肩关节脱位并肱骨外科颈骨折患者的护理效果

Care effect of shoulder dislocation and humeral surgical neck fracture

目的探讨肩关节脱位并肱骨外科颈骨折患者的护理效果。方法将在本院骨科进行治疗的肩关节脱位并肱骨外科颈骨折患者40例,随机分为护理组和对照组各20例。两组患者均采用手法整复外固定进行治疗,对照组患者均给予骨科常规护理并且由家属和患者自行进行恢复训练;护理组患者均给予综合性的护理和功能锻炼。结果护理组患者的肩关节僵硬发生率明显低于对照组患者(P<0.05),同时护理组患者的满意度明显高于对照组患者(P<0.05),护患纠纷发生率明显低于对照组患者(P<0.05)。结论给予肩关节脱位并肱骨外科颈骨折患者有针对性的综合性护理以及功能锻炼,可以有效地减少预后患者肩关节僵硬的发生,还可以有效地提高患者的满意度,值得临床推广。

Objective To investigate the care effect of shoulder dislocation and humeral surgical neck fracture. Methods Forty patients with shoulder dislocation and humeral surgical neck fractures treated in our hospital were randomly divided into the care group 20 eases and control group 20 cases. The two groups were all given Manipulation and external fixation for treatment, and control group were given routine orthopedic care and their own family members and patients resume training; care group were given comprehensive care and exercise. Results The incidence of shoulder stiffness of the care group was significantly lower than that of control group （P 〈 0.05）, and the satisfaction of the care group was significantly higher （P 〈 0.05）, the incidence of nursing disputes was significantly lower than that of control group （P 〈 0.05）. Conclu- sion Comprehensive care and functional exercise in shoulder dislocation and humeral surgical neck fracture patients can effectively reduce the occurrence of shoulder stiffness, also can effectively improve patient＇s satisfaction, it is worthy of promotion.