膝关节骨折患者术后卧床依从性的影响因素及护理对策研究  

Study on factors affecting postoperative bed rest compliance of patients with knee fractures and nursing countermeasures

作　　者：史淑芳[1] 章敏 及晓华 SHI Shufang;ZHANG Min;JI Xiaohua(Department of Orthopedics,Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine,Hebei Province,Cangzhou,061000,China)

机构地区：[1]河北省沧州中西医结合医院骨科,河北沧州061000

出　　处：《中国医药导报》2023年第12期78-81,共4页China Medical Herald

摘　　要：目的探究影响膝关节骨折患者术后卧床依从性因素,并提出相应护理对策。方法回顾性分析2020年6月至2022年6月河北省沧州中西医结合医院收治的膝关节骨折并行手术治疗的患者的临床资料,采用便利抽样法选取200例进行分析。采用自制术后卧床依从性调查表评价患者术后卧床依从性,依从性得分≥30分纳入依从组(112例),<30分纳入不依从组(88例)。收集患者一般资料,采用单因素和多因素logistic回归分析膝关节骨折患者术后卧床依从性的影响因素,并据此制订护理对策。结果两组卧床时间、受教育程度、疼痛程度、适应程度、自身认识、家庭支持比较,差异有统计学意义(P<0.05)。logistic回归结果显示,卧床时间、疼痛程度、受教育程度、适应程度、自身认识、家庭支持是膝关节骨折患者术后卧床依从性的影响因素(OR>1,P<0.05)。结论膝关节骨折患者术后卧床依从性受卧床时间、疼痛程度、受教育程度、适应程度、自身认识、家庭支持等因素影响,医护人员应根据危险因素制订相应护理对策,以提高患者依从性,促进术后恢复。Objective To investigate the factors affecting postoperative bed rest compliance in patients with knee fractures and to propose corresponding nursing countermeasures.Methods The clinical data of patients with knee fractures admitted to Cangzhou Hospital of Integrative Traditional Chinese and Western Medicine in Hebei Province from June 2020 to June 2022 who were treated with parallel surgery were retrospectively analyzed,and 200 cases were selected for analysis using convenience sampling method.A self-administered postoperative bedside compliance questionnaire was used to evaluate patients’postoperative bedside compliance,and compliance scores≥30 points were included in the compliance group(112 cases)and<30 points in the non-compliance group(88 cases).General patient data were collected,and the factors influencing postoperative bed rest compliance in patients with knee fractures were analyzed using univariate and multifactorial logistic regression,and nursing countermeasures were formulated accordingly.Results The differences were statistically significant of bed rest time,education level,pain level,adaptation level,own awareness,and family support between the two groups(P<0.05).The logistic regression results showed that the duration of bed rest,pain level,education level,adaptation level,own awareness,and family support were the influential factors affecting postoperative bed rest compliance in patients with knee fractures(OR>1,P<0.05).Conclusion Postoperative bedside compliance of patients with knee fractures is influenced by the duration of bed rest,pain level,education level,adaptation level,own awareness,and family support,etc.Health care providers should develop appropriate nursing countermeasures according to risk factors to improve patient compliance and promote postoperative recovery.

关 键 词：膝关节骨折 术后卧床 依从性 影响因素 护理对策 

分 类 号：R496[医药卫生—康复医学]