体位管理及预见性护理在踝关节骨折患者中的应用及对患者预后的影响

Application of postural Management and predictive Nursing in Patients with ankle fracture and its influence on the prognosis of patients

目的 探讨体位管理及预见性护理对踝关节骨折患者的影响。方法 选取河南省人民医院2021年3月至2022年3月就诊的需接受手术治疗的踝关节骨折患者95例,根据入院顺序分为研究组(N=48)和常规组(N=47)。常规组给予常规护理干预,研究组在常规组基础上联合体位管理及预见性护理,比较两组焦虑抑郁情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、Marland足部功能评分(MFS)、并发症、预后[生活质量综合评定问卷-74(GQOL-74)]、护理满意度。结果 入手术室时SAS、SDS评分组间比较,研究组低于常规组,差异有统计学意义(P <0.05);干预后研究组踝关节功能、疼痛、活动度评分较常规组高,GQOL-74评分较常规组低,差异有统计学意义(P <0.05),外观评分组间比较,差异无统计学意义(P> 0.05);研究组并发症发生率(0.00%)低于常规组(12.77%),差异有统计学意义(P <0.05),研究组护理满意度(95.83%)高于常规组(80.85%),差异有统计学意义(P <0.05)。结论 体位管理及预见性护理可缓解患者术前负性情绪,降低并发症发生风险,提升踝关节功能,并进一步改善预后,提升患者护理满意度。

Objective To explore the influence of posture management and predictive nursing on ankle fracture patients.Methods A total of 95 patients with ankle fracture who needed surgical treatment from March 2021 to March 2022 in Henan Provincial People's Hospital were selected and divided into study group(N=48)and routine group(N=47)according to the order of admission.The routine group was given routine nursing intervention,while the research group combined postural management and predictive nursing on the basis of the routine group,and the anxiety and depression of the two groups[selfrating anxiety scale(SAS),self-rating depression scale(SDS)],Marland foot function score(MFS),complications,prognosis[Generic quality of life assessment questionnaire-74(GQOL-74)],and nursing satisfaction.Results When entering the operating room,SAS and SDS scores in the study group were lower than those in the routine group(P<0.05);After intervention,the ankle function,pain and activity scores of the study group were higher than those of the routine group,and the GQOL-74 scores were lower than that of the routine group,with a statistically significant difference(P<0.05),there was no significant difference in appearance score between groups(P>0.05);The incidence of complications in the study group(0.00%)was lower than that in the routine group(12.77%),with a statistically significant difference(P<0.05).The nursing satisfaction in the study group(95.83%)was higher than that in the routine group(80.85%),with a statistically significant difference(P<0.05). Conclusion Posture management and predictive nursing can alleviate patients' negative emotions before operation, reduce the risk of complications, improve ankle function, further improve the prognosis, and enhance patients' satisfaction with nursing.