系统康复护理在肱骨外科颈骨折的应用效果

Application effect of systematic rehabilitation nursing in humeral surgical neck fracture

目的探讨系统康复护理在肱骨外科颈骨折的应用效果。方法选取2016年6月～2017年5月我院急诊科收治的80例肱骨外科颈骨折患者作为研究对象,随机分为常规护理组与系统康复护理组,每组各40例。常规护理组进行手法整复加改良超肩小夹板固定治疗,术后进行小夹板固定后护理、体位护理及饮食护理;系统康复护理组在此基础上,配合康复训练指导及心理护理。比较两组治疗前后肩关节Constant-Murley评分(C-M评分)、骨折愈合时间以及护理总满意度。结果两组患者护理后C-M评分高于护理前,系统康复护理组护理后的C-M评分高于常规护理组,差异均有统计学意义(P<0.05);系统康复护理组骨折愈合时间为(7.80±1.56)周,短于常规护理组的(9.68±1.33)周,差异有统计学意义(P<0.05);系统康复护理组护理满意度为85.60%,高于常规护理组的78.50%,差异有统计学意义(P<0.05)。结论系统康复护理治疗肱骨外科颈骨折,可有效提高临床疗效,缩短骨折愈合时间,提高患者的护理满意度。

Objective To explore the application effect of systematic rehabilitation nursing in the treatment of humeral surgical neck fracture.Methods Eighty patients with humeral surgical neck fracture admitted to the emergency department of our hospital from June 2016 to May 2017 were randomly divided into routine nursing group and systematic rehabilitation nursing group,with 40 cases in each group.The routine nursing group was treated with manipulative reduction and modified over-shoulder splint fixation,after operation,the patients were treated with small splint fixation,postural nursing and dietary nursing.On this basis,the systematic rehabilitation nursing group cooperated with rehabilitation training guidance and psychological nursing.The shoulder Constant-Murley score(C-M score),fracture healing time and total nursing satisfaction were compared between the two groups before and after treatment.Results The C-M scores of the two groups after nursing were higher than those before nursing,and the C-M scores of the systemic rehabilitation nursing group after nursing were higher than those of the conventional nursing group,the differences were statistically significant(P<0.05).The healing time of fracture in the systemic rehabilitation nursing group was(7.80±1.56)weeks,which was shorter than(9.68±1.33)weeks in the routine nursing group,the difference was statistically significant(P<0.05).The nursing satisfaction rate of the systematic rehabilitation nursing group was 85.60%,which was higher than 78.50%of the routine nursing group,the difference was statistically significant(P<0.05).Conclusion Systematic rehabilitation nursing for the treatment of humeral surgical neck fracture can effectively improve the clinical efficacy,shorten the healing time of fracture,and improve the patient's nursing satisfaction.