Effect of PDCA Cycle-Based Orthopedic Rehabilitation Nursing on Perioperative Pain and Functional Recovery in Patients With Femoral Fractures.

IF 0.8 4区医学 Q3 SURGERY

Annali italiani di chirurgia Pub Date : 2026-08-13 DOI:10.62713/aic.4648

Zhiyong Cui, Xin Song, Huipeng Zhou, Peng Zhao, Yanda Li, Yanyang Guo

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引用次数: 0

Abstract

Aim: To investigate the effects of orthopedic rehabilitation nursing based on the Plan-Do-Check-Act (PDCA) cycle model on perioperative pain and postoperative functional recovery in patients undergoing surgical treatment for femoral fractures.

Methods: This retrospective single-center study included 120 patients who underwent surgical treatment for femoral fractures at The 964th Hospital of Chinese People's Liberation Army Joint Logistics Support Force between May 2023 and May 2025. Based on the nursing interventions documented in medical records, patients were assigned to a control group (n = 58) and a study group (n = 62). The control group received routine perioperative orthopedic nursing care, while the study group received PDCA cycle-based orthopedic rehabilitation nursing. Clinical outcomes compared between the two groups included time to first ambulation, length of hospital stay, perioperative pain intensity assessed using the numerical rating scale (NRS), comfort level evaluated using the general comfort questionnaire (GCQ), hip joint function assessed using the Harris Hip Score (HHS) and Functional Independence Measure (FIM), and quality of life and health-promoting lifestyle level assessed using the World Health Organization Quality of Life-BREF (WHOQOL-BREF) and Health-Promoting Lifestyle Profile II (HPLP-II).

Results: Compared with the control group, the study group demonstrated a significantly shorter time to first ambulation and reduced length of hospital stay (p < 0.001). Following the nursing intervention, both groups showed lower NRS scores and higher GCQ scores compared with baseline values. Furthermore, post-intervention NRS scores were significantly lower, and GCQ scores were significantly higher in the study group than the control group (p < 0.001). HHS and FIM scores improved in both groups after nursing compared with pre-nursing values, with significantly greater post-intervention scores observed in the study group (p < 0.001). Similarly, WHOQOL-BREF and HPLP-II scores increased in both groups compared with pre-nursing values, and the study group achieved significantly higher BREF and HPLP-II scores than the control group (p < 0.001).

Conclusions: PDCA cycle-based orthopedic rehabilitation nursing was associated with reduced perioperative pain, improved patient comfort, earlier postoperative ambulation, and enhanced functional recovery in patients with femoral fractures. However, given the retrospective single-center design and potential selection bias, the findings should be interpreted cautiously. Prospective multicenter, randomized controlled studies with larger sample sizes are warranted to validate these observations.

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基于PDCA循环的骨科康复护理对股骨骨折患者围手术期疼痛及功能恢复的影响。

目的：探讨基于计划-做-检查-行动（PDCA）循环模型的骨科康复护理对股骨骨折手术患者围术期疼痛及术后功能恢复的影响。方法：本回顾性单中心研究纳入了2023年5月至2025年5月在中国人民解放军联勤保障部队964医院接受股骨骨折手术治疗的120例患者。根据医疗记录中记录的护理干预措施，将患者分为对照组（n = 58）和研究组（n = 62）。对照组接受常规围手术期骨科护理，研究组接受基于PDCA周期的骨科康复护理。两组患者的临床结果包括首次下床时间、住院时间、围手术期疼痛强度（NRS）、舒适度（GCQ）、髋关节功能（FIM）、Harris髋关节评分（HHS）和功能独立性量表（FIM）。以及使用世界卫生组织生活质量指标（WHOQOL-BREF）和健康促进生活方式概况II （HPLP-II）评估的生活质量和促进健康的生活方式水平。结果：与对照组相比，研究组首次下床时间明显缩短，住院时间明显缩短（p < 0.001）。护理干预后，两组患者的NRS评分均低于基线值，GCQ评分均高于基线值。实验组干预后NRS评分显著低于对照组，GCQ评分显著高于对照组（p < 0.001）。护理后两组患者的HHS和FIM评分均较护理前有所改善，研究组干预后评分显著高于对照组（p < 0.001）。同样，两组患者的WHOQOL-BREF和HPLP-II评分均较护理前升高，研究组患者的BREF和HPLP-II评分均显著高于对照组（p < 0.001）。结论：基于PDCA循环的骨科康复护理可减少股骨骨折患者围手术期疼痛，改善患者舒适度，术后早期活动，促进功能恢复。然而，考虑到回顾性单中心设计和潜在的选择偏倚，研究结果应谨慎解释。前瞻性多中心、大样本量随机对照研究有必要验证这些观察结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annali italiani di chirurgia 医学-外科

CiteScore

0.90

自引率

12.50%

发文量

116

审稿时长

>12 weeks

期刊介绍： Annali Italiani di Chirurgia is a bimonthly journal and covers all aspects of surgery:elective, emergency and experimental surgery, as well as problems involving technology, teaching, organization and forensic medicine. The articles are published in Italian or English, though English is preferred because it facilitates the international diffusion of the journal (v.Guidelines for Authors and Norme per gli Autori). The articles published are divided into three main sections:editorials, original articles, and case reports and innovations.