行为干预结合互动管理对踝关节骨折患者术后康复的促进作用  

Promoting effect of behavior change nursing intervention combined with interactive management on rehabilitation of patients with ankle fracture after operation

作　　者：冯艳文[1] 谢连英 邓新征 卢艳华[1] 罗俊[1] Feng Yanwen;Xie Lianying;Deng Xinzheng;Lu Yanhua;Luo Jun(Orthopedics Department,Dongguan Chang'an Hospital,Dongguan 523843,China)

机构地区：[1]东莞市长安医院骨科,广东东莞523843

出　　处：《足踝外科电子杂志》2023年第1期81-85,共5页Electronic Journal of Foot and Ankle Surgery

基　　金：东莞市科技局社会科技发展(重点)项目(202050715022169)。

摘　　要：目的探究踝关节骨折术后实施行为干预联合互动管理对患者康复的促进作用。方法根据入选标准收集2017年9月至2020年11月东莞市长安医院骨科收治的踝关节骨折患者90例作为本次研究对象。采取随机数表法将其分为观察组与对照组,对照组采取常规护理干预,观察组采取常规护理+行为干预+互动管理,分析两组患者的心理状态、日常生活自理能力、踝关节功能及护理满意度。结果护理2个月后,观察组患者的焦虑自评量表(self-rating anxiety scale,SAS)评分、抑郁自评量表(self-rating depression scale,SDS)评分显著低于对照组,差异有统计学意义(t=14.105、21.572,P<0.001);日常生活活动能力量表(activities of daily living,ADL)评分显著高于对照组,差异有统计学意义(t=5.530,P<0.001);美国足踝外科协会(American Orthopedic Foot and Ankle Society,AOFAS)踝-后足评分显著高于对照组,差异有统计学意义(t=7.096,P<0.001);护理满意度(93.33%)显著高于对照组(80.00%),差异有统计学意义(x2=7.236,P=0.006)。结论行为干预联合互动管理对踝关节骨折术后康复具有促进作用,可改善患者心理状态,调节患者踝关节功能,提升患者日常生活能力与满意度,值得广泛应用。Objective To explore the role of behavior intervention nursing combined with interactive management in promoting rehabilitation of patients after ankle fracture surgery.Methods According to the inclusion criteria,90 patients with ankle fracture in Orthopedics Department of Dongguan Chang'an Hospital from September 2017 to November 2020 were collected as the subjects of this study.They were divided into observation group and control group by random number table method.The control group was given routine nursing intervention,and the observation group was given routine+behavioral intervention+interactive management intervention.The psychological status,daily life self-care ability,ankle function and nursing satisfaction of the two groups were analyzed.Results After 2 months of nursing,the scores of SAS and SDS in the observation group were significantly lower than those in the control group,the difference was statistically significant(t=14.105,21.572,P<0.001);The score of activities of daily living(ADL)was significantly higher than that of the control group(t=5.530,P<0.001);The ankle hind foot score of the American Orthopedic Foot and Ankle Society(AOFAS)was significantly higher than that of the control group,with a statistically significant difference(t=7.096,P<0.001);Nursing satisfaction(93.33%)was significantly higher than that of the control group(80.00%),the difference was statistically significant(x2=7.236,P=0.006).Conclusion Behavior intervention nursing combined with interactive management can promote the rehabilitation of ankle fracture patients,improve their psychological status,regulate their ankle function,and enhance their daily life ability and satisfaction,which is worth extensive application.

关 键 词：踝关节骨折 行为干预 互动管理 心理状态 踝关节功能 满意度 

分 类 号：R47[医药卫生—护理学]