舒适护理在小儿下肢骨折术后功能锻炼中的应用效果及对心理状态、生活质量、舒适度的影响

Effect of Comfort Nursing on the Recovery of Functional Exercise after Lower Limb Fracture Surgery in Children and its Influence on Psychological State,Quality of Life and Comfort

目的探讨舒适护理在小儿下肢骨折术后功能锻炼中的应用效果及对心理状态、生活质量、舒适度的影响。方法纳入我院骨折术后患儿64例为研究对象,随机将其分为常规组与舒适组,各32例,分别实施常规护理、舒适护理干预,均护理2周。比较两组患儿治疗前后下肢功能恢复情况(采用Install关节功能评定量表进行评估)、关节活动度、心理状态[采用儿童焦虑性情绪障碍筛查量表(SCARED)、儿童抑郁障碍自评量表(DSRSC)评估]、精神障碍程度[采用儿童大体评定量表(CGAS)评估]及生活质量[简明健康状况量表(SF-36)],同时对两组患儿的护理有效率、并发症、舒适度[采用面部表情疼痛评分表(FPS-R)评估]、疼痛程度及恢复相关指标进行比较。结果护理后,舒适组患儿护理有效率高于较常规组(P<0.05)。护理前,两组患儿的下肢关节活动度以及Install关节功能评定量表、SCARED、DSRSC、CGAS、SF-36评分差异无统计学意义(P>0.05);护理后,舒适组患儿的下肢关节活动度明显好于常规组,Install关节功能评定量表评分、CGAS评分、SF-36评分明显高于常规组,SCARED评分、DSRSC评分明显低于常规组,差异有统计学意义(P<0.05)。舒适组患儿的舒适度较常规组更高,并发症发生率较常规组更低(P<0.05)。舒适组患儿无痛、轻度疼痛比例高于常规组,中度及重度疼痛比例低于常规组,差异有统计学意义(P<0.05)。舒适组患儿的局部肿胀消失时间、疼痛完全消失时间、骨折愈合时间均短于常规组,差异有统计学意义(P<0.05)。结论与常规护理比较,舒适护理在下肢骨折患儿术后功能锻炼中的恢复效果显著,有利于促进患儿的肢体功能恢复,降低并发症发生率,提升其生活质量及舒适度,同时还能改善患儿的心理焦虑、抑郁状态,起到促进患儿病情快速恢复的作用。

Objective To explore the recovery effect of comfort nursing in functional exercise after lower limb fracture in children and its influence on psychological state,quality of life and comfort.Methods A total of 64 children with fracture surgery in our hospital were randomly divided into 32 cases in the conventional group and the comfort group,and received routine nursing and comfort nursing interventions,they were implemented for 2 weeks.The recovery of limb function(assessed by Install joint function),joint mobility,psychological state(SCARED,DSRSC scale),degree of mental disorder(CGAS scale)and quality of life before and after treatment were compared between the two groups,and the nursing effectiveness,complications and comfort(FPS-R scale assessment)of the two groups were compared.Results After nursing,the nursing effective rate of children in the comfort group was higher than that in the conventional group(P<0.05).Before nursing,there was no significant difference in the range of motion of the two groups and the scores of the Install joint function rating scale,SCEDED scale,DSRSC scale,CGAS scale and SF-36 scale(P>0.05),and after nursing,the joint mobility of the children in the comfort group was significantly better than that in the conventional group,and the scores of the Install joint function rating scale,CGAS Scale and SF-36 Scale were significantly higher than those in the conventional group.The SCARED scale and DSRSC scale score was significantly lower than that of the conventional group,and the difference was significant(P<0.05).The comfort group had higher comfort and a lower complication rate than the conventional group(P<0.05).The proportion of painless and mild pain in the comfort group was higher than that in the conventional group,and the proportion of moderate and severe pain was lower than that in the conventional group,and the difference was significant(P<0.05).The time for local swelling to disappear,the time for pain to disappear completely,and the time for fracture healing in the comfort group were all shorter than those in the conventional group,and the differences were significant(P<0.05).Conclusion Compared with conventional nursing,comfortable nursing has a significant recovery effect in postoperative functional exercise of children with fractures,which is conducive to the recovery of limb function,reduces the occurrence rate of complications,improves their biological quality and comfort,and can also improve the psychological anxiety and depression of children,and promote the rapid recovery of children's condition as a whole.