舒适护理结合静态进展性牵伸在改善上肢骨折术后早期肘关节功能障碍中的应用

Effect of comfort nursing combined with static progressive draft in improving early elbow dysfunction after upper limb fracture surgery

目的探讨舒适护理结合静态进展性牵伸在改善上肢骨折术后早期肘关节功能障碍中的应用效果。方法选取2021年3月至2022年10月在厦门大学附属成功医院接受治疗的122例早期肘关节功能障碍患者作为研究对象,按照护理模式的不同分为66例观察组(舒适护理+静态进展性牵伸)和56例对照组(常规护理+静态进展性牵伸)。使用MEPS评估肘关节功能、VAS评估疼痛程度、Barthel指数评估日常生活活动能力、GQOLI-74评估生活质量。结果两组护理后MEPS各维度评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。两组护理后各时间点VAS评分均较护理前降低,且观察组低于对照组,差异有统计学意义(P<0.05)。两组护理后1、3个月的Barthel指数评分均上升,且观察组高于对照组,差异有统计学意义(P<0.05)。两组护理后躯体、心理、社会与物质生活等4个维度的评估结果均较护理前上升,且观察组高于对照组,差异有统计学意义(P<0.05)。结论将舒适护理结合静态进展性牵伸应用于上肢骨折术后早期肘关节功能障碍的患者中,能有效改善肘关节功能,缓解疼痛度,对提高患者生活能力以及生活质量均有着积极的作用和影响。

Objective To explore the application effect of comfort nursing combined with static progressive draft in improving early elbow joint dysfunction after upper limb fracture surgery.Methods A total of 122 patients with early elbow joint dysfunction who received treatment in this hospital from March 2021 to October 2022 were selected as research objects,and according to different nursing modes,the patients were divided into 66 cases of observation group(comfort nursing+static progressive draft)and 56 cases of control group(routine nursing+static progressive draft).Elbow function was assessed by Mayo Elbow Performance Score(MEPS),pain was assessed by Visual Analogue Scale(VAS),ability to perform activities of daily living was assessed by Barthel index,and quality of life was assessed by Generic Quality of Life Inventory-74(GQOLI)-74.Results The score of MEPS in all dimensions after nursing was higher in both groups than before nursing,and the score of MEPS in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).VAS scores of both groups after nursing were lower than those before nursing,and VAS scores of observation group were lower than those of control group at all time points,and the difference was statistically significant(P<0.05).The Barthel index score of 2 groups increased 1 and 3 months after nursing,and the Barthel index score of observation group was higher than that of control group,and the difference was statistically significant(P<0.05).The two groups of physical,psychological,social and physical life were increased before nursing,and the physical,psychological,social and physical life scores of the observation group were higher than the control group,and the difference was statistically significant(P<0.05).Conclusions The application of comfort care combined with static progressive draft in early elbow joint dysfunction patients after upper limb fracture surgery can effectively improve elbow joint function,relieve pain,and have a positive effect on improving patients'life ability and quality of life.