International Journal of Nursing Research

Objective To investigate the effects of a multidimensional integrated nursing model on the psychological well-being, incidence of postoperative infection, and length of hospital stay in patients undergoing orthopedic surgery combined with alcohol withdrawal syndrome. Methods Sixty patients undergoing orthopedic surgery combined with alcohol withdrawal syndrome were randomly divided into a study group and a control group, 30 patients in each group. The control group received conventional treatment and nursing care, while the study group implemented an integrated nursing intervention for patients and caregivers for 2-6 weeks in addition to conventional care. The psychological well-being and functional recovery of the patients in both groups were assessed at the end of the 2nd, 4th, and 6th week after the intervention. The incidence of postoperative infection and length of hospital stay were also compared between the two groups. Results After the intervention, the symptom self-rating scale scores in both groups were significantly lower than those before the intervention (P < 0.01), with the decrease in the study group being more significant than that in the control group (P < 0.01). There was no statistically significant difference in the incidence of postoperative infection between the two groups at the end of the two weeks after the intervention (P > 0.05). However, the incidence of postoperative infection in the study group was significantly lower than that in the control group at the end of the four and six weeks after the intervention (P < 0.05). The length of hospital stay in the study group was shorter than that in the control group (P < 0.05). Conclusion The integrated nursing model significantly improves the psychological well-being of patients undergoing orthopedic surgery combined with alcohol withdrawal syndrome. It not only provides support to patients and caregivers, but also reduces the incidence of postoperative infection, shortens hospital stay, and promotes patient recovery. It has clinical application value.

Orthopedic surgery; Alcohol withdrawal syndrome; Integrated nursing model; Symptom self-rating scale; Incidence of postoperative infection; Length of hospital stay