针对性护理干预在四肢骨折术后肢体肿胀康复中的应用

Application of Targeted Nursing Intervention in Rehabilitation of Limb Swelling after Limb Fracture

目的:探讨针对性护理干预在四肢骨折患者术后肢体肿胀康复中的应用效果。方法:选取2021年1月-2023年3月我院收治的60例四肢骨折患者为研究对象,按照随机数字法将其分为观察组和对照组,每组30例,对2组患者的护理干预效果进行对比和分析。结果:术后1 d,2组患者患侧肢体各个级别的肿胀程度比较,组间差异无统计学意义(P>0.05)。术后7 d,观察组患者0级肿胀所占比例高于对照组,差异统计学意义(P<0.05);观察组患者Ⅲ级肿胀所占比例低于对照组,Ⅰ级和Ⅱ级肿胀所占比例相当,组间差异无统计学意义(P>0.05)。观察组患者术后首次下床时间、住院时间和骨折愈合时间均短于对照组,组间差异有统计学意义(P<0.05)。干预前,2组患者的健康调查简表(SF-36)各个维度评分比较,组间差异无统计学意义(P>0.05);干预后,2组患者SF-36各个维度的评分均高于对照组,组间差异有统计学意义(P<0.05)。观察组患者并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:针对性护理干预可有效改善四肢骨折患者术后肢体肿胀程度,促进其康复进程,获得了良好的临床应用效果。

Objective:Objective To explore the application effect of targeted nursing intervention in rehabilitation of postoperative limb swelling in patients with limb fracture.Methods:60 patients with limb fracture admitted to our hospital from January 2021 to March 2023 were selected as research subjects and divided into an observation group and a control group according to random number method,30 cases in each group,and the nursing intervention effect of the two groups was compared and analyzed.Results:1 day after surgery,there was no significant difference in swelling degree of affected limbs between two groups(P>0.05).7 days after surgery,the proportion of grade 0 swelling in observation group was higher than that in control group,the difference was statistically significant(P<0.05);the proportion of gradeⅢswelling in observation group was lower than that in control group,and the proportion of gradeⅠand gradeⅡswelling was similar,with no statistical significance between groups(P>0.05).The first time of getting out of bed,the time of hospitalization and the time of fracture healing in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).Before intervention,there was no significant difference in the MOS item short from health survey scores between the two groups(P<0.05);after intervention,the scores of all dimensions of SF-36 in two groups were higher than those in control group,and the difference between groups was statistically significant(P<0.05).The incidence of complications in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion:Targeted nursing intervention can effectively improve the degree of limb swelling in patients with limb fracture after operation,promote their rehabilitation process,and obtain good clinical application results.