基于快速成型技术的护理教育对桡骨远端骨折患者手术依从性及心理状态的影响分析

Analysis of the Influence of Nursing Education Based on Rapid Prototyping Technology on Operation Compliance and Psychological State of Patients with Distal Radius Fracture

目的观察基于快速成形术的护理教育对桡骨远端骨折患者的治疗依从性和心理状态的影响。方法选取2016年6月-2018年6月于我院行手术治疗的桡骨远端骨折患者80例,随机分为对照组与观察组,每组40例,对照组实施常规手术治疗及护理教育,观察组采用快速成型技术进行手术,并实施基于快速成型技术的护理教育,比较两组患者术后2周、第4周的手术依从性、术前及术后2周的心理状态、术后3个月的腕关节功能。结果术后2周,对照组完全依从率为80%,观察组为95%,组间差异显著(P<0.05),术后4周,对照组完全依从率为75%,观察组为92.5%,组间差异显著(P<0.05);术后2周,两组的SAS及SDS评分均显著降低(P<0.05),上述指标的组间差异显著(P<0.05);术后3个月,对照组的Gartland-Werley评分为(5.21±6.14),观察组评分为(3.15±6.07),组间差异显著(P<0.05);对照组优良率为80%,观察组为90%,组间差异无统计学意义(P>0.05)。结论对桡骨远端骨折的患者实施基于快速成型技术的护理教育,可有效改善患者的手术依从性及心理状态。

Objective To observe the effects of nursing education based on rapid prototyping technology on treatment compliance and psychological status of patients with distal radial fractures. Methods A total of 80 patients with distal radial fractures who were treated in our hospital from June 2016 to June 2018 were selected and randomly divided into control group(n=40) and observation group(n=40). Control group was given routine surgery and nursing education, and observation group was given rapid prototyping technology for surgery and given nursing education based on rapid prototyping technology. The surgical compliance at 2 w and 4 w after surgery, psychological status before surgery and at 2 w after surgery and wrist function at 3 months after surgery were compared between the two groups. Results At 2 w after surgery, the complete compliance rate was 80% in control group and was 95% in observation group(P<0.05). At 4 w after surgery, the complete compliance rate was 75% in control group and was 92.5% in observation group(P<0.05). The scores of SAS and SDS of the two groups were significantly decreased at 2 w after surgery(P<0.05), and there were significant differences in the above scores between-groups(P<0.05). At 3 months after surgery, the Gartland-Werley score was(5.21±6.14) points in control group and was(3.15±6.07) points in observation group(P<0.05). The excellent and good rate was 80% in control group and 90% in observation group(P>0.05). Conclusion Nursing education based on rapid prototyping technology for patients with distal radial fractures helps to improve the surgical compliance and psychological status.