KẾT QUẢ CHĂM SÓC ĐIỀU DƯỠNG SAU PHẪU THUẬT KẾT HỢP XƯƠNG CHI TRÊN VÀ CÁC YẾU TỐ LIÊN QUAN TẠI BỆNH VIỆN CHẤN THƯƠNG CHỈNH HÌNH THÀNH PHỐ HỒ CHÍ MINH

Abstract

Objectives:  To evaluate nursing care outcomes of patients following upper limb fracture fixation surgery and identify associated factors at Ho Chi Minh City Hospital of Traumatology and Orthopaedics in 2025. Methods: A prospective cross-sectional study was conducted on 318 patients. Clinical progression and nursing interventions were monitored at three milestones: Day 1 (D1), Day 3 (D3), and Discharge (DC). General nursing outcomes were assessed using a 7-criteria clinical and psychological scale based on the modified Bloom’s cut-off point. Results: The majority of patients (89.31%) achieved a "Good" nursing care outcome. Logistic regression analysis identified several statistically significant factors that increased the likelihood of good outcomes: age < 60 years (OR = 2.58; p = 0.014); early hospital admission within 24 hours (OR = 3.35; p = 0.006); absence of comorbidities (OR = 3.45; p = 0.005); closed fractures (OR = 6.14; p < 0.001); and plate fixation (OR = 2.51; p = 0.015). Conversely, a prolonged surgical duration of more than 1 hour increased the risk of "Poor" nursing outcomes by 10.25 times (p < 0.001). Conclusions: Post-operative nursing care for upper limb internal fixation surgery is highly effective. Early identification of risk factors allows nurses to develop individualized care plans and implement standardized protocols to optimize patient rehabilitation.