不同气质学龄期骨折患儿早期锻炼依从性调查及护理干预

Early exercise compliance of school-age children with different temperaments and fractures and the nursing intervention

目的探讨不同气质学龄期骨折患儿早期锻炼依从性现状及针对性护理措施。方法采用随机数字表法选取2018年8月至2020年10月本医院收治的学龄期骨折患儿138例为研究对象,其中男79例,女59例;年龄(9.14±1.69)岁,采用学龄期儿童气质量表、早期锻炼依从性量表对入选患儿的气质特征及早期锻炼依从性进行调查,并分析患儿气质类型与早期功能锻炼依从性的相关性。结果调查结果显示,缓动型骨折患儿各气质因子得分情况:适应性(4.681±0.134)分、反应强度(4.687±0.112)分、心境(4.516±0.111)分、趋避性(4.417±0.148)分、持久性(4.293±0.114)分、反应阀(4.736±0.135)分、注意转移(4.279±0.114)分、节律性(4.696±0.123)分、活动水平(4.204±0.114)分;麻烦型骨折患儿各气质因子得分情况:适应性(4.736±0.138)分、反应强度(4.521±0.078)分、心境(3.983±0.109)分、趋避性(3.959±0.144)分、持久性(4.501±0.122)分、反应阀(4.426±0.124)分、注意转移(4.136±0.123)分、节律性(4.687±0.112)分、活动水平(4.196±0.123)分;平易型骨折患儿各气质因子得分情况:适应性(4.295±0.107)分、反应强度(4.327±0.072)分、心境(3.795±0.108)分、趋避性(3.542±0.121)分、持久性(4.152±0.116)分、反应阀(3.903±0.113)分、注意转移(4.037±0.112)分、节律性(4.681±0.111)分、活动水平(4.197±0.112)分;3种气质特征学龄期骨折患儿的适应性、反应强度、心境、趋避性、持久性、反应阀及注意转移得分比较差异均有统计学意义(均P<0.001),节律性与活动水平得分比较差异均无统计学意义(均P>0.05)。早期功能锻炼完全依从率:缓动型气质患儿为40.48%(17/42),麻烦型气质患儿为12.77%(6/47),平易型气质患儿为73.47%(36/49),平易型气质患儿完全依从率显著高于缓动型及麻烦型气质患儿,麻烦型气质患儿完全依从率最低;学龄期骨折患儿气质因子中的反应强度与早期功能锻炼依从性呈负相关(r=-0.376,P=0.001),适应性、心境、趋避性、持久性、反应阀、注意转移、节律性、活动水平均与早期功能锻炼依从性无显著相关性(均P>0.05)。结论医护人员在临床工作过程中应以患儿为中心,对不同气质特征学龄期骨折患儿实施针对性干预措施,以提高其锻炼依从性及治疗效果,促进其疾病康复。

Objective To explore the early exercise compliance and nursing measures in school-age children with fractures and different temperament characteristics.Methods From August,2018 to October,2020,138(9.14±1.69)years old children with fractures treated at our hospital were selected as study objects,including 79 boys and 59 girls.The Child Temperament Scale and Early Exercise Compliance Scale were used to investigated their temperament characteristics and early exercise compliance.The correlation between temperament types and early exercise compliance in the children was analyzed.Results The scores of adaptability,response intensity,mood,avoidance,persistence,response valve,attention transfer,rhythmicity,and activity level were(4.681±0.134),(4.687±0.112),(4.516±0.111),(4.417±0.148),(4.293±0.114),(4.736±0.135),(4.279±0.114),(4.696±0.123),and(4.204±0.114)in the children of slow motion type,were(4.736±0.138),(4.521±0.078),(3.983±0.109),(3.959±0.144),(4.501±0.122),(4.426±0.124),(4.136±0.123),(4.687±0.112),and(4.196±0.123)in the children of troublesome type,and were(4.295±0.107),(4.327±0.072),(3.795±0.108),(3.542±0.121),(4.152±0.116),(3.903±0.113),(4.037±0.112),(4.681±0.111),and(4.197±0.112)in the children of plain type,with statistical differences in adaptability,response intensity,mood,avoidance,persistence,response valve,and attention transfer(all P<0.001),but no in rhythm and activity(all P>0.05)between these children of the 3 types.The complete early exercise compliance rate was 40.48%(17/42)in the children of slow motion type,was 12.77%(6/47)in the children of troublesome type,and was 73.47%(36/49)in the children of plain type.In the children,their early exercise compliance was negatively correlated with response intensity(r=-0.376,P=0.001),and was not correlated with adaptability,mood,avoidance,persistence,response valve,attention transfer,rhythmicity,and activity level(all P>0.05).Conclusion In the course of clinical work,medical staff should take children as the center and carry out targeted intervention measures for school-age children with fractures and different temperament characteristics,so as to improve their exercise compliance and treatment effect and to promote their disease rehabilitation.