骨盆骨折手术患者术后康复锻炼的最佳证据总结及实证研究

Summary of Best Evidence and Empirical Research on Postoperative Rehabilitation Exercise in Patients with Pelvic Fracture

目的:总结骨盆骨折手术患者术后康复锻炼的最佳证据,并探讨其实证价值。方法:选取2018年12月至2020年12月商丘市第一人民医院收治的148例骨盆骨折患者为研究对象,采用随机数字表法将其分为对照组和观察组,各74例。对照组患者实施常规护理,观察组患者在此基础上实施术后康复锻炼的最佳证据总结干预,观察并比较两组患者的康复锻炼依从性、康复效果、并发症情况。结果:干预后,观察组患者的康复锻炼依从率显著高于对照组患者,差异具有统计学意义(P<0.05);观察组患者的并发症总发生率显著低于对照组,差异具有统计学意义(P<0.05);观察组患者康复总有效率显著高于对照组,差异具有统计学意义(P<0.05)。结论:将术后康复锻炼的最佳证据总结干预应用于盆骨骨折患者护理中,可显著提升患者康复锻炼依从性及康复有效率,降低其并发症发生率。

Objective To summarize the best evidence of postoperative rehabilitation exercise in patients with pelvic fracture,and to explore the value of evidence.Methods A total of 148 patients with pelvic fracture admitted to the First People's Hospital of Shangqiu from December 2018 to December 2020 were selected as the research objects,and they were divided into a control group and an observation group by random number table method,with 74 cases in each group.Patients in the control group were given routine nursing,and patients in the observation group were given the best evidence of postoperative rehabilitation exercise based on the routine nursing,and the rehabilitation exercise compliance,rehabilitation effect and complications of patients in the two groups were observed and compared.Results After intervention,the compliance rate of rehabilitation exercise in the observation group was significantly higher than that in the control group,with statistical significance(P<0.05).The total incidence of complications in observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).The effective rate of rehabilitation in the observation group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion The best evidence summary intervention of postoperative rehabilitation exercise is applied to the nursing of patients with pelvic fracture,which can significantly improve the compliance and rehabilitation efficiency of patients with rehabilitation exercise,reduce the incidence of complications.