个体化护理干预对踝关节骨折患者术后功能锻炼依从性、疼痛程度以及恢复效果的促进作用  

Effect of individualized nursing intervention on postoperative functional exercise compliance,pain degree and recovery effect of ankle fracture patients

作　　者：杨红梅 赵贵凤 沈文云 李晓琴 金爱玲 Yang Hongmei;Zhao Guifeng;Shen Wenyun;Li Xiaoqin;Jin Ailing(Department of orthopedics,Liuhe District People's Hospital of Nanjing,Nanjing 211500,China)

机构地区：[1]江苏省南京市六合区人民医院骨科,江苏南京211500

出　　处：《足踝外科电子杂志》2021年第3期50-54,共5页Electronic Journal of Foot and Ankle Surgery

基　　金：江苏省自然科学基金项目(BK2012608)。

摘　　要：目的探讨个体化护理干预对踝关节骨折患者术后功能锻炼依从性、疼痛程度以及恢复效果的促进作用。方法选择江苏省南京市六合区人民医院2017年1月至2020年1月收治的踝关节骨折患者80例,按照随机数表法分为对照组(n=40)与实验组(n=40)。对照组采取常规护理;实验组则在对照组基础上,采取个性化护理。采用自制的依从性调查问卷调查两组术后开展功能锻炼的依从性,以视觉模拟法(visual analogue scale,VAS)评分评价两组术后疼痛情况。随访半年,分析两组的美国足踝外科协会(American Orthopaedic Foot and Ankle Society,AOFAS)评分、踝关节肿胀消失时间以及康复期间的并发症发生率。结果实验组患者术后功能锻炼依从性高于对照组(P<0.05)。出院时,实验组静息状态下与活动状态下的VAS评分均低于对照组(P<0.05)。实验组术后1个月、3个月、6个月的AOFAS评分均高于对照组(P<0.05)。实验组踝关节消肿时间短于对照组(P<0.05)。实验组术后并发症发生率低于对照组(P<0.05)。结论对踝关节骨折患者采用个体化护理干预效果理想,能有效提高患者功能锻炼的依从性,减轻患者术后疼痛,且有利于促进患者关节功能的恢复以及肿胀的消除,降低并发症发生率。Objective To explore the effect of individualized nursing intervention on improving postoperative functional exercise compliance,alleviating pain and promoting postoperative recovery in patients with ankle fracture.Methods Eighty patients with ankle fracture in Liuhe District People’s Hospital of Nanjing,from January 2017 to January 2020,were divided into control group (n=40) and experimental group (n=40) according to random number table method.The control group took conventional care.The experimental group took personalized care on the basis of the control group.A homemade compliance questionnaire was used to investigate the adherence of the two groups to functional exercise after surgery,and VAS was used to evaluate the postoperative pain of the two groups.The two groups were followed up for half a year to analyze AOFAS score and compare the time of ankle swelling disappearing between the two groups.The incidence of complications during rehabilitation was compared between the two groups.Results The postoperative functional exercise compliance of the experimental group was higher than that of the control group (P<0.05).The VAS scores of the experimental group were lower than those of the control group (P<0.05).The AOFAS scores of the experimental group were higher than those of the control group (P<0.05).The deswelling time of the ankle joint in the experimental group was shorter than that in the control group (P<0.05).The incidence of postoperative complications in the experimental group was lower than that in the control group (P<0.05).Conclusion Individualized nursing intervention for patients with ankle fracture has an ideal effect.It can effectively improve the compliance of patients with functional exercise,reduce postoperative pain,promote the recovery of joint function and the elimination of swelling,and reduce the risk of complications.

关 键 词：踝关节骨折 个体化护理 功能锻炼 依从性 疼痛 踝关节功能 

分 类 号：R47[医药卫生—护理学]