线上视频宣教联合同伴互助模式在儿童肱骨髁上骨折术后康复中的应用研究

Application of online video education combined with peer assistance model in postoperative rehabilitation of children with supracondylar fracture of humerus

目的探讨肱骨髁上骨折患儿术后接受线上视频宣教联合同伴互助模式干预的临床价值。方法选择2022年1月至12月于江西省儿童医院接受手术治疗的肱骨髁上骨折患儿60例为研究对象,按照随机数字表法分为对照组和观察组,各30例。对照组接受常规骨科手术护理;观察组患儿在常规骨科护理基础上,接受线上视频宣教联合同伴互助模式干预。比较两组患儿护理干预后的视觉模拟评分法(VAS)评分、治疗依从性和家长满意度。结果观察组护理后的VAS评分低于对照组,差异有统计学意义(P<0.05);观察组患儿的治疗总依从率高于对照组,观察组的患儿家属总满意度高于对照组,差异有统计学意义(P<0.05)。结论接受手术治疗的肱骨髁上骨折患儿接受线上视频宣教联合同伴互助模式干预,能缓解患儿的疼痛,使治疗依从性及家长满意度得到同步提升,使效果更加理想,可在今后工作中,普遍推广应用,更多患儿能够从中受益。

Objective To investigate the clinical value of online video education combined with peer assistance mode intervention in children with supracondylar fracture of humerus after operation.Methods Sixty children with supracondylar fracture of humerus who received surgical treatment in Jiangxi Provincial Children's Hospital from January to December 2022 were selected as the study objects,and they were divided into control group and observation group according to random number table method,with 30 cases in each group.The control group received conventional orthopedic surgical care.On the basis of routine orthopedic nursing,the children in the observation group received online video education combined with peer support mode.Visual analogue scale(VAS)scores,treatment compliance and parental satisfaction were compared between the two groups after nursing intervention.Results The VAS score of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).The total treatment compliance rate in observation group was higher than that in control group,and the total satisfaction of family members in observation group was higher than that in control group,the differences were statistically significant(P<0.05).Conclusion Children with supracondylar fracture of humerus who undergo surgical treatment can receive online video education combined with peer assistance intervention,which can alleviate their pain,improve treatment compliance and parental satisfaction simultaneously,and achieve more ideal results.It can be widely promoted and applied in future work,and more children can benefit from it.