摘要
目的探讨持续性护理结合康复指导对胫骨骨折患者术后膝关节功能、并发症及心理等方面的影响。方法选取2013年6月至2015年5月收治的胫骨骨折患者92例作为研究对象,按随机数字表法将其分为干预组和常规组,每组46例。常规组仅接受常规护理,干预组在常规护理基础上接受持续性护理并结合康复指导。随访期间评价两组患者术后3、6个月时的膝关节功能情况,比较两组患者并发症发生率。结果术后3、6个月随访时,干预组患者膝关节特殊外科医院(HSS)评分总均分[(70.5±16.9)、(88.8±11.5)分]明显高于同期常规组[(58.3±15.2)、(74.4±11.8)分],差异均有统计学意义(P<0.05);干预组和常规组3、6个月随访时各项膝关节HSS评分分别与同组术前比较,差异均有统计学意义(P<0.05);两组术后6个月时各项膝关节HSS评分与同组3个月时比较均明显增加,差异均有统计学意义(P<0.05)。随访期间,干预组并发症发生率为4.35%(2/46),显著低于常规组[17.39%(8/46)],差异有统计学意义(P<0.05)。结论持续性护理结合康复指导能促进膝关节功能恢复,降低并发症发生率,促进患者早日恢复、生活自理。
Objective To investigate the effect of continuous nursing combined with rehabilitation guidance on the knee joint function,complications and psychological aspects in the patients with tibial fracture. Methods Ninety-two patients with tibial fractures treated in our hospital from June 2013 to May 2015 were selected as the research subjects and randomly divided in-to the intervention group and the conventional group according to the random number table method , 46 cases in each group. The conventional group received the routine nursing ,while on this basis the intervention group received the continuous nursing care combined with rehabilitation guidance. The knee joint function in the two groups were evaluated after postoperative 3 ,6 months during the follow-up period and the incidence rates of complications were compared between the two groups. Results During postoperative 3,6 months follow-up,the knee joint HSS scores in the intervention group were（70.5±16.9）points and（88.8±11.5） points respectively,which were significantly higher than （58.3±15.2）points and （74.4±11.8） points in contemporaneous conven tional group,the differences were statistically significant（P〈0.05）;the knee joint HSS scores at postoperative 6 months in the two groups were significantly increased compared with those at postoperative 3 months ,the differences were statistically significant （P〈0.05）. During follow up period,the occurrence rate of complications in the intervention group was 4.35%（2/46）,which was signifi-cantly lower than 17.39%（8/46） in the conventional group,the difference was statistically significant（P〈0.05）. Conclusion The continuous nursing combined with the rehabilitation guidance can promote the recovery of knee joint function ,reduces the inci-dence rate of complications,and promotes the early recovery and life self-care of patients.
出处
《现代医药卫生》
2016年第13期2001-2003,共3页
Journal of Modern Medicine & Health
关键词
胫骨骨折
护理工作
手术后期间
膝关节
手术后并发症
康复
Tibial fractures
Nursing services
Postoperative period
Knee joint
Postoperative complications
Rehabilitation
