5E康复护理对粉碎性髌骨骨折术后患者的干预效果分析  

Analysis of the intervention eff ect of 5E rehabilitation nursing on patients with comminuted patella fracture after surgery

作　　者：崔永琴 张笑舒 王丽华 陈珂 吕慧珠 曹佳鑫 杨玲 CUI Yongqin;ZHANG Xiaoshu;WANG Lihua;CHEN Ke;LV Huizhu;CAO Jiaxin;YANG Ling(Xuchang Central Hospital,Xuchang 461000,China;Beijing Tongren Hospital Affiliated to Capital Medical University,Beijing 100730,China)

机构地区：[1]许昌市中心医院骨科一病区,河南省许昌市461000 [2]首都医科大学附属北京同仁医院皮科,北京市100730

出　　处：《护理实践与研究》2024年第6期918-923,共6页Nursing Practice and Research

摘　　要：目的研究基于教育-鼓励-运动-工作-评估(education-encouragement-exerciseemployment-evaluation,5E)的康复护理在粉碎性髌骨骨折术后患者的应用效果。方法 选取2020年7月—2022年6月医院就诊的粉碎性髌骨骨折患者96例作为研究对象,按照组间基本特征具有可比性的原则分为观察组与对照组,每组48例,两组均接受手术治疗,对照组采用常规护理模式,观察组在此基础上予以基于5E的康复护理。比较两组广泛性焦虑量表(GAD-7)评分、健康问卷抑郁症状群(PHQ-9)评分、简易应对方式量表(SCSQ)评分、Lysholm膝关节评分、HSS膝关节功能评分及并发症发生率。结果 干预后4周,观察组患者GAD-7、PHQ-9评分低于对照组,差异有统计学意义(P<0.05);观察组患者积极应对评分高于对照组,消极应对评分低于对照组,差异有统计学意义(P<0.05);观察组患者Lysholm、HSS评分低于对照组,差异有统计学意义(P<0.05);观察组患者并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论 基于5E的康复护理,能减轻粉碎性髌骨骨折患者消极心理状态,提高其积极应对能力,有利于降低并发症发生率,改善膝关节功能。Objective To study the application effect of education-encouragement-exercise-employment-evaluation(5E)based rehabilitation nursing in patients with comminuted patella fractures after surgery.Methods A total of 96 patients with comminuted patella fracture admitted to the hospital from July 2020 to June 2022 were selected.According to the principle of comparability in basic characteristics between groups,they were divided into a control group and an observation group with 48 cases each.Surgical treatment was administered to both groups,with the control group implemented routine nursing care,while the observation group implemented 5E-based rehabilitation nursing on the basis of the routine nursing.The differences in Generalized Anxiety Disorde-7(GAD-7)scores,Patient Health Questionnaire-9 items(PHQ-9)scores,Simplified Coping Style Questionnaire(SCSQ)scores,Lysholm knee scores,HSS knee function scores,and the incidence of complications between the two groups of patients were compared.Results After four weeks of intervention,the GAD-7 and PHQ-9 scores of patients in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);the positive coping scores of patients in the observation group were higher than those in the control group,and negative coping scores of patients were lower than those in the control group,the differences were statistically significant(P<0.05);the Lysholm and HSS scores of patients in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);the incidence of complications of patients in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The 5E-based rehabilitation nursing can alleviate the negative psychological state of patients with comminuted patella fractures,enhance their positive coping abilities,reduce the incidence of complications,and improve knee joint function.

关 键 词：康复护理 粉碎性髌骨骨折 并发症 膝关节功能 心理状态 

分 类 号：R473.6[医药卫生—护理学]