综合护理干预对切开复位骨盆骨折患者骨盆功能障碍与恢复的影响

Effects of Comprehensive Nursing Intervention on Pelvic Dysfunction and Recovery of Pelvic Fracture Patients Un-der Open Reduction

目的探讨综合护理干预对切开复位骨盆骨折患者骨盆功能障碍与恢复的影响。方法选取2017年4月至2019年4月到我院进行手术治疗的复位骨盆骨折患者100例,通过前瞻性随机对照的研究方法分为两组,对照组给予常规护理,观察组在对照组基础上增加综合护理干预。对比两组患者的康复总有效率、功能障碍评分、爱荷华骨盆(OPS)、奥兰多骨盆(IPS)以及Majeed骨盆(MPS)评分。结果观察组康复有效率80%,显著高于对照组(P<0.05)。观察组功能障碍评分的总分显著低于对照组(P<0.05)。观察组并发症发生率为6.00%,显著低于对照组的44.00%(P<0.05)。观察组的OPS、IPS、MPS评分优良率分别为96.00%、96.00%、98.00%,显著高于对照组(P<0.05)。结论综合护理干预有助于提高患者康复疗效,减少功能障碍和加速恢复进程,降低并发率的产生,值得临床上推广。

Objective To explore effects of nursing intervention on pelvic dysfunction and recovery of pelvic fractures patients under open reduction.Methods From April 2017 to April 2019,100 patients with reduced pelvic fractures who came to our hospital for surgical treatment were selected.By double-blind prospective randomized controlled research method,they were divided into two groups.The control group was given routine care.Based on control group,comprehensive nursing intervention was added to observation group.Total effective rate of rehabilitation,dysfunction score,Iowa pelvis(OPS),Orlando pelvis(IPS)and Majeed pelvis(MPS)scores were compared.Results The effective rate of rehabilitation in observation group was 80%,which was significantly higher than that in control group(P<0.05).The dysfunction scoreof observation group was significantly lower than that of control group(P<0.05).The complication rate in observation group was 6.00%,which was significantly lower than 44.00%in control group(P<0.05).The excellent and good rates of OPS,IPS and MPS scores in observation group were 96.00%,96.00%,and 98.00%,respectively,which were significantly higher than those in control group(P<0.05).Conclusion Comprehensive nursing intervention could help improve rehabilitation efficacy and recovery process and reduce dysfunction and complications occurrence.It is worthy of clinical promotion.