前臂骨折内固定术后预防肩关节功能障碍的早期护理干预

Early Nursing Intervention on Prevention of Shoulder Joint Dysfunction after Forearm Fracture Internal Fixation

目的分析前臂骨折内固定术后预防肩关节功能障碍的早期护理干预效果。方法将本院于2016年4月至2020年12月接收治疗的行前臂骨折内固定术的患者87例作为观察对象,按照患者护理方式的不同分为观察组和对照组,对比分析两组患者护理满意度、肩关节功能障碍发生率、QOL评分、Constant评分、SAS评分、VAS评分。结果①分析两组患者护理满意度:相较于对照组患者,观察组患者护理满意度更高,对比统计学差异明显(P<0.05)。②分析两组患者QOL评分、Constant评分、SAS评分:相较于对照组患者,观察组患者QOL评分、Constant明显更高,SAS评分明显更低,对比统计学差异明显(P<0.05)。③分析两组患者VAS评分以及肩关节功能障碍发生率:相较于对照组患者,观察组患者VAS评分以及肩关节功能障碍发生率明显更低,对比统计学差异明显(P<0.05)。结论在前臂骨折内固定术后患者的护理中采用早期护理干预措施可明显降低患者术后疼痛以及肩关节功能障碍发生率,相较于常规护理患者对护理的满意度更高,更有利于促进患者关节功能康复。

Objective To analyze the effect of early nursing intervention on prevention of shoulder joint dysfunction after forearm fracture internal fixation.Methods Eighty-seven patients who underwent internal fixation of forearm fractures who were treated in our hospital from April 2016 to December 2020 were taken as observation objects.The patients were divided into observation group and control group according to the different care methods of the patients,the nursing satisfaction,incidence of shoulder dysfunction,QOL score,Constant score,SAS score and VAS score of the two groups were compared and analyzed.Results①Analysis of two groups of patients with nursing satisfaction:Compared with the control group,the observation group of patients with nursing satisfaction is higher,the difference is statistically significant(P<0.05).②The QOL score,Constant score and SAS score of the two groups were analyzed:Compared with the control group,the QOL score and Constant score of the observation group were significantly higher,the SAS score was significantly lower,and the difference was statistically significant(P<0.05).③Analysis of two groups of patients with VAS score and the incidence of shoulder dysfunction:Compared with the control group,the observation group of patients with VAS score and the incidence of shoulder dysfunction was significantly lower,the difference was statistically significant(P<0.05).Conclusion In the nursing of patients with forearm fracture after internal fixation,early nursing intervention can significantly reduce the incidence of postoperative pain and shoulder joint dysfunction.Compared with conventional nursing,patients’satisfaction with nursing is higher,which is more conducive to promoting the recovery of joint function.