循序渐进式康复护理对骨盆骨折患者术后应激反应、骨折愈合进程的影响  

Effect of progressive rehabilitation nursing on postoperative stress response and fracture healing process of patients with pelvic fractures

作　　者：鲜红梅 王雷元 胡学昱[2] XIAN Hongmei;WANG Leiyuan;HU Xueyu(Orthopeadic Surgery Department,No.215 Hospital of Shaanxi Jianyi,Xianyang 712021;the Fourth Military Medical University of the Chinese People's Liberation Army,Xi'an 721000,China)

机构地区：[1]陕健医二一五医院骨外科,陕西咸阳712021 [2]中国人民解放军第四军医大学,陕西西安721000

出　　处：《临床医学研究与实践》2021年第27期140-142,共3页Clinical Research and Practice

基　　金：国家自然科学基金资助项目(No.81572151)。

摘　　要：目的探讨循序渐进式康复护理在骨盆骨折患者中的应用效果。方法选取2018年1月至2020年1月我院收治的84例骨盆骨折患者作为研究对象,根据入院编号奇偶性分为对照组与观察组,每组42例。对照组实施常规护理,观察组在对照组基础上实施循序渐进式康复护理。比较两组的应激反应指标、康复训练依从性、骨折愈合时间、骨盆功能及护理满意度。结果术后24 h,两组的血清E、NE、Cor水平均较术前升高,但观察组低于对照组(P<0.05);术后2周,两组的血清E、NE、Cor水平均较术前及术后24 h降低,且观察组低于对照组(P<0.05)。观察组的康复训练依从率高于对照组(P<0.05)。观察组的骨折愈合时间短于对照组(P<0.05);护理后,两组的Majeed评分均升高,且观察组高于对照组(P<0.05)。观察组的护理满意度为90.48%,高于对照组的71.43%(P<0.05)。结论循序渐进式康复护理有利于减轻骨盆骨折患者的应激反应,提高其康复训练依从性,促进骨折愈合及骨盆功能恢复,提升护理满意度。Objective To explore the application effect of progressive rehabilitation nursing in patients with pelvic fractures.Methods Eighty-four patients with pelvic fractures treated in our hospital from January 2018 to January 2020 were selected as the research objects.According to the parity of admission number,the patients were divided into control group and observation group,with 42 cases in each group.The control group was given routine nursing,and the observation group was given progressive rehabilitation nursing on the basis of the control group.The stress response indexes,rehabilitation training compliance,fracture healing time,pelvic function and nursing satisfaction were compared between the two groups.Results At 24 h after operation,the levels of serum E,NE and Cor in the two groups were higher than those before operation,but those in the observation group were lower than the control group(P<0.05);two weeks after operation,the levels of serum E,NE and Cor in the two groups were lower than those before operation and at 24 h after operation,and those in the observation group were lower than the control group(P<0.05).The compliance rate of rehabilitation training in the observation group was higher than that in the control group(P<0.05).The fracture healing time in the observation group was shorter than that in the control group(P<0.05);after nursing,the Majeed score of the two groups increased,and that of the observation group was higher than the control group(P<0.05).The nursing satisfaction in the observation group was 90.48%,which was higher than 71.43%in the control group(P<0.05).Conclusion Progressive rehabilitation nursing is helpful to reduce the stress response of patients with pelvic fracture,improve their rehabilitation training compliance,promote fracture healing and pelvic function recovery,and improve nursing satisfaction.

关 键 词：骨盆骨折 循序渐进式康复护理 应激反应 骨折愈合进程 

分 类 号：R473.6[医药卫生—护理学]