持续质量改进护理对股骨干骨折患儿锻炼依从性及膝关节功能的影响  

Effect of quality-improving nursing on exercise compliance and knee joint function in children with femoral shaft fracture

作　　者：朱咏梅[1] Zhu Yongmei(Department of Pediatric Orthopaedics,Yantaishan Hospital,Yantai 264001,China)

机构地区：[1]烟台市烟台山医院小儿骨科,264001

出　　处：《国际医药卫生导报》2020年第8期1137-1139,共3页International Medicine and Health Guidance News

摘　　要：目的探讨持续质量改进护理对股骨干骨折患儿锻炼依从性及膝关节功能的影响。方法选择2018年5月至2019年5月在本院治疗的股骨干骨折患儿82例,按照随机数字表法将其分为对照组和观察组,各41例。对照组男28例,女13例,年龄(7.83±1.46)岁。观察组男27例,女14例,年龄(7.38±1.53)岁。对照组接受常规护理干预,观察组接受持续质量改进护理干预。对比两组患儿焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分、锻炼依从性、骨折愈合时间和膝关节功能(Rasmussen)评分以及家属护理满意度。结果护理后,观察组SAS评分和SDS评分分别为(52.69±2.59)分、(53.34±1.38)分,低于对照组的(57.83±3.66)分、(58.68±2.21)分,差异具有统计学意义(t=7.340、13.123,均P<0.05);观察组锻炼依从率明显较对照组高[90.24%(37/41)比70.73%(29/41)],差异具有统计学意义(χ2=4.970,P<0.05);观察组患者骨折愈合时间较对照组短[(13.43±6.52)周比(17.21±6.25)周],且Rasmussen评分高于对照组,差异具有统计学意义(t=2.744、7.880,均P<0.05);观察组各项生活质量评分均高于对照组,差异具有统计学意义(均P<0.05)。观察组患儿家属护理满意度明显较对照组高[95.12%(39/41)比80.49%(33/41)],差异具有统计学意义(χ2=4.100,P<0.05)。结论持续质量改进护理可以提高股骨干骨折患儿的锻炼依从性,缩短骨折愈合的时间,提升患儿家属满意度。Objective To explore the effect of continuous quality-improving nursing on exercise compliance and knee joint function in children with femoral shaft fracture.Methods 82 children with femoral shaft fracture treated in our hospital from May,2018 to May,2019 were selected,and were divided into a control group and an observation group according to the random number table method,with 41 cases in each group.There were 28 male and 13 female in the study group;they were(7.83±1.46)years old.There were 27 male and 14 female in the control group;they were(7.38±1.53)years old.The control group received routine nursing intervention,while the observation group quality-improving nursing intervention.The self-rating anxiety scale(SAS)scores,self-rating depression scale(SDS)scores,exercise compliance,fracture healing times,and knee joint function(Rasmussen)scores,and family member satisfaction to the care were compared between the two groups.Results After the nursing,the SAS and SDS scores were(52.69±2.59)and(53.34±1.38)in the observation group,and were(57.83±3.66)and(58.68±2.21)in the control group(t=7.340 and 13.123,both P<0.05).The exercise compliance rate of the observation group was significantly higher than that of the control group[90.24%(37/41)vs.70.73%(29/41)],with a statistical difference(χ2=4.970,P<0.05).The fracture healing time of the observation group was shorter than that of the control group[(13.43±6.52)weeks vs.(17.21±6.25)weeks;t=2.744,P<0.05].The Rasmussen score of the observation group was significantly higher than that of the control group(t=7.880,P<0.05).The quality of life scores of the observation group were significantly higher than those of the control group(all P<0.05).The nursing satisfaction of the family members in the observation group was significantly higher than that in the control group[95.12%(39/41)vs.80.49%(33/41);χ2=4.100,P<0.05].Conclusion Quality-improving nursing can improve the compliance of children with femoral shaft fracture and the satisfaction of family members,and shorten

关 键 词：股骨干骨折 持续质量改进护理 锻炼依从性 

分 类 号：R473[医药卫生—护理学]