家属参与的护理干预模式在外踝骨折患者术后护理中的价值  

Study on the value and effect of nursing intervention mode involving family members in postoperative nursing of patients with lateral ankle fracture

作　　者：谢连珠 季荔 叶向红[1] 叶秀 成红 李鑫林 Xie Lianzhu;Ji Li;Ye Xianghong;Ye Xiu;Cheng Hong;LI Xinlin(Department of Orthopedics,Taixing People’s Hospital,Taixing 225400,China)

机构地区：[1]泰兴市人民医院骨科,江苏泰兴225400

出　　处：《足踝外科电子杂志》2024年第3期40-45,共6页Electronic Journal of Foot and Ankle Surgery

摘　　要：目的分析家属参与的护理干预模式在外踝骨折患者术后护理中的价值。方法以随机数字表法将泰兴市人民医院2017年1月至2023年11月收治的90例外踝骨折患者分为对照组和观察组,每组外踝骨折患者各45例。对照组采取常规护理干预模式,观察组采取家属参与的护理干预模式,对其应对方式、焦虑情绪、足部疼痛、睡眠质量及步行能力方面的变化进行观察,并比较其负重行走时间、最长持续行走时间、骨折愈合时间、足部功能优良率、并发症发生率方面的差异。结果两组护理前简单应对方式量表(simplifiedcopingstylequestionnaire,SCSQ)及广泛性焦虑筛查量表(generalized anxiety disorder-7,GAD-7)评分差异无统计学意义(P>0.05),护理后对比对照组,观察组更优,其SCSQ量表中的积极应对评分高于对照组(P<0.05),SCSQ量表中的消极应对评分及GAD-7评分低于对照组(P<0.05)。两组护理前足部疼痛的视觉模拟评分法(visual analogue scale,VAS)评分、睡眠质量的匹茨堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分、步行能力的步行6 min试验结果差异无统计学意义(P>0.05),护理后对比对照组,观察组更优,其VAS评分及PSQI评分低于对照组(P<0.05),步行6 min试验结果高于对照组(P<0.05)。对比对照组,观察组负重行走时间更短(P<0.05),最长持续行走时间更长(P<0.05),骨折愈合时间更短(P<0.05),足部功能优良率更高(P<0.05),并发症发生率更低(P<0.05)。结论在外踝骨折患者术后临床护理干预中,对其采取家属参与的护理干预模式进行护理能够为患者足部功能的恢复带来更大获益,不仅有利于改变患者应对方式,减轻焦虑及疼痛等情况,而且还可以进一步提高患者睡眠质量及步行能力,降低并发症发生率。Objective To analyze the value of nursing intervention mode involving family members in postoperative nursing of patients with lateral ankle fracture.Methods 90 patients with exceptional ankle fracture admitted to Taixing People’s Hospital from January 2017 to November 2023 were divided into control group and observation group by random table number method,45 patients in each group with external ankle fracture.The control group adopted the routine nursing intervention mode,and the observation group adopted the nursing intervention mode with the participation of family members.The changes in coping style,anxiety,foot pain,sleep quality and walking ability were observed,and the differences in weight-bearing walking time,longest continuous walking time,fracture healing time,excellent and good rate of foot function and complication rate were compared.Results There was no significant difference in the scores of the simplified coping style questionnaire scale(SCSQ)and the generalized anxiety disorder-7 scale(GAD-7)before nursing between the two groups(P>0.05).Compared with the control group after nursing,the observation group was significantly better,and the positive coping score in the SCSQ scale was significantly higher than that in the control group(P<0.05).The negative coping scores and GAD-7 scores in SCSQ were significantly lower than those in control group(P<0.05).There were no significant differences in visual analogue scale(VAS)scores,Pittsburgh sleep quality index(PSQI)scores and walking ability test results of 6 min walking between the two groups(P>0.05).After nursing,the observation group was significantly better than the control group.VAS score and PSQI score were significantly lower than that of control group(P<0.05),and the result of 6 min walking test was significantly higher than that of control group(P<0.05).Compared with the control group,the weight-bearing walking time of the observation group was significantly shorter(P<0.05),the longest sustained walking time was significantly longer(P<0.05),the

关 键 词：家属参与护理干预模式 外踝骨折 足部功能 应对方式 焦虑 足部疼痛 

分 类 号：R47[医药卫生—护理学]