目的 探讨与分析全面护理联合细节干预在创伤骨科手术质量及康复中应用价值。方法 选择2022年1月—2023年1月在福建省立医院骨科进行创伤骨科手术患者120例为研究对象,用随机数字表法分组,分为常规组、联合组,各纳入60例患者。前者进行常规护理,后者在前者基础上开展全面护理联合细节干预,对两组患者术后恢复情况进行观察比较。结果 在围术期指标方面,联合组手术时间、术中出血量、术后首次下床活动时间、术后住院时间与常规组相比减少（P<0.05）。联合组术后1 d、术后3 d、术后7 d、术后14 d的疼痛VAS评分与常规组相比减少（P<0.05）。联合组术后14 d的护理总满意度为100.00%,常规组为83.33%,联合组与常规组相比明显提高（P<0.05）。联合组术后14 d的社会关系、心理关系、生理关系等生活质量评分均高于常规组（P<0.05）。结论 全面护理联合细节干预在创伤骨科手术患者的应用促进患者康复,能持续缓解患者的疼痛状况,提高患者的护理满意度与生活质量。

Objective To explore and analyze the application value of comprehensive nursing combined with detailed intervention in the quality and rehabilitation of orthopedic trauma surgery．Methods From January 2022 to January 2023,120 cases of patients who underwent trauma orthopedic surgery in the Department of Orthopedic Surgery of Fujian Provincial Hospital were selected as the research subjects．And the randomized numerical table method was taken to operate in groups,which were divided into the conventional group and the combined group,and 60 patients were included in each group．The former group recieved conventional nursing care,and the latter group recieved comprehensive nursing care combined with detail intervention on its basis to observe and compare the postoperative recovery of patients in the two groups．Results In terms of perioperative indicators,the operation time,intraoperative bleeding,time to first postoperative bed movement and postoperative hospitalization time were significantly reduced in the combined group compared with the conventional group（P<0.05）．The pain VAS scores of the combination group were significantly reduced compared to the conventional group at 1 day,3 days,7 days and 14 days after surgery（P<0.05）．The total satisfaction rate of postoperative care in the combination group at 14 days was 100.00%,while in the conventional group it was 83.33%．The combination group showed there were significant improvements compared to the conventional group（P<0.05）．The social,psychological and physiological quality of life scores of the combination group were significantly higher than those of the conventional group 14 days after surgery（P<0.05）．Conclusions The application of comprehensive nursing combined with detailed intervention in orthopedic trauma surgery patients can promote their recovery,continuously alleviate their pain status and improve their nursing satisfaction and quality of life．

       目的   通过横断面研究，统计郑州地区创伤骨科护理人员的人文关怀能力，分析影响其能力的相关因素。方法   采用便利抽样法，选取郑州地区医院150位创伤骨科护理人员作为调查对象。使用一般资料调查表、人文关怀能力量表对研究对象进行调查，分析郑州地区医院创伤骨科护理人员人文关怀能力。结果   共发放150份问卷，有效回收率100%。人文关怀能力量表总分为（191.22±16.15）分，三个维度均分由高到低分别为耐心（5.21±0.37）分、勇气（4.62±0.75）分、认知（4.19±0.24）。护士的人文关怀能力在年龄、工作年限、职称、用工性质、工作满意度等方面比较差异具有统计学意义（P＜0.05）。结论   本研究所在地区护理人员人文关怀能力处于中等水平，但与西方国家相比，仍有较大差距，因此在今后的临床护理培训中，应制定针对性的提高策略。

      Objective  To study the level of humanistic care ability among trauma orthopedic nurses in Zhengzhou and analyze the influencing factors．Methods  A cross-sectional study was conducted using convenience sampling to select 150 trauma orthopedic nurses from hospitals in Zhengzhou．Data were collected using a general information questionnaire and the Humanistic Care Ability Scale．Results  A total of 150 valid questionnaires were collected，with a response rate of 100%．The total score of the Humanistic Care Ability Scale was（191.22±16.15），with the dimensions scores ranked as patienc（5.21±0.37），courage（4.62±0.75）and cognition（4.19±0.24）．Significant differences in humanistic care ability were observed in terms of age，work experience，professional title，employment type，and job satisfaction（P＜0.05）．Conclusions  The humanistic care ability of trauma orthopedic nurses in Zhengzhou is at a moderate level，but there is still a gap compared to Western countries．Targeted training strategies and improving job satisfaction are recommended．