“3H”护理模式对胫腓骨骨折康复的临床效果观察  

Clinical Observation on 3H Nursing Mode to Recovery Tibia and Fibula Fractures

作　　者：刘娟[1] 江娟 徐青月 赵秋艳 Liu Juan;Jiang Juan;Xu Qingyue(Department of Orthopedics,the Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an,Shanxi 710004,China)

机构地区：[1]西安交通大学第二附属医院骨一科,陕西西安710004

出　　处：《四川医学》2020年第11期1192-1196,共5页Sichuan Medical Journal

摘　　要：目的探讨"3H"护理模式在胫腓骨骨折术后护理中的临床价值。方法选取我院骨科采用切开复位内固定手术治疗的97例胫腓骨骨折患者作为研究对象,采用前瞻性随机研究分组分为3H组49例(3H护理模式)、常规组48例(常规护理模式);对比两组患者视觉模拟疼痛(VAS)评分、肿胀消退率、患者自我效能评分、膝关节屈曲角度、伸直角度、活动范围、手术并发症发生率。结果术后3、5 d,3H组患者的VAS评分均低于常规组(P<0.05);术后3、5、7 d,3H组患者的肿胀消退率均高于常规组(P<0.05)。术后1 d,3H组和常规组GSES评分差异无统计学意义(P>0.05);术后14d,3H组患者GSES评分高于常规组(P<0.05)。术后3 d,3H组和常规组的膝关节屈曲角度、伸直角度、活动范围差异无统计学意义(P>0.05);术后4周,3H组患者的膝关节屈曲角度、活动范围大于常规组(P<0.05)。3H组患者手术并发症发生率(2.04%)低于常规组(12.50%)(P<0.05)。结论"3H"护理模式在胫腓骨骨折术后护理中有助于改善患者的自我效能、减轻疼痛及肿胀程度、对于早期膝关节功能的锻炼恢复有积极作用。Objective To explore clinical value on 3H nursing mode to recovery postoperative tibia and fibula fractures.Methods 97 patients with tibia and fibula fractures treated by open reduction and internal fixation in our hospital were selected as research objects.By prospective randomized study,they were divided into 3H group(n=49)with 3H nursing mode and routine group(n=48)with conventional nursing mode.The visual analog scales(VAS),swelling regression rate,patient self-efficacy score,knee flexion angle,extension angle,motionrange,and surgical complications incidence were compared.Results On the 3rd and 5th days after operation,VAS scores of 3H group were lower than those of routine group(P<0.05).On the 3rd,5th,and 7th days after operation,swelling regression rates of 3H group was higher than those of routine group(P<0.05).On the 1 stday after operation,there was no significant difference in GSES score(P>0.05).On the 14th day after operation,GSES score of 3H group was higher than that of routine group(P<0.05).On the 3rd day after operation,there was no significant difference in knee flexion angle,extension angle,and range of motion(P>0.05).At 4 weeks after surgery,knee flexion angle and range of motion of 3H group were greater than those of routine group(P<0.05).Incidence of surgical complications in 3H group(2.04%)was lower than that of routine group(12.50%)(P<0.05).Conclusion 3H nursing mode could help to improve patients’self-efficacy,relieve pain and swelling in postoperative care of tibia and fibula fractures that has a positive effect on the exercise and recovery of early knee joint function.

关 键 词：“3H”护理模式 胫腓骨骨折 膝关节功能 自我效能 

分 类 号：R473.6[医药卫生—护理学]