全程护理联合CPM干预对膝关节后交叉韧带胫骨止点撕脱骨折患者康复训练依从性的影响

The effect of whole-course nursing combined with CPM intervention on the compliance of rehabilitation training in patients with posterior cruciate ligament and tibial avulsion fractures of the knee joint

目的:分析全程护理联合持续被动活动(CPM)干预对膝关节后交叉韧带(PCL)胫骨止点撕脱骨折患者康复训练依从性的影响。方法:选取我院77例膝关节PCL胫骨止点撕脱骨折患者(2019年12月~2021年1月),依照干预方案不同分为两组,对照组(38例)接受常规护理干预,观察组(39例)在常规护理干预基础上接受全程护理联合CPM干预,比较两组干预效果。结果:观察组康复训练依从性较对照组高(P<0.05)。干预后,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均降低,且观察组低于对照组(P<0.05)。干预后,两组膝关节功能均得到改善,且观察组膝关节功能Lysholm评分较对照组高(P<0.05)。结论:全程护理联合CPM干预应用于膝关节PCL胫骨止点撕脱骨折患者,能有效提高康复训练依从性,调节心理状态,改善膝关节功能。

Objective:To analyze the effect of full nursing combined with continuous passive movement(CPM)intervention on the compliance of rehabilitation training for patients with posterior cruciate ligament(PCL)tibial avulsion fractures.Methods:A total of 77 patients with knee joint PCL tibial anchorage avulsion fractures in our hospital(December 2019-January 2021)were divided into two groups according to different intervention plans.The control group(38 cases)received routine nursing intervention,and the observation group(39 cases)received full-course nursing combined with CPM intervention on the basis of conventional nursing intervention,and compared the intervention effects of the two groups.Results:Rehabilitation training compliance:The observation group’s compliance with rehabilitation training was higher than that of the control group(P<0.05).Mental status:After the intervention,the two groups'self-rating anxiety scale(SAS)scores and self-rating depression Table(SDS)scores were reduced,and the observation group was lower than the control group(P<0.05).Knee joint function:After intervention,the knee joint function of the two groups were improved,and the observation group’s knee joint function Lysholm score was higher than that of the control group.Group high(P<0.05).Conclusion:The whole course of nursing combined with CPM intervention in patients with knee joint PCL tibial avulsion fractures can effectively improve the compliance of rehabilitation training,adjust the psychological state,and improve the function of the knee joint.