护理人员慢性踝关节不稳二级预防模式的建立与应用  

Construction and application effects of CAI secondary prevention model in nursing staff

作　　者：芦凤娟[1] 武彩霞[2] 官士兵[2] 程连杰[2] 张亚楠[2] 李振香[1] 

机构地区：[1]山东大学附属省立医院护理部,济南250021 [2]山东大学附属省立医院手足外科病房,济南250021

出　　处：《中华现代护理杂志》2016年第20期2830-2835,共6页Chinese Journal of Modern Nursing

基　　金：山东省科学技术发展计划项目（2013GSF31803）

摘　　要：目的：探讨二级预防模式预防护理人员慢性踝关节不稳（ CAI ）的临床效果。方法2014年9月选取山东省某三级甲等医院符合筛选条件的存在功能性踝关节不稳可能性的护理人员100人，采用随机数字表法分为干预组（n＝51）和对照组（n＝49），干预组采取二级预防模式进行干预，包括集束化健康教育、护具使用及“四阶段”式的功能锻炼；对照组仅进行踝关节防治健康知识的常规宣教。干预前和干预后4个月，采用汉化版Cumberland踝关节不稳定评价问卷（ CAIT）对两组人员的踝关节功能情况进行评价，比较干预效果。结果干预前干预组CAIT 问卷评分为（19．0±4．8）分，干预后为（28．2±3．0）分，差异有统计学意义（t＝9．210，P＜0．05）；对照组干预前CAIT问卷评分为（19．0±5．1）分，干预后为（21．3±5．2）分，差异无统计学意义（t＝1．509，P＞0．05）；两组干预后比较差异有统计学意义（t＝9．317，P＜0．05）。结论护理人员踝关节不稳二级预防模式能够提升踝关节不稳护理人员的关节稳定性，提高其对CAI防护知识的认知水平，并促使其进行有效的CAI临床症状前防护，对于改善护士踝关节功能具有重要意义。Objective To study the clinical effect of the secondary prevention of chronic ankle instability （CAI） for nursing staff.Methods From September 2014 to January 2015, we screened 100 nurse with functional ankle instability in Shandong Provincial Hospital .The subjects were divided into the intervention group （ n=51 ） and the control group （ n =49 ） by random number table .The nurses of intervention group accepted measures of the secondary prevention , including bundle health education , bracing and rehabilitation , while the nurses of control group received only routine health education .Before intervention and 4 months later , we evaluated the ankle instability by Chinese version Cumberland ankle instability tool （ CAIT） in two groups and compared the intervention effects and relevant knowledge of the two groups .Results Before the intervention, the CAIT score of intervention group was （19.0 ±4.8）, and was （28.2 ±3.0） after intervention （ t=9.210,P〈0.05）;the CAIT score in the control group was （19.0 ±5.1） before intervention and （21.3 ± 5.2） after intervention （t=1.509,P〉0.05）; after intervention, the difference of two groups had statistical significance （t=9.317,P〈0.05）.Conclusions The secondary prevention of CAI can improve CAI nurse staff′s ankle stability and the recognition level of CAI prevention knowledge , and promote the clinical symptom prevention effectively , so it has significance for the improvement of nurse′s ankle function .

关 键 词：护士 踝关节 不稳定 二级预防 

分 类 号：R47[医药卫生—护理学]