器械辅助功能锻炼在骨折康复护理中的作用探讨  

Study on the Role of Instruments-Assisted Functional Exercise in Fracture Rehabilitation Nursing

作　　者：周惠超 ZHOU Huichao(Shangrao municipal hospital,Shangrao,Jiangxi 334000)

机构地区：[1]上饶市立医院,江西上饶334000

出　　处：《中国伤残医学》2024年第3期70-74,共5页Chinese Journal of Trauma and Disability Medicine

基　　金：上饶市科技计划医疗卫生指导性项目(2022CZDX56)。

摘　　要：目的:探讨器械辅助功能锻炼联合骨折康复护理对骨折患者术后恢复和生活质量的改善作用.方法:选取2021年1月—2023年2月我院开展切开复位内固定术的60例老年股骨颈骨折患者为研究对象,按随机数字表法将其分为对照组与研究组,各30例.对照组接受骨折康复护理,研究组在骨折康复护理基础上开展器械辅助功能锻炼.比较2组住院时间、骨折愈合时间、护理满意度、髋关节功能、疼痛、舒适度、心理、睡眠、生活质量.结果:研究组住院时间、骨折愈合时间均短于对照组,组间差异有统计学意义(P<0.05).护理后,2组髋关节功能评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05).护理后,2组疼痛视觉模拟评分(VAS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于护理前,一般舒适度量表(GCQ)评分高于护理前,且研究组VAS、SAS、SDS评分均低于对照组,GCQ评分高于对照组,差异有统计学意义(P<0.05).护理后,2组入睡潜伏期均短于护理前,匹兹堡睡眠质量指数(PSQI)评分低于护理前,实际睡眠时长长于护理前,且研究组入睡潜伏期短于对照组,PSQI评分低于对照组,实际睡眠时长长于对照组,差异有统计学意义(P<0.05).护理后,2组世界卫生组织生活质量测定简表各个维度评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05).研究组护理满意度高于对照组,差异有统计学意义(P<0.05).结论:在老年股骨颈骨折病例切开复位内固定术后落实骨折康复护理联合器械辅助功能锻炼,可更好地改善患者髋关节功能,促进骨折愈合,有利于减轻患者的躯体不适感和心理不良情绪,对夜间睡眠和生活质量起到改善作用,使患者对于护理服务更加满意.Objective:To explore the effect of instrument-assisted functional exercise combined with fracture rehabilitation nursing on postoperative recovery and quality of life of patients with fracture.Methods:A total of 60 elderly patients with femoral neck fracture who underwent open reduction and internal fixation in our hospital from January 2021 to February 2023 were selected as the research objects.According to the random number table method,they were divided into a control group and a study group,with 30 cases in each group.The control group received fracture rehabilitation nursing,and the study group carried out instrument-assisted functional exercise on the basis of fracture rehabilitation nursing.The length of hospital stay,fracture healing time,nursing satisfaction,hip function,pain,comfort,psychology,sleep and quality of life were compared between the two groups.Results:The length of hospital stay and fracture healing time in the study group were shorter than those in the control group,and the difference between the two groups was statistically significant(P<0.05).After nursing,the hip joint function scores of the two groups were higher than those before nursing,and the study group was higher than the control group,and the difference was statistically significant(P<0.05).After nursing,the pain visual analogue scale(VAS),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of the two groups were lower than those before nursing,and the general comfort scale(GCQ)score was higher than that before nursing,and the VAS,SAS and SDS scores of the study group were lower than those of the control group,and the GCQ score was higher than that of the control group.The difference was statistically significant(P<0.05).After nursing,the sleep onset latency of the two groups was shorter than that before nursing,the Pittsburgh sleep quality index(PSQI)score was lower than that before nursing,and the actual sleep duration was longer than that before nursing,and the sleep onset latency of the study group was s

关 键 词：老年人 股骨颈骨折 切开复位内固定术 骨折康复护理 器械辅助功能锻炼 

分 类 号：R493[医药卫生—康复医学]