可控制性细微运动干预应用于股骨骨折患者术后对其生存质量和功能康复的影响  

Effect of controllable fine movement intervention on postoperative quality of life and functional rehabilitation in patients with femoral fracture

作　　者：张丽[1] 顾羊林[1] 

机构地区：[1]无锡市第二人民医院骨科,214000

出　　处：《国际医药卫生导报》2017年第19期2987-2990,共4页International Medicine and Health Guidance News

基　　金：无锡市卫生局科研项目（Q201407）

摘　　要：目的探究可控制性细微运动干预应用于股骨骨折患者术后对其生存质量及功能康复的影响，并为这类患者的优质诊疗照护模式积累循证经验。方法选取本院骨科于2013年9月至2016年10月收治的102例股骨骨折患者，借助随机数字表作为分组依据，将所有纳入对象划分为研究组和对照组，每组51例；其中对照组实行传统的护理照护，而研究组则在对照组基础上引人可控制性细微运动干预；记录两组患者在干预前及干预后第3周末的LySholm评分和生活质量量表（SF-36）评分。结果干预后，研究组患者的生理功能、躯体功能、总体健康、生理职能、情感职能、精神健康、社会功能以及活动评分分别为（85．1±10．7）分、（88．1±13．7）分、（88．3±13．2）分、（85．3±9．2）分、（82．1±8．4）分、（78．3±7．5）分、（72．1±10．3）分、（78．9±7．9）分，均高于对照组，差异均有统计学意义（均P〈0．05）。干预后第3周末，研究组患者的跛行、支撑、交锁、不稳定、疼痛、肿胀、爬楼梯、下蹲评分分别为（4．3±0．6）分、（4．4±0．3）分、（11．6±0．4）分、（19．7±0．7）分、（20．6±1．2）分、（8．9±0．5）分、（8．3±0．3）分、（4．3±0．3）分，均高于对照组，差异均有统计学意义（均P〈0．05）。结论对于股骨骨折患者来说，引人可控制性细微运动干预，能提高患者的生存质量，且能促进肢体的功能康复，值得在临床上做进一步推广。Objective To explore the effect controllable fine movement intervention on postoperative quality of life and functional rehabilitation in patients with femoral fracture. Methods 102 patients with femoral fracture treated at our department from September, 2013 to October, 2016 were selected and randomly divided into a study group and a control group, 51 for each group. The control group were traditionally cared; in addition, the study group were intervene with controllable fine movement. The scores of LySholm and quality of life scale （SF- 36） of the two groups were recorded before and 3 weeks after the intervention. Results After the intervention, the scores of physiological function, physical function, general health, physiological function, emotional function, mental health, social function, and activity of the study group were （85.1±10.7）, （88.1±13.7）, （88.3±13.2）, （85.3±9.2）, （82.1±8.4）, （78.1±7.5）, （72.1±10.3）, and （78.9±7.9）, which were significantly higher than those of the control group, with statistical differences （all P 〈 0.05）. 3 weeks after the intervention, the scores of limping, support, interlocking, instability, pain, swelling, climbing stairs, and squatting were （4.3±0.6）, （4.4±0.3）, （11.6±0.4）, （19.7±0.7）, （20.6±1.2）, （8.9±0.5）, （8.3±0.3）, and （4.3±0.3）, which were significantly higher than those in the control group, with statistical differences （all P 〈 0.05）. Conclusions Controllable fine movement intervention for patients with femoral fractures can improve their life quality and promote their recovery of limb function, so it is worth being clinically generalized.

关 键 词：可控制性细微运动 股骨骨折 生存质量 功能康复 

分 类 号：R473.6[医药卫生—护理学]