放松疗法联合阶段性功能锻炼在踝关节骨折患者围手术期护理管理中的应用价值

Application value of relaxation therapy combined with periodic functional exercise in perioperative nursing management of patients with ankle fracture

目的 探讨放松疗法联合阶段性功能锻炼在踝关节骨折患者围手术期护理管理中的应用效果。方法 选取2019年2月至2020年10月南通市通州区人民医院收治的踝关节骨折患者102例,以随机数字表法分为对照组与观察组,各51例。对照组接受围手术期常规护理管理,观察组在对照组基础上加用放松疗法联合阶段性功能锻炼,比较两组患者的疼痛度、睡眠质量与踝关节功能情况。结果 观察组与对照组比较:治疗后1 d、2 d、3 d,数字疼痛强度量表(numerical rating scale,NRS)评分为[(3.40±1.20)分vs(4.42±1.52)分,t=3.761,P <0.05;(2.15±0.70)分vs(3.35±0.89)分,t=7.568,P <0.05;(1.81±0.45)分vs(2.40±0.52)分,t=6.127,P <0.05];干预后的匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分为[(10.41±1.23)分vs(13.18±1.31)分,t=8.855,P <0.05];术后3个月的踝关节背伸活动度为[(15.72°±2.89°)vs(13.39°±2.70°),t=4.207,P <0.05],跖屈活动度为[(32.80°±5.27°)vs(27.65°±4.24°),t=5.437,P <0.05];美国足踝外科协会(American Orthopaedic Foot and Ankle Society,AOFAS)踝-后足评分为[(78.26±8.62)分vs(68.49±7.11)分,t=6.244,P <0.05]。结论 放松疗法联合阶段性功能锻炼在踝关节骨折患者围手术期护理管理中的应用效果优于常规护理管理,可减轻患者的疼痛感,改善患者的睡眠质量,并加快踝关节功能恢复。

Objective To explore the application effect of relaxation therapy combined with staged functional exercises in the perioperative nursing management of patients with ankle joint fractures. Methods A total of 102 patients with ankle fractures admitted to Nantong Tongzhou People’s Hospital from February 2019 to October 2020 were selected and divided into a control group and an observation group by a random number table method, with 51 cases in each group. The control group received perioperative routine nursing management, the observation group were added relaxation therapy combined with staged functional exercise on the basis of the control group, and compared the pain degree, sleep quality and ankle function of the two groups. Results Comparison between the observation group and the control group: NRS scores were [(3.40±1.20) points vs(4.42±1.52) points, t=3.761, P < 0.05;(2.15±0.70)points vs(3.35±0.89) points, t=7.568, P < 0.05;(1.81±0.45) points vs(2.40±0.52) points, t=6.127, P < 0.05] on 1, 2 and 3 days after treatment. The Pittsburgh sleep quality index(PSQI) scores were [(10.41±1.23) points vs(13.18±1.31) points, t=8.855, P<0.05];The ankle dorsiflexion were [(15.72° ±2.89°) vs(13.39° ±2.70°), t=4.207, P < 0.05], plantar flexion were [(32.80° ±5.27°)vs(27.65 ° ±4.24 °), t=5.437, P < 0.05] at 3 months after the intervention;The American Orthopaedic Foot and Ankle Society(AOFAS) ankle-hindfoot scores were [(78.26±8.62) points vs(68.49 ± 7.11) points, t=6.244, P < 0.05]. Conclusion The effect of relaxation therapy combined with staged functional exercise in the perioperative nursing management of ankle joint fracture patients is better than that of conventional nursing management, which can reduce the pain of the patient, improve the quality of sleep of the patient, and accelerate the recovery of ankle joint function.