功能锻炼路径表联合ERAS理念在膝关节周围骨折术后患者的应用效果  

Application Effect of Functional Exercise Pathway Table Combined with ERAS Concept in Postoperative Patients with Peripheral Knee Fracture

作　　者：吴晓婷 蔡英风 WU Xiaoting;CAI Yingfeng(The First Affiliated Hospital of Xiamen University,Xiamen 361000,China;不详)

机构地区：[1]厦门大学附属第一医院,福建厦门361000

出　　处：《中外医学研究》2024年第16期90-94,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨功能锻炼路径表联合加速康复外科(ERAS)理念干预对膝关节周围骨折术后患者膝关节活动度、并发症风险、生活质量及护理满意度的影响。方法:选取2022年3月—2023年3月厦门大学附属第一医院骨科接收的行锁定加压钢板内固定手术的68例膝关节周围骨折患者作为研究对象,按照随机信封法分为A组、B组,各34例。A组给予常规护理干预,B组在A组基础上给予功能锻炼路径表联合ERAS理念的护理干预,比较两组膝关节功能[美国纽约特种外科医院评分系统(HSS)]、膝关节活动度(ROM)、并发症发生率、生活质量[生活质量综合评定问卷(GQOLI-74)]及护理满意度。结果:干预后,两组HSS膝关节评分、膝关节ROM、GQOLI-74各维度评分均高于干预前,且B组均高于A组,差异有统计学意义(P<0.05)。B组并发症总发生率为2.94%,低于A组的17.65%,差异有统计学意义(P<0.05)。干预后,B组护理满意度为97.06%,高于A组的79.41%,差异有统计学意义(P<0.05)。结论:功能锻炼路径表联合ERAS理念的护理干预能显著改善膝关节周围骨折患者术后膝关节活动度,降低术后并发症风险、并可提高患者生活质量及护理满意度。Objective:To investigate the effect of functional exercise pathway table combined with enhanced recovery after surgery(ERAS)concept on knee-joint range of motion,complication risk,quality of life and nursing satisfaction in postoperative patients with peripheral knee fracture surgery.Method:A total of 68 patients with peripheral knee fracture who underwent locking compression plate internal fixation in the Department of Orthopaedics of the First Affiliated Hospital of Xiamen University from March 2022 to March 2023 were selected as the study objects,and they were divided into group A and group B according to random envelope method,with 34 patients in each group.Group A was given routine nursing intervention,group B was given functional exercise pathway table combined with ERAS concept nursing intervention on the basis of group A.Knee function[New York hospital for special surgery(HSS)],knee-joint range of motion(ROM),complication rate,quality of life[generic quality of life inventory 74(GQOLI-74)]and nursing satisfaction were compared between the two groups.Result:After intervention,HSS knee joint score,knee-joint ROM and GQOLI-74 scores of both groups were higher than those before intervention,and those in group B were higher than those in group A,the differences were statistically significant(P<0.05).The total incidence of complications in group B was 2.94%,which was lower than 17.65%in group A,the difference was statistically significant(P<0.05).After intervention,the nursing satisfaction of group B was 97.06%,which was higher than 79.41%of group A,and the difference was statistically significant(P<0.05).Conclusion:The nursing intervention of functional exercise pathway table combined with ERAS concept can significantly improve the postoperative knee-joint range of motion,reduce the risk of postoperative complications,and improve the quality of life and nursing satisfaction of patients with peripheral knee fracture.

关 键 词：功能锻炼路径表 加速康复外科理念 膝关节周围骨折术后患者 膝关节活动度 并发症 生活质量 

分 类 号：R473.6[医药卫生—护理学]