Effect of Combining Operating Room Nursing Based on Clinical Quantitative Assessment with WeChat Health Education on Postoperative Complications and Quality of Life of Femoral Fracture Patients Undergoing Internal Fixation

Abstract

Objective. To explore the effect of combining operating room nursing based on clinical quantitative assessment with WeChat health education on postoperative complications and quality of life (QOL) of femoral fracture patients undergoing internal fixation. Methods. Ninety femoral fracture patients treated in our hospital (July 2018 to July 2021) were chosen as the research objects and split into the control group (routine intervention) and the study group (combination of operating room nursing based on clinical quantitative assessment and WeChat health education) according to the nursing intervention modes, with 45 cases each. After nursing, the postoperative complications and QOL of patients were compared between the two groups. Results. No statistical between-group differences in general data were observed ( $P$  > 0.05); the hospital stay, weight-bearing time, and fracture healing time were obviously shorter in the study group than in the control group ( $P$  < 0.05); 1 d after surgery, the VAS pain status was not significantly different between the two groups ( $P$  > 0.05), and 2 d and 3 d after surgery, the VAS scores were significantly lower in the study group than in the control group ( $P$  < 0.05); 1 d after surgery, the Harris scores of patients in the two groups were close and did not present statistical difference ( $P$  > 0.05), and 8 weeks after surgery, the Harris score was significantly higher in the study group than in the control group ( $P$  < 0.05); the scores on self-care agency such as self-concept, self-care skills, sense of self-care responsibility, and health knowledge level were significantly higher in the study group than in the control group ( $P$  < 0.05); compared with the control group, the probability of occurring incision infection, lung infection, pressure sore, swelling and pain, and other complications was significantly lower in the study group ( $P$  < 0.05). Conclusion. Implementing operating room nursing based on clinical quantitative assessment combined with WeChat health education to femoral fracture patients undergoing internal fixation can effectively improve their postoperative clinical indicators, reduce their postoperative pain sensation and complication incidence, and effectively promote the joint motion range, which is conducive to enhancing their self-care agency and QOL.