摘要
目的探讨早期综合康复护理对复杂肘关节骨折术后功能恢复的干预效果。方法选取义乌市中心医院2013年2月~2015年3月收治的62例复杂肘关节骨折患者作为研究对象,采取随机数字表法将其分成两组,每组31例。两组患者均给予手术治疗,观察组在此基础上采取早期综合康复护理,对照组采取延迟康复护理,比较两组肘关节功能恢复情况以及患者对康复护理的满意度。结果两组术后12个月Mayo肘关节功能均有明显改善(P〈0.01),观察组术后12个月运动功能、疼痛、日常活动评分及总评分均显著高于对照组术后12个月(P〈0.01);观察组术后12个月肘关节伸屈活动度优良率为93.55%,相对于对照组的64.52%有明显上升(P〈0.01);观察组护理满意度为96.77%,相对于对照组的67.74%有明显上升(P〈0.01)。结论对复杂肘关节骨折术后采取早期综合康复护理可有效促进肘关节功能的恢复,提高患者的满意度。
Objective To explore the effect of early comprehensive rehabilitation nursing intervention on postoperative functional recovery of complex elbow fracture. Methods Sixty-two patients with complex elbow fracture treated in Yiwu Central Hospital from February 2013 to March 2015 were selected as the research objects, and they were divided into two groups with the method of random number table, 31 cases in each. Both of the two groups were given surgical treatment, on the basis of which, the observation group adopted early comprehensive rehabilitation nursing, while the control group adopted delayed rehabilitation nursing. Then the recovery of elbow function and patients" satisfaction on rehabilitation nursing were compared between the two groups. Results In the twelfth month after surgery, the functions of Mayo elbow joint both significantly improved in the two groups (P 〈 0.01). In the twelfth month after surge.ry, the motor function, pain, daily activities and total score of the observation group were significantly higher than those of the control group (P 〈 0.01); the excellent rate of elbow flexion and extension activity of the observation group in the twelfth month after surgery was 93.55%, which improved significantly compared with 64.52% of the control group (P 〈 0.01). The satisfaction rate on rehabilitation nursing in the observation group was 96.77%. which increased significantly compared with 67.74% of the control group (P 〈 0.01). Conclusion Comprehensive rehabilitation nursing can effectively promote the recovery of elbow joint function after the operation of complex elbow fracture.
出处
《中国医药导报》
CAS
2016年第24期89-92,共4页
China Medical Herald
基金
浙江省公益性技术应用研究项目(2013C33216)
关键词
早期康复护理
复杂肘关节骨折
肘关节恐怖三联征
功能恢复
Early rehabilitation nursing
Complex elbow fracture
Terrible triad of the elbow: Functional recovery