基于快速康复护理理念的老年胫骨平台骨折术后患者标准化行走康复护理模式的构建与实施  

Construction and Implementation of a Standardized Walking Rehabilitation Nursing Model for Elderly Patients with Tibial Plateau Fractures after Surgery Based on the Concept of Rapid Recovery Nursing

作　　者：贾春梅 JIA Chunmei(Department of orthopedics,Shandong Shanxian Traditional Chinese Medicine hospital,Heze,Shandong 274300)

机构地区：[1]山东省单县中医医院骨科,山东菏泽274300

出　　处：《中国伤残医学》2024年第6期104-107,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:构建基于快速康复护理理念的老年胫骨平台骨折术后患者标准化行走康复护理模式,探讨该康复护理模式的实施效果.方法:采用便利抽样法,选取2020年1月-2022年12月在山东省单县中医医院进行康复护理的老年胫骨平台骨折术后患者206例为研究对象,采用随机数字表法分为观察组与对照组,各103例.对照组给予常规康复护理,观察组在对照组护理的基础上给予研究者构建的术后标准化行走康复护理,2组均护理12周.比较2组患者的膝关节功能恢复、并发症与护理满意度情况.结果:护理12周后,观察组与疗效优良率高于对照组,差异有统计学意义(P<0.05).观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05).护理12周后,2组Lysholm评分均高于护理前,且观察组的Lysholm评分高于对照组,差异均有统计学意义(P<0.05).护理12周后,观察组的护理满意度高于对照组,差异有统计学意义(P<0.05).结论:给予老年胫骨平台骨折术后患者标准化行走康复护理能够提高治疗效果,降低并发症发生风险,改善膝关节功能,提高患者护理满意度.Objective:To construct a standardized walking rehabilitation nursing model for elderly patients with tibial plateau frac-tures after surgery based on the concept of rapid recovery nursing and to explore the implementation effects of this rehabilitation nursing model.Methods:Convenient sampling was used to select 206 elderly patients with tibial plateau fractures after surgery who underwent rehabilitation nursing at Shandong Shouxian Traditional Chinese Medicine Hospital from January 2020 to December 2022.They were randomly divided into an observation group(n=103)and a control group(n=103)using a random number table.The control group re-ceived routine rehabilitation nursing,while the observation group received postoperative standardized walking rehabilitation nursing based on the care provided to the control group.Both groups received nursing for 12 weeks.The knee joint function recovery,complica-tions,and nursing satisfaction of the two groups were compared.Results:After 12 weeks of nursing,the observation group had a higher excellent and good rate of efficacy than the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,with a statistically significant difference(P<0.05).After 12 weeks of nursing,the Lysholm scores of both groups were higher than before nursing,and the observation group's Lysholm score was higher than that of the control group,with statistically significant differences(P<0.05).After 12 weeks of nursing,the nursing satisfaction in the observation group was higher than that in the control group,with a statistically significant difference(P<0.05).Conclusion:Pro-viding standardized walking rehabilitation nursing for elderly patients with tibial plateau fractures after surgery can improve treatment outcomes,reduce the risk of complications,enhance knee joint function,and increase patient nursing satisfaction.

关 键 词：胫骨平台骨折 老年人 快速康复护理 标准化 行走运动 术后 

分 类 号：R687.3[医药卫生—骨科学]