康复训练联合心理护理在胫骨平台骨折患者中的应用  

Application of Rehabilitation Training Combined with Psychological Nursing in Patients with Tibial Plateau Fracture

作　　者：郑雅允 ZHENG Yayun(No.2 Department of Orthopedics,Dandong Hospital of Traditional Chinese Medicine,Dandong 118000,China)

机构地区：[1]丹东市中医院骨二科,辽宁丹东118000

出　　处：《中国医药指南》2022年第28期162-164,共3页Guide of China Medicine

摘　　要：目的 评价康复训练配合心理护理干预用于胫骨平台骨折患者中对患者康复效果的影响,以加速和提高胫骨平台骨折患者康复速度、康复质量。方法 选择我院2017年12月至2019年3月收治住院治疗的胫骨平台骨折患者(n=80),采取随机法完成80例胫骨平台骨折患者分组。参照组40例以及康复组40例胫骨平台骨折患者分别采取常规护理、常规护理+康复训练+心理护理,比较参照组与康复组患者膝关节功能、情绪状况评分情况以及护理满意度。结果 护理干预前,康复组与参照组的HHS评分[(58.00±6.90)分vs.(58.20±6.60)分]、HAMA评分[(14.20±2.30)分vs.(14.30±2.60)分]、HAMD评分[(23.70±4.00)分vs.(23.80±4.30)分]比较,差异无统计学意义,P均> 0.05。护理干预后,康复组与参照组的HHS评分[(76.50±7.60)分vs.(67.80±7.80)分]均明显高于护理干预前,且观察组明显高于参照组,HAMA评分[(7.00±1.20)分vs.(9.80±1.60)分]、HAMD评分[(10.00±2.20)分vs.(15.50±2.50)分]均明显低于护理干预前,且观察组明显低于参照组,差异均有统计学意义,P均<0.05。康复组护理满意度(97.50%vs. 70.00%)明显高于参照组,P <0.05。结论 胫骨平台骨折患者治疗期间除常规护理外,落实康复训练与心理护理在促进患者膝关节功能恢复、稳定患者情绪方面有明显积极意义。Objective To evaluate the effect of rehabilitation training combined with psychological nursing intervention on patients with tibial plateau fracture, so as to accelerate and improve the rehabilitation speed and quality of patients with tibial plateau fracture. Methods Eighty patients with tibial plateau fractures who were admitted to our hospital from December 2017 to March 2019 were randomly divided into groups.40 cases in the reference group and 40 cases in the rehabilitation group were treated with routine nursing, routine nursing + rehabilitation training + psychological nursing respectively. The knee joint function, emotional state score and nursing satisfaction were compared between the reference group and the rehabilitation group. Results Before nursing intervention, there was no significant difference between the rehabilitation group and the reference group in HHS score [(58.00±6.90) vs.(58.20±6.60)], HAMA score [(14.20±2.30) vs.(14.30±2.60)], HAMD score [(23.70±4.00) vs.(23.80±4.30)], P>0.05. After the nursing intervention, the HHS score [(76.50±7.60) vs.(67.80±7.80) points] of the rehabilitation group and the reference group were significantly higher than those before the nursing intervention, and the HAMA score [(7.00±1.20) vs.(9.80±1.60)] and HAMD score [(10.00±2.20) vs.(15.50±2.50)] of the observation group were significantly lower than those before the nursing intervention, and the observation group was significantly lower than those of the reference group, the difference was statistically significant(P<0.05). The nursing satisfaction of the rehabilitation group(97.50% vs. 70.00%) was significantly higher than that of the reference group(P<0.05). Conclusion During the treatment of tibial plateau fracture, in addition to routine nursing, the implementation of rehabilitation training and psychological nursing has significant positive significance in promoting the recovery of knee joint function and stabilizing patients’ mood.

关 键 词：康复训练 心理护理 胫骨平台骨折 膝关节功能 情绪状况 

分 类 号：R473.6[医药卫生—护理学]