循序渐进式康复护理结合治疗性沟通对下肢骨折术后患者康复情况及心理弹性的影响

Effects of step-by-step rehabilitation nursing combined with therapeutic communication on rehabilitation and psychological resilience of patients after lower limb fracture operation

目的探讨循序渐进式康复护理结合治疗性沟通对下肢骨折术后患者康复情况及心理弹性的影响。方法选取2018年3月至2020年3月收治的86例下肢骨折手术患者作为研究对象,随机将其分为对照组和观察组,各43例。对照组采用常规护理,观察组在此基础上加以循序渐进式康复护理结合治疗性沟通干预,比较两组的护理效果。结果观察组的术后下床活动时间、住院时间、骨折愈合时间均短于对照组(P<0.05)。干预3个月后,观察组的Fugl-Meyer、ADL评分均高于对照组(P<0.05)。干预3个月后,观察组的乐观、坚韧、自强评分高于对照组(P<0.05)。结论循序渐进式康复护理结合治疗性沟通有助于缩短下肢骨折术后患者的康复时间,提高患者心理弹性水平,值得推广。

Objective To explore the effects of step-by-step rehabilitation nursing combined with therapeutic communication on rehabilitation and psychological resilience of patients after lower limb fracture operation.Methods A total of 86 patients with lower limb fracture operation admitted from March 2018 to March 2020 were selected as the research objects,and the patients were randomly divided into control group and observation group,with 43 cases in each group.The control group was given routine nursing,and the observation group was given step-by-step rehabilitation nursing combined with therapeutic communication intervention on this basis.The nursing effects of the two groups were compared.Results The time of getting out of bed,hospital stay and fracture healing time of the observation group were shorter than those of the control group(P<0.05).After 3 months of intervention,the Fugl-Meyer and ADL scores of the observation group were higher than those of the control group(P<0.05).After 3 months of intervention,the scores of optimism,tenacity and self-improvement of the observation group were higher than those of the control group(P<0.05).Conclusion Step-by-step rehabilitation nursing combined with therapeutic communication can help shorten the recovery time of patients after lower limb fracture operation,and improve the psychological flexibility level of patients,which is worthy of promotion.