and bone damage caused by the external fixator.
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用Ilizarov方法治疗下肢长度不均等患者的循证护理
抽象的目的。介绍用Ilizarov方法治疗下肢长度不平等患者的护理要点。材料和方法。手术后放置外固定架的病人是在这项工作提出。本研究采用个案研究方法,研究方法为:访谈、护理观察、测量、护理记录分析。研究工具包括收集患者数据的指南和用于疼痛评估的数字评定量表(NRS)。结果。本研究提出了基于EBN的4种诊断的护理干预措施,如:术后伤口疼痛与皮肤切口和深部组织损伤;情绪低落和悲伤由于长期治疗的角度和伴随的残疾。通过实施基于科学证据的护理,有效改善患者的健康状况。结论。使用Ilizarov器械的患者护理的重要方面包括对由外固定架引起的皮肤、软组织和骨骼损伤的护理和临床问题的认识和知识。
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