引导式教育训练的综合康复护理在儿童并指畸形矫正术后恢复中的应用  

Effect of Comprehensive Rehabilitation Nursing Based on Conductive Education Training on Postoperative Recovery of Children with Syndactyly Correction

作　　者：刘广 廖维 方珊珊 LIU Guang;LIAO Wei;FANG Shanshan(Department of Anesthesiology and Surgery,Children's Hospital of Nanjing Medical University,Nanjing 210008,Jiangsu,China;Department of Orthopedics,Children's Hospital of Nanjing Medical University,Nanjing 210008,Jiangsu,China)

机构地区：[1]南京医科大学附属儿童医院麻醉手术科,江苏南京210008 [2]南京医科大学附属儿童医院骨科,江苏南京210008

出　　处：《中国美容医学》2024年第4期164-167,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨引导式教育训练的综合康复护理在儿童并指畸形矫正术后恢复中的应用效果。方法:选取2019年8月-2021年9月笔者医院收治的69例并指畸形矫正术后患儿,按随机数字表法分为对照组(35例)和观察组(34例)。对照组给予常规康复措施,观察组给予引导式教育训练的综合康复护理。干预两个月及3个月后,观察比较两组患儿手功能恢复情况、关节活动度、切口瘢痕及指蹼爬移情况。结果:干预2个月及3个月后,观察组完成Jebsen手功能测试所需时间均较对照组短(P<0.05),观察组关节活动度优良率较对照组高(P<0.05),观察组瘢痕评分均较对照组低(P<0.05),观察组指蹼爬移Withey评分均较对照组低(P<0.05)。结论:将引导式教育训练的综合康复护理用于并指畸形矫正术后患儿中,可以促进患儿手功能恢复,提高关节活动度,明显改善其切口瘢痕及指蹼爬移情况。Objective To explore the effect of comprehensive rehabilitation nursing based on conductive education training on postoperative recovery of children with syndactyly correction.Methods A total of 69 children with syndactyly after correction admitted to the author's hospital from August 2019 to September 2021 were selected and divided into control group(35 cases)and observation group(34 cases)according to the random number table method.The control group was given routine rehabilitation measures,and the observation group was given comprehensive rehabilitation nursing of guided education and training.After two months and three months of intervention,the recovery of hand function,range of motion of joint,scar of incision and crawl of finger web were observed and compared between the two groups.Results After 2 months and 3 months of intervention,the time required to complete the Jebsen hand function test in the observation group was shorter than that in the control group(P<0.05),the excellent and good rate of joint movement in the observation group was higher than that in the control group(P<0.05),the scar scores of the observation group were lower than those of the control group(P<0.05),the Withey scores of finger web crawling in the observation group were lower than those in the control group(P<0.05).Conclusion Application of comprehensive rehabilitation nursing based on conductive education training in children with syndactyly correction can effectively can promote the recovery of hand function,improve joint mobility,and remarkably ameliorate the incision scar and web creep.

关 键 词：引导式教育 综合康复护理 并指畸形 矫正 关节活动度 

分 类 号：R473.72[医药卫生—护理学]