康复管理捆绑式新型护理服务对小儿发育性髋关节脱位矫正术肢体功能、并发症及患儿家属认知度的影响  

Effect of new nursing service on limb function, complications and family recognition of children′s developmental hip dislocation

作　　者：姚春桃 康伟[1] 刘丽[1] 李国庆[2] YAO Chuntao;KANG Wei;LIU Li;LI Guoqing(Operation Room, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830054, China;Department of Joint Surgery, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830054, China)

机构地区：[1]新疆医科大学第一附属医院手术室,新疆乌鲁木齐830054 [2]新疆医科大学第一附属医院关节外科,新疆乌鲁木齐830054

出　　处：《中国医药导报》2019年第10期169-172,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(81760398)

摘　　要：目的探究与分析康复管理捆绑式新型护理服务对小儿发育性髋关节脱位矫正术肢体功能的影响。方法选取2015年5月～2017年5月新疆医科大学第一附属医院收治的行手术治疗的小儿发育性髋关节脱位患儿83例,采用随机数字表法将其分为两组:对照组40例,给予术后常规康复护理干预;观察组43例,在对照组基础上加用康复管理捆绑式新型护理服务。比较两组患儿肢体功能Fugl Meyer运动功量表(FMA)评分、拆石膏时间、远期疗效评分、并发症发生率、患儿家属康复护理重视度及康复护理认知度。结果与对照组比较,观察组FMA评分较高、拆石膏时间较短、远期疗效评分较高,差异有统计学意义(P <0.05)。与对照组比较,观察组患儿家属对康复护理知识的重视度及认知程度评分较高,差异有统计学意义(P <0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P <0.05)。结论在术后常规护理基础上加康复管理捆绑式新型护理服务应用于小儿发育性髋关节脱位术后能够促进改善肢体功能,提高患儿家属对疾病康复的认知度,降低并发症发生率,提高治疗效果及安全性。Objective To explore and analyze the effect of the new nursing service of rehabilitation management on the limb function of children with developmental hip dislocation. Methods From May 2015 to May 2017, in the First Affiliated Hospital of Xinjiang Medical University, 83 children with developmental dislocation of the hip were selecred, by random number table, they were divided into the control group (40 cases, with routine postoperative rehabilitation nursing intervention), observation group (43 cases, combined with rehabilitation management bundled new nursing care on the basis of the observation group). The functional FMA grade, tear open gesso time, forward curative effect, complication rates, families of children with rehabilitation nursing value degree and rehabilitation nursing recognition in two groups were compared. Results Compared with the control group, in the observation group, the FMA score was higher, the time of dissection was shorter and the long-term efficacy score was higher, the differences were statistically significant (P < 0.05). Compared with the control group, in the observation group, the family members had a higher degree of attention and cognition of the rehabilitation nursing knowledge, the differences were statistically significant (P < 0.05). The incidence of complications in the observation group was lower than the control group, the difference was statistically significant (P < 0.05). Conclusion On the basis of conventional nursing and rehabilitation management bundled new nursing service application without developmental dislocation of the hip surgery can promote the improvement of limb function, improve the children′s family awareness of disease recovery, reduce complications, and improve treatment efficacy and safety.

关 键 词：康复管理 捆绑式新型护理 小儿发育性髋关节脱位 矫正术 肢体功能 

分 类 号：R473.7[医药卫生—护理学]