延续性护理在四肢关节内骨折术后功能康复的应用与效果评价  

Applications and effect evaluations of continued nursing care in functional rehabilitation after limbs intra-articular fracture operation

作　　者：王淑峰[1] 张红梅[1] 凌映月 耿玲[1] 梁程亮 李诗[1] 唐华峰 梁笑玲 冯秀结 

机构地区：[1]广东省中山市黄圃人民医院骨科,528429 [2]广东省中山市黄圃人民医院康复科,528429

出　　处：《中国实用护理杂志》2017年第33期2581-2584,共4页Chinese Journal of Practical Nursing

基　　金：广东省中山市科技计划项目（2015B1136）

摘　　要：目的 探讨延续性护理对四肢关节内骨折术后关节功能和生命质量的影响.方法 对2015年1月至2016年12月出院的493例四肢关节内骨折术后患者,按照出院时间随机分组,单数为对照组247例,双数为观察组246例.对照组采用自我管理模式进行出院后的关节功能锻炼,观察组采用延续性护理模式指导关节功能锻炼,出院后12周比较2组患者护患满意度、关节功能和生命质量.结果 术后12周观察组患者关节功能优良率达79.27%（195/246）,明显高于对照组的55.47%（137/247）,差异有统计学意义（χ2=32.947,P〈0.01）.干预后生命质量评定中观察组生理功能评分、精力评分、精神健康评分、生理职能评分、躯体疼痛评分、健康状况评分、社会功能评分和情感职能评分分别为（72.66±4.41）、（89.27±4.10）、（93.01±3.05）、（88.03±3.19）、（91.68±3.99）、（76.78±4.86）、（79.11±4.68）、（85.57±7.07）分,对照组分别为（65.71±3.41）、（64.02±4.51）、（61.43±4.29）、（66.49±4.52）、（64.24±4.30）、（62.02±6.24）、（62.94±4.50）、（65.02±7.72）分,2组比较差异有统计学意义（t=12.48~60.15,均P〈0.05）.护患满意度非常满意率观察组为70.73%（174/246）明显高于对照组的37.65%（93/247）,差异有统计学意义（χ2=59.789,P〈0.01）.结论 对四肢关节内骨折术后患者实施院外延续性护理,可有效改善患者的关节功能和生命质量,明显提高护患满意度,值得临床推广.Objective To explore the influences of continued nursing care on the recovery of intra-articular fractures of joint function of limbs and the quality of life after operation. Methods A total of 493 intra-articular fracture of limbs postoperative patients,who were discharged from our department from January 2015 to December 2016,were randomly divided into observation group and reference group.After operation,the reference group used self-management mode to practice joint functional exercise,while the observation group uses continued nursing mode to guide physical therapy to recover joint functions.After they discharged 12 weeks,we compared these two groups of patients with satisfaction of nursing care,joint function recovery and quality of life. Results After 12 weeks of operation, in observation group, the patients＇ joint function recovery rate was close to 79.27%（195/246）, which was significantly higher than the rates 55.47%（137/247）in reference group,the difference was statistically significant（χ2=32.947,P〈0.01）. Respectively, the physiological function score,vigor score, mental health score, physiology role score, body pain score, health condition score, social function score and health score of the observation group in the quality of life assessment were （72.66 ± 4.41）, （89.27 ± 4.10）, （93.01 ± 3.05）, （88.03 ± 3.19）, （91.68±3.99）,（76.78±4.86）,（79.11±4.68）,（85.57±7.07）.The scores of control groups were（65.71±3.41）,（64.02±4.51）,（61.43±4.29）,（66.49±4.52）,（64.24±4.30）,（62.02±6.24）,（62.94±4.50）,（65.02±7.72）.The comparative difference of the two groups has statistical significance （t=12.48- 60.15, P〈0.05）. Meanwhile,in the satisfaction rate of nursing care,the great satisfaction rate of observation group（70.73%, 174/246） was much higher than reference group （37.65%, 93/247）, the difference was statistically significant （χ2=59.789, P〈0.01）. Conclusion Offered outside continued nursing care to the int

关 键 词：延续性护理 关节内骨折 四肢 功能恢复 生活质量 

分 类 号：R473.6[医药卫生—护理学]