多元化管理提高胫骨平台骨折手术患者功能锻炼效果

Effect of diverse management strategies on functional training among patients with tibial plateau fracture

目的提高胫骨平台骨折手术患者功能锻炼效果。方法将82例胫骨平台骨折行内固定术患者按住院病区分为两组各41例。对照组按常规实施功能锻炼护理;观察组采取多层面、多因素、多环节、多干预模式及全程化的多元化功能锻炼管理策略。结果观察组术后1个月、3个月HSS评分显著高于对照组(均P<0.01),功能锻炼依从性以及对功能锻炼护理满意度显著高于对照组(P<0.05,P<0.01)。结论对胫骨平台骨折行内固定术患者采取多元化管理策略可有效提高患者功能锻炼依从性,从而提高功能锻炼效果和满意度。

Objective To improve the effectiveness of functional exercise for patients with tibial plateau fractures. Methods A total of 82 patients undergoing internal fixation for the treatment of tibial plateau fractures were divided into a control group(n = 41) and an observation group(n = 41 ) according to hospitalization ward. The control group received conservative functional exercise, while their counterparts in the observation group were given diverse functional exercise management strategies with such characteristics as multi-faceted, multi-factor, multi-link, multi-mode and whole-process. Results The HSS score in the observation group was significantly higher than that in the control group at postoperative 1 and 3 months (P<0. 01 for both). The adherence to and satisfaction with functional exercise in the observation group were significantly higher than those in the control group (P<0.05, P< 0. 01). Conclusion The diverse management strategies applied in patients undergoing internal fixation for tibial plateau fracture can effectively improve their adherence to functional exercise, thus to enhance the effect of functional exercise and nursing satisfaction.