基于护患共同参与的功能锻炼结合持续被动运动对手部烧伤瘢痕整形术患者恢复效果观察

Observation on the recovery effect of functional exercise combined with cpm based on nurse patient participation in hand burn scar plastic surgery patients

目的探究基于护患共同参与的功能锻炼结合持续被动运动对手部烧伤瘢痕整形术患者恢复效果的影响。方法回顾性分析2020年12月至2023年1月平煤神马医疗集团总医院收治的80例手部烧伤患者的临床资料,根据入院时间先后分为两组,以2020年12月至2021年12月入院的40例患者为对照组,以2022年1月至2023年1月入院的40例患者为观察组。对照组予以常规干预,观察组实施基于护患共同参与的功能锻炼结合持续被动运动,均持续干预3个月。比较两组手功能恢复优良率、瘢痕形成情况、疼痛程度、腕关节活动度。结果观察组手功能恢复优良率较对照组高(P<0.05);对比两组干预前瘢痕形成情况、疼痛程度、腕关节活动度(P>0.05);观察组干预后温哥华瘢痕量表评分较对照组低,疼痛分级指数中疼痛感觉及情感评分均较对照组低,腕关节背伸、尺偏、掌屈、桡偏活动度均较对照组高(P<0.05)。结论在手术烧伤瘢痕整形术患者中实施基于护患共同参与的功能锻炼结合持续被动运动可提高腕关节活动度,改善瘢痕形成情况,减轻疼痛,加快手功能恢复。

Objective To explore the impact of functional exercise combined with continuous passive motion(CPM)based on nurse patient participation on the recovery effect of patients undergoing hand burn scar plastic surgery.Methods A retrospective analysis was conducted on the clinical data of 80 patients with hand burns admitted to Pingmei Shenma Medical Group General Hospital from December 2020 to January 2023.They were divided into two groups based on their admission time.The control group consisted of 40 patients admitted from December 2020 to December 2021,and the observation group consisted of 40 patients admitted from January 2022 to January 2023.The control group received routine intervention,while the observation group received functional exercise combined with CPM based on nurse patient participation,both of which were continuously intervened for 3 months.Compare the excellent recovery rate of hand function,scar formation,pain level,and wrist joint range of motion between two groups.Results The excellent rate of hand function recovery in the observation group was higher than that in the control group(P<0.05);Compare the scar formation,pain level,and wrist joint range of motion between the two groups before intervention(P>0.05);After intervention,the Vancouver Scar Scale score of the observation group was lower than that of the control group,and the pain sensation and emotion scores in the Pain Rating Index were lower than those of the control group.The wrist dorsiflflexion,ulnar deviation,palmar flflexion,and radial deviation range of motion were higher than those of the control group(P<0.05).Conclusions The combination of functional exercise and CPM based on the joint participation of nurses and patients in surgical burn scar plastic surgery patients can improve the range of motion of wrist joint,improve scar formation,alleviate pain,and speed up the recovery of hand function.