基于多元化理念的康复锻炼方案对胫骨平台骨折患者躯体康复及并发症的影响

The Effectsof Rehabilitation Exercisebasedonthe Diversification Concept onthe Complicationsand Physical Rehabilitationofthe Patientswiththe Fractureof Tibial Plateau

目的:探究基于多元化理念的康复锻炼方案对胫骨平台骨折患者康复状况及并发症发生情况的影响。方法:将胫骨平台骨折患者78例采用随机数字表法分为研究组和对照组各49例。对照组开展传统护理方法,研究组在对照组护理基础上引入多元化理念为导向的康复锻炼。在干预前、干预后第1周及第4周末采用Zung编制的SAS和SDS量表对2组患者负性情感进行测评;采用Ly Shol m量表对疼痛、肿胀、屈曲能力及行为能力进行评分;通过X线检查测评患者的胫骨平台后倾角。结果:干预后第1周和第4周研究组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。干预后第4周研究组患者的疼痛、肿胀评分低于对照组,屈曲能力、行走能力评分高于对照组,差异有统计学意义(P<0.05)。干预后研究组患者的胫骨平台后倾角小于对照组,差异有统计学意义(P<0.05)。结论:对于胫骨平台骨折患者引入多元化理念为导向的照护模式,有助于促进患者躯体康复。

Objective： To study the influence of rehabilitation exercise based on the diversification concept on the incidence of the complications and rehabilitation conditions of the patients with the fracture of tibial plateau.Methods： All 78 patietns were randomized into the experiment group and the control group according to random number table method. The control group launched traditional nursing method, the experiment group accepted rehabilitation exercise based on the diversification concept on the foundation of traditional nursing method. Negative emotions of the patients in both groups were tested before the intervention, at the first week and fourth week after the intervention by SAS and SDS scales compiled by Zung; the pain, swelling, flexion ability and behavioral ability of the patients were scored by using Ly Sholm scales; the caster of tibial plateau of the patients were assessed by X-ray examination. Results： The experiment group was lower than the control group in the SAS and SDS scales at the first week and fourth week after the intervention, and the difference had statistical meaning（P〈0.05）. The experiment group was lower than the control group in the pain and swelling scales at the fourth week after the intervention,higher than the control group in the scales of flexion ability and behavioral ability, and the difference had statistical meaning（P〈0.05）. The experiment group was smaller than the control group in the caster of tibial plateau after the intervention, and the difference presented statistical meaning（P〈0.05）. Conclusion： Rehabilitation exercise based on the diversification concept for the patients with the fracture of tibial plateau helps to promote physical rehabilitation of the patients.