结合目标导向的康复锻炼对下肢骨折术后患者的干预效果

Intervention effect of goal oriented rehabilitation exercise during postoperative intervention in patients with lower limb fractures

目的探讨结合目标导向的康复锻炼对下肢骨折患者术后干预期间的应用效果。方法选择2020年3月至2022年9月江苏省南通市第三人民医院骨科的110例下肢骨折患者,根据随机数字表法将其分为对照组和研究组,各55例。对照组实施常规护理,研究组在对照组的基础上结合目标导向的健康锻炼。比较两组术后不同时间段内下肢肿胀、膝关节功能、不良心理状态相关指标。结果整体分析发现:两组小腿周径、大腿周径、肿胀程度评分的组间、时间点比较及交互作用,差异均有统计学意义(P<0.05)。进一步两两比较,组内比较:两组各时间点小腿周径、大腿周径、肿胀程度评分,差异有统计学意义(P<0.05);组间比较:研究组术后1、3个月小腿周径、大腿周径、肿胀程度评分低于对照组(P<0.05)。术后3个月,两组Lysholm膝关节评分均高于干预前,且研究组高于对照组(P<0.05);两组抑郁-焦虑-压力量表中文精简版评分低于干预前,且研究组低于对照组(P<0.05)。结论实施结合目标导向的康复锻炼可提高下肢骨折患者术后患肢恢复速度,改善其术后心理状态。

Objective To explore the application effect of goal oriented rehabilitation exercise during postoperative intervention in patients with lower limb fractures.Methods A total of 110 patients with lower limb fracture in the Department of Orthopedics of Nantong Third People’s Hospital,Jiangsu Province from March 2020 to September 2022 were selected.According to random number table method,they were divided into control group and study group,with 55 cases in each group.The control group received routine nursing,and the study group combined goal oriented rehabilitation exercise on the basis of the control group.Lower limb swelling,knee joint function,and adverse mental state were compared between the two groups in different time periods.Results Overall analysis showed that there were statistically significant differences between the two groups in time point,inter-group,and interaction of calf circumference diameter,thigh circumference diameter,and swelling degree score(P<0.05).Further pairwise comparison,intra-group comparison:comparison of calf circumference diameter,thigh circumference diameter,and swelling degree scores at each time point between the two groups,the differences were statistically significant(P<0.05);comparison between groups:the scores of calf circumference,thigh circumference,and swelling degree score in the study group one and three months after operation were lower than those in the control group(P<0.05).Three months after operation,Lysholm knee joint score in both groups was higher than that before intervention,and that of the study group was higher than that of the control group(P<0.05).Three months after operation,the Chinese-21 of depression anxiety and stress scale in both groups was lower than that before intervention,and that of the study group was lower than that of the control group(P<0.05).Conclusion The implementation of goal oriented rehabilitation exercise can improve the recovery speed of the affected limb and improve the postoperative psychological state of the patients with lower limb fracture.