基于赏识教育的功能锻炼路径在胫腓骨骨折切开复位内固定术后患者中的应用效果

Application effects of functional exercise pathway based on appreciation education in patients with tibiofibular fractures after open reduction and internal fixation

目的:观察基于赏识教育的功能锻炼路径在胫腓骨骨折切开复位内固定术后患者中的应用效果。方法:选取2020年12月至2023年4月于该院行胫腓骨骨折切开复位内固定术的80例患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各40例。对照组实施常规护理,观察组在对照组基础上实施基于赏识教育的功能锻炼路径护理,比较两组肢体功能优良率,依从性,护理前后疼痛程度[视觉模拟评分法(VAS)]评分、生命质量[世界卫生组织生存质量测定量表简表(WHOQOL-BREF)]评分及并发症发生率。结果:观察组肢体功能优良率为97.50%,高于对照组的80.00%,差异有统计学意义(P<0.05);观察组依从率为97.50%,高于对照组的77.50%,差异有统计学意义(P<0.05);护理14、30 d后,两组VAS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为2.50%,低于对照组的20.00%,差异有统计学意义(P<0.05);两组生理健康、心理健康、社会关系及环境等各项WHOQOL-BREF评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:基于赏识教育的功能锻炼路径应用于胫腓骨骨折切开复位内固定术后患者,可提高其护理依从性和生命质量,促进肢体功能恢复,减轻术后疼痛,降低术后并发症发生率,效果优于常规护理。

Objective:To observe application effects of functional exercise pathway based on appreciation education in patients with tibiofibular fractures after open reduction and internal fixation.Methods:A prospective study was conducted on 80 patients who underwent open reduction and internal fixation of tibiofibular fractures in this hospital from December 2020 to April 2023.They were divided into control group and observation group according to the random number table method,40 cases in each group.The control group was given routine nursing,while the observation group was given the functional exercise pathway nursing based on appreciation education on the basis of the control group.The excellent and good rate of limb function,the compliance rate,the pain degree before and after the nursing[visual analogue scale(VAS)]score,the quality of life before and after the nursing[world health organization quality of life-brief version(WHOQOL-BREF)]score,and the incidence of complications were compared between the two groups.Results:The excellent and good rate of limb function in the observation group was 97.50%,which was higher than 80.00%in the control group,the difference was statistically significant(P<0.05).The compliance rate of the observation group was 97.50%,which was higher than 77.50%of the control group,and the difference was statistically significant(P<0.05).After 14 and 30 days of nursing,the VAS scores of the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 2.50%,which was lower than 20.00%in the control group,the difference was statistically significant(P<0.05).Further,the WHOQOL-BREF scores of physical health,mental health,social relations and environment in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The functional exercise pathway based on appreciation education in the patients with tibiofibular fractures after open reduction and internal fixation can improve their nursing compliance rate and the quality of life,promote the recovery of limb function,reduce the postoperative pain,and reduce the incidence of postoperative complications.Moreover,it is superior to the routine nursing.