股骨骨折手术患者标准化功能锻炼模式临床研究  

Standardized functional exercise protocol for patients with femoral fracture

作　　者：黄娟娟[1] 韦艳新 韦贵珠[1] 姜红卫[1] 韦仁杰[1] 秦玉梅[1] 蓝婉婕[1] 韩苗 Huang Juanjuan;Wei Yanxin;Wei Guizhu;Jiang Hongwei;Wei Renjie;Qin Yumei;Lan Wanjie;Han Miao(Department of Traumatic Hand Surgery,People′s Hospital of Hechi,Hechi 547000,China)

机构地区：[1]河池市人民医院创伤手外科,广西河池547000

出　　处：《护理学杂志》2020年第19期91-94,共4页Journal of Nursing Science

基　　金：广西河池市科学研究与技术开发计划项目(B1824-16)。

摘　　要：目的提高股骨骨折患者术后功能锻炼效果。方法按时间段将320例股骨骨折住院手术患者分为对照组和观察组各160例,对照组于围手术期采取临床护理路径、无栓管理、标准化个案护理等;观察组在此基础上制定并实施医护患及家属四方参与的个体标准化功能锻炼方案。术后30 d评价效果。结果观察组临床疗效显著优于对照组、并发症发生率显著低于对照组、功能锻炼优良率显著高于对照组(P<0.05,P<0.01)。结论医护患及家属四方参与的个体标准化功能锻炼模式有利于减少患者并发症的发生、提高疗效和康复锻炼效果。Objective To improve functional recovery of patients with femoral fracture.Methods A total of 320 patients with femoral fracture were chronologically divided into a control group and an intervention group,with 160 in each group.The control group received clinical pathway-guided nursing care,preventive care of deep vein thrombosis and standardized case-centered care.The intervention group was subjected to individualized,standardized functional exercise program involving doctor,nurse,patient and family member.The effect was evaluated at 30 days postoperatively.Results The intervention group showed better clinical efficacy,lower incidence of complications,and higher excellent/good rate of functional exercise compared to the control group(P<0.05,P<0.01).Conclusion The standardized functional exercise model involving doctor,nurse,patient and family member is beneficial to reduce complications and improve clinical outcomes.

关 键 词：股骨骨折 手术 功能锻炼 临床路径 个体化 标准化 模式 

分 类 号：R473.6[医药卫生—护理学] R493[医药卫生—临床医学]