父母参与的引导式教育联合系统化疼痛管理在肱骨髁上骨折患儿术后康复中的应用  

Application of parent-involved guided education combined with systematic pain management in postoperative rehabilitation of children with supracondylar fractures of humerus

作　　者：李莉[1] 陈翠英 牛会丽 赵文颖[1] 吕哲 周晓康 LI Li;CHEN Cuiying;NIU Huili;ZHAO Wenying;LV Zhe;ZHOU Xiaokang(Disinfection Supply Center,Hebei Children's Hospital,Shijiazhuang 050000,China;Department of Neurorehabilitation,Hebei Children's Hospital,Shijiazhuang 050000,China;Department of Orthopedics,Hebei Children's Hospital Shijiazhuang 050000,China;Department of Orthopedics,Shijiazhuang People s Hospital,Shijiazhuang 050000,China)

机构地区：[1]河北省儿童医院消毒供应中心,河北石家庄050000 [2]河北省儿童医院神经康复科,河北石家庄050000 [3]河北省儿童医院骨科,河北石家庄050000 [4]石家庄人民医院骨科,河北石家庄050000

出　　处：《现代医学》2024年第11期1788-1793,共6页Modern Medical Journal

摘　　要：目的:探讨父母参与的引导式教育联合系统化疼痛管理对肱骨髁上骨折患儿术后康复的影响,旨在为临床护理优化提供理论参考。方法:运用随机数字表法将2020年1月—2023年5月于河北省儿童医院治疗的肱骨髁上骨折患儿181例分为对照组(91例)和试验组(90例),对照组实施常规护理,试验组在对照组基础上实施父母参与的引导式教育联合系统化疼痛管理,比较两组疼痛情况、康复锻炼依从性、肘关节活动度和功能。结果:试验组术后第3天和第5天Wong-Baker面部表情疼痛(FPS-R)评分小于对照组(P<0.05);干预后康复锻炼依从性评分为(31.34±4.57)分,大于对照组的(25.18±3.71)分(P<0.05);肘关节屈曲、旋前及旋后活动度为(121.23±7.32)°、(80.34±6.23)°及(83.22±5.10)°,均大于对照组的(110.34±11.24)°、(71.45±5.77)°及(75.23±8.23)°(P<0.05);Mayo肘关节功能总评分为(82.92±7.34)分,大于对照组的(72.05±9.27)分(P<0.05)。结论:给予肱骨髁上骨折患儿父母参与的引导式教育联合系统化疼痛管理,可减轻患儿术后疼痛,增强锻炼依从性和促进关节功能恢复。Objective:To explore the effects of parental guided education combined with systematic pain management on postoperative rehabilitation of children with supracondylar fracture of humerus,in order to provide theoretical reference for clinical nursing optimization.Methods:A total of 181 children with supracondylar fracture of humerus treated in our hospital from January 2020 to May 2023 were divided into control group(91 cases)and experimental group(90 cases)by random number table method.The control group received routine nursing,and the experimental group received guided education with parental participation combined with systematic pain management on top of nursing of the control group.Pain,rehabilitation compliance,elbow motion and function were compared between the two groups.Results:The Wong-Baker facial expression pain(FPS-R)score of the experimental group was lower than that of control group on the 3rd and 5th day after surgery(P<0.05).The compliance score of rehabilitation exercise after intervention was(31.34±4.57)points,which was higher than that of control group(25.18±3.71)points(P<0.05).The flexion,pronation and supination motion of elbow joint were(121.23±7.32)°,(80.34±6.23)°and(83.22±5.10)°,which were higher than those of control group(110.34±11.24)°、(71.45±5.77)°and(75.23±8.23)°(P<0.05).The total score of Mayo elbow joint function was(82.92±7.34)points,which was higher than that of control group(72.05±9.27)points(P<0.05).Conclusion:The parents of children with supracondylar humeral fracture joining in combined with systematic pain management can reduce postoperative pain,enhance exercise compliance and promote joint function recovery.

关 键 词：肱骨髁上骨折 综合护理 父母参与的引导式教育 系统化疼痛管理 肘关节功能 

分 类 号：R445.2[医药卫生—影像医学与核医学]