中频脉冲治疗为主的AIDET沟通护理对桡骨远端骨折患者术后肢体恢复的影响

Effect of AIDET Communication Nursing Based on Intermediate Frequency Therapy on Postoperative Limb Recovery of Patients with Distal Radius Fracture

目的:探讨中频脉冲治疗为主的AIDET沟通护理对桡骨远端骨折患者术后肢体恢复的影响。方法:纳入我院2018年10月-2021年6月收治的桡骨远端骨折患者63例进行对照研究,以随机数表法分为观察组(n=33)和对照组(n=30)。对照组采用常规护理,观察组在此基础上加用中频脉冲治疗为主的AIDET沟通护理。比较2组围术期指标、Cooney、视觉模拟疼痛(VAS)评分、桡骨远端掌倾角、尺偏角、腕关节活动度、并发症及护理满意度。结果:与对照组比较,观察组术后住院时间、骨折愈合时间呈下降趋势,差异有显著性(P<0.05);与干预前比较,2组干预后Cooney评分上升且观察组显著高于对照组;2组干预后VAS评分下降且观察组显著低于对照组,差异有显著性(P<0.05);2组术后1、3个月桡骨远端掌倾角、尺偏角对比,差异不具有显著性(P>0.05);与对照组比较,观察组术后1个月腕关节活动度背伸、掌曲、桡偏、尺偏显著增高,差异有显著性(P<0.05);2组术后3个月腕关节活动度背伸、掌曲、桡偏、尺偏比较,差异不具有显著性(P>0.05);与对照组比较,观察组并发症总发生率呈降低趋势(6.06%<30.00%);观察组护理满意度呈增高趋势(90.91%>66.67%),均有显著性差异(P<0.05)。结论:中频脉冲治疗为主的AIDET沟通护理用于桡骨远端骨折患者,可促进术后康复,增强腕关节功能及活动度,临床应当关注。

Objective:To explore the effect of AIDET communication nursing,which is mainly based on medium frequency pulse therapy,on limb recovery of patients with distal radius fracture after operation.Methods:Patients with distal radius fractures in our hospital were included in the control study.All 63 cases were collected from October 2018 to June 2021,and were randomly divided into observation group(n=33)and control group(n=30).The control group was given routine nursing,and the observation group was given AIDET communication nursing based on medium frequency pulse therapy.Perioperative indicators,Cooney,Visual Analgesia(VAS)score,metacarpal inclination angle of distal radius,ulnar deviation angle,wrist range of motion,complications and nursing satisfaction were compared between the two groups.Results:Compared with the control group,the postoperative hospital stay and fracture healing time in the observation group showed a downward trend,with significant difference(P<0.05).Compared with before intervention,Cooney score of the two groups increased after intervention and the observation group was significantly higher than that of the control group,while VAS score of the two groups decreased after intervention and the observation group was significantly lower than that of the control group(P<0.05).There was no significant difference in metacarpal inclination and ulnar deviation between the two groups at 1 and 3 months after operation(P>0.05).Compared with the control group,the range of motion of wrist joint in the observation group was significantly higher than that in the control group one month after operation(P<0.05).Three months after operation,there was no significant difference between the two groups in wrist motion such as dorsiflexion,palmar flexion,radial deviation and ulnar deviation(P>0.05).Compared with the control group,the total incidence of complications in the observation group decreased(6.06%<30.00%).Nursing satisfaction in the observation group increased(90.91%>66.67%)with significant differences(P<0.05).Conclusion:AIDET communication nursing,which is mainly based on pulse therapy,can promote postoperative rehabilitation and enhance wrist joint function and mobility,which should be paid attention to clinically.