以家庭为中心的互动式气质干预对学龄期四肢骨折术后儿童患肢早期功能锻炼依从性的影响

Effects of family-centered interactive temperament intervention on compliance with early functional exercise of the affected limb in school-aged children after surgery for limb fractures

目的依据学龄期四肢骨折儿童的气质测评结果,对患儿采取以家庭为中心的互动式护理干预措施进行患肢早期功能锻炼,探讨其对患儿早期功能锻炼依从性的影响。方法选取2018年7月—2019年8月入住烟台市烟台山医院四肢骨折需手术治疗的学龄期儿童120例,随机分为观察组和对照组,各60例。观察组患儿对其进行气质测评,根据测评结果实施以家庭为中心的互动式护理干预措施,对照组进行常规护理。1周后评价学龄期四肢骨折术后儿童患肢早期功能锻炼的依从性。结果两组学龄期四肢骨折术后儿童患肢早期功能锻炼依从性比较差异有统计学意义(χ2=10.053,P<0.05)。观察组学龄期四肢骨折术后患儿及家属对护理效果的评价高于对照组,差异有统计学意义(P<0.05)。观察组患儿骨折肢体未发生明显肿胀,对照组4例患儿发生骨折肢体肿胀需要松解石膏。结论针对学龄期四肢骨折儿童不同气质特征采取以家庭为中心的互动式早期功能锻炼护理措施,能提高学龄期四肢骨折儿童患肢早期功能锻炼的依从性,提高患儿及家属的满意度,减少患儿骨折肢体早期并发症的发生。

Objective To provide family-centered interactive nursing intervention to children for early functional exercise of the affected limbs according to temperament assessment results in school-aged children with limb fractures and to analyze its effects on.the compliance with early functional exercise in these children.Methods Totally 120 school-aged children with limb fractures that required surgery who were admitted into Yantaishan Hospital from July 2018 to August 2019 were selected and randomly divided into an observation group and a control group,with 60 cases in each group.Children in the observation group received family-centered interactive nursing intervention according to temperament assessment results,while children in the control group received routine care.The compliance with early functional exercise of the affect limbs after surgery for limb fractures in school-aged children.Results There was a statistically significant difference in the compliance with early functional exercise of the affected limb of school-aged children after surgery for limb fractures in two groups(χ2=10.053,P<0.05).The family members'evaluation of nursing effects in the observation group of school-aged children were higher than those in the control group,and the differences were statistically significant (P< 0.05). There was no significant swelling of the fractured limbs in the observation group, while 4 cases inthe control group had swelling of the fractured limbs which needed to loosen the plaster. Conclusions Familycenteredinteractive nursing measures for early functional exercise in school-aged children with limb fracturesaccording to different temperaments can enhance the compliance with early functional exercise, improve familymembers' satisfaction, and reduce the occurrence of early compliance of fractured limbs in these children.