护理干预对髌骨骨折术后膝关节功能恢复的效果分析  

Discussion on the Effect of Nursing Intervention on Functional Recovery of Knee Joint after Patella Fracture Surgery

作　　者：徐红燕[1] 

机构地区：[1]浙江省立同德医院

出　　处：《医院管理论坛》2016年第9期43-45,共3页Hospital Management Forum

摘　　要：目的探讨护理干预对髌骨骨折术后膝关节功能恢复的影响及如何提高患者生活质量。方法按照住院号选取2012年3月至2014年3月102例髌骨骨折手术患者为研究对象,随机分成2组;其中对照组51例,予常规护理;观察组51例,在对照组常规护理基础上增加康复护理干预。观察比较护理后膝关节功能康复效果。结果疗效上,对照组治愈率27.45%、总有效率84.31%;观察组治愈率41.18%、总有效率94.12%;观察组在治愈率和总有效率上优于对照组(P<0.05)。两组护理后2周在肿胀程度,疼痛视觉模拟评分,HSS评分中的肌力、活动度、稳定性、屈曲畸形等评分较护理后3天相比均明显好转,治疗前后比较差异显著(P<0.05),观察组护理后3天和护理后2周在肿胀程度,疼痛视觉模拟评分,HSS评分中的肌力、活动度、稳定性、屈曲畸形等评分上显著优于对照组(P<0.05);观察组在疼痛、晨僵、关节功能和总分上明显低于对照组,两组比较差异显著(P<0.05)。结论早期护理干预,有助于髌骨骨折术后膝关节功能恢复,能提高患者生活质量。Objective To investigate the effect of nursing intervention on knee functional recovery after patella fracture surgery and how to improve the quality of life of patients. Methods A total of 103 patients who had patella fracture surgery from March 2012 to 2014 were selected based on hospitalization number and were divided into two groups with 51 in control group to receive routine care and 51 in the observation group to receive not only routine but also rehabilitation care. The effect of intervention on knee function rehabilitation was observed and compared. Results As to the efficacy, the cure rate in control group was 27.45% while the total effective rate was 84.31%; the cure rate in observation group was 41.18% while the total effective rate was 94.12%; cure rate and total effective rate in observation group were significantly better than that in control group（P〈0.05）. At two weeks after nursing intervention, scores evaluated by pain visual analogue scale and HSS scores of muscle strength, mobility, stability and flexion deformity rates were better than that at three days after nursing intervention（P〈0.05）. Scores of pain, morning stiffness, joint function and total score in observation group were significantly lower than that in the control group（P〈0.05）. Conclusion Nursing intervention in early stage is conducive to the functional recovery of knee joint after the patella fracture surgery and can improve life quality of patients.

关 键 词：护理干预 髌骨骨折 膝关节功能恢复 

分 类 号：R683.42[医药卫生—骨科学]