基于循证理论的阶段式护理在腕舟骨骨折术后患者中的应用效果  

Application effects of staged nursing based on evidence-based theory in postoperative patients with scaphoid fractures

作　　者：刘玲 王腾飞 LIU Ling;WANG Tengfei(Department of Hand Surgery·Micro-Orthopedics I of Zhengzhou Orthopaedic Hospital,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州市骨科医院手外科·显微骨科Ⅰ,河南郑州450000

出　　处：《中国民康医学》2024年第23期187-189,共3页Medical Journal of Chinese People’s Health

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20191149)。

摘　　要：目的:观察基于循证理论的阶段式护理在腕舟骨骨折术后患者中的应用效果。方法:选取2021年5月至2023年5月该院收治的84例拟行手术治疗的腕舟骨骨折患者进行前瞻性研究,依据随机数字表法将其分为观察组(n=42)与对照组(n=42)。对照组采用常规护理,观察组在对照组基础上采用基于循证理论的阶段式护理。比较两组护理前后手腕功能(Cooney腕关节评分)、上肢功能[简化Fugl-Meyer运动功能评估表(FMA)]和日常生活活动能力[改良Barthel指数(MBI)]评分。结果:护理后,两组Cooney腕关节评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组FMA评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组MBI评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用循证理论的阶段式护理可提高腕舟骨骨折术后患者手腕功能、上肢功能和日常生活活动能力评分。Objective:To observe application effects of staged nursing based on evidence-based theory in postoperative patients with scaphoid fractures.Methods:A prospective study was conducted on 84 patients with scaphoid fractures who were admitted to the hospital from May 2021 to May 2023 for surgical treatment.According to the random number table method,they were divided into observation group(n=42)and control group(n=42).The control group was given routine nursing,while the observation group was given the staged nursing based on evidence-based theory on the basis of that of the control group.The scores of wrist function(Cooney wrist joint score),upper limb function[simplified Fugl-Meyer motor assessment(FMA)]and activities of daily living[modified Barthel index(MBI)]were compared between the two groups before and after the nursing.Results:After the nursing,the Cooney wrist joint scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).After the nursing,the FMA scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Further,after the nursing,the MBI scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusions:Staged nursing based on evidence-based theory on the basis of the routine nursing can improve the scores of wrist function,upper limb function and activities of daily living in the postoperative patients with scaphoid fractures.

关 键 词：腕舟骨骨折 术后 循证理论 阶段式护理 手腕功能 上肢功能 日常生活活动能力 

分 类 号：R473.6[医药卫生—护理学]