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Effect of accelerated rehabilitation surgical nursing based on postoperative functional exercise on postoperative functional recovery and compliance of patients with patella fracture |
WU Guoqin LI Xiaohong HUANG Juan▲ |
Department of Orthopaedic, Dazhou Central Hospital, Sichuan Province, Dazhou 635000, China |
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Abstract Objective To explore the influence of accelerated rehabilitation surgical nursing based on postoperative functional exercise on postoperative functional recovery and compliance of patients with patella fracture. Metohds A total of 90 patients with patella fracture admitted to Dazhou Central Hospital, Sichuan Province from January 2019 to December 2020 were selected, and divided into control group and observation group by random number table method, 45 cases in each group. The control group received conventional nursing, and the observation group received accelerated rehabilitation surgical nursing based on postoperative functional exercise on the basis of the control group. The knee function score, including scores of pain, function and stability, as well as knee range of motion, compliance (medication, exercise, diet, and other items) and complications the two groups were compared. Results After three months of intervention, knee function score and range of motion of knee joint in both groups were higher than before, and observation group was higher than control group, the differences were statistically significant (P < 0.05). The compliance of observation group was higher than that of control group, and the difference was statistically significant (P < 0.05). The complication rate in the observation group was lower than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion The accelerated rehabilitation surgical nursing based on postoperative functional exercise can promote the postoperative functional recovery of patients with patella fracture, improve compliance and reduce the rate of complications, which is worthy of extensive clinical promotion and application.
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[1] Pesch S,Kirchhoff K,Biberthaler P,et al. Patellafrakturen:Patellar fractures [J]. D Unfallchirurg,2019,15(20):2101-2105.
[2] Sim J,Yong B,Choi W,et al. Patellar fractures in elderly patients:a multicenter computed tomography-based analysis [J]. Arch Orthop Tra,2020,50(13):2630-2634.
[3] 陈君颖,程丽珍,林燕明.多模式疼痛护理对髌骨骨折患者术后疼痛的影响[J].福建医药杂志,2019,41(3):148-150.
[4] 李金亭,刘京,陈颖.基于加速康复外科理念的中西医结合对重症急性胰腺炎初期护理研究[J].中国急救医学,2018,38(z1):373-374.
[5] 梁辉,卢英,陈启波,等.针刺联合康复训练对髌骨骨折内固定术后患者膝关节活动度及相关功能的影响[J].湖南中医药大学学报,2019,262(7):95-98.
[6] 谢璇.基层医院骨科护士对髌骨骨折康复护理知识掌握情况的调查分析[J].国际护理学杂志,2019,31(18):452-454.
[7] Steinmetz S,Brgger A,Chauveau J,et al. Practical guidelines for the treatment of patellar fractures in adults [J]. Schweiz Med Wschr,2020,150(25):2516-2570.
[8] Misir A,Kizkapan TB,Uzun E,et al. Fracture Patterns and Comminution Zones in OTA/AO 34C Type Patellar Fractures [J]. J Orthop Trauma,2019,32(14):721-755.
[9] 陈勇,刘静梅,李虹,等.护理干预对髌骨骨折术后膝关节功能恢复的影响[J].实用临床医药杂志,2019,20(4):97-99.
[10] 姚芹.风险护理在髌骨骨折患者皮穿刺张力带固定术术后护理的应用及对患者QOL评分,消化系统不良反应的影响[J].现代消化及介入诊疗,2018,16(A02):4-5.
[11] 张素萍,李晓东,李红.关节镜下改良张力带固定治疗髌骨骨折患者的康复护理[J].护理学报,2020,11(5):31-32.
[12] Simhal RK,Bovich M,Bahrun EA,et al. Postoperative Rehabilitation of Posterior Cruciate Ligament Surgery: A Systematic Review [J]. Sports Med Arthrosc,2021,29(12):1420-1425.
[13] 惠洁琼,黄婷婷,才礼杨.加速康复外科护理对膝关节骨性关节炎患者关节功能,心理状态,治疗依从性的影响[J].中华现代护理杂志,2021,27(14):1914-1917.
[14] 王晓霞,李应池.快速康复外科理念对髌骨骨折患者术后功能恢复的影响[J].甘肃科技,2018,34(8):91-93.
[15] 王敏玉,赵军.基于快速康复外科理念探讨髌骨骨折的康复策略[J].按摩与康复医学,2020,11(13):45-47.
[16] 潘晓英.髌骨骨折患者的康复护理[J].现代中西医结合杂志,2018,17(31):4929-4930.
[17] 牛晓洁,刘威宁.循证护理在髌骨骨折康复护理中应用分析[J].河南科技大学学报:医学版,2017,4(35):79-81.
[18] 李春景,陈萍,罗丽妹,等."三位一体"护理模式在老年髌骨骨折康复训练中的应用效果[J].中国烧伤创疡杂志,2018,30(4):40-44.
[19] 顾燕玲,赵欣,顾伏龙.康复护理联合热敏灸对改善髌骨骨折患者术后膝关节僵硬的效果观察[J].齐鲁护理杂志,2020,26(10):106-108.
[20] 苏李.优质护理干预对髌骨骨折术后膝关节功能恢复的影响[J].中国冶金工业医学杂志,2020,37(3):64-65.
[21] 祁林青,杨娟,张莉莉.文化程度对髌骨骨折患者术后功能锻炼认知与依从性的影响[J].长春中医药大学学报,2020,36(6):179-182.
[22] 陆刚,李永刚,李长亮,等.内固定和外固定应用于髌骨骨折固定中疗效及依从性比较[J].创伤外科杂志,2014, 15(3):475-476.
[23] 韩晓斌,王建光,田明,等.股骨前弓角在股骨粗隆间骨折髓内钉内固定生物力学临床实践研究[J].北京生物医学工程,2021,40(1):79-84.
[24] 高亚丽.临床护理路径对踝关节骨折患者功能锻炼依从性及恢复效果的影响[J].山西医药杂志,2019,48(1):120-122.
[25] 李强,刘益锋,木热提·卡哈尔,等.加速康复外科在骨科中的应用[J].海南医学,2019,30(18):2415-2417.
[26] 孙志坚,孙旭,孙伟桐,等.加速康复外科理念下踝关节骨折与桡骨远端骨折诊疗方案优化的专家调查[J].中华创伤骨科杂志,2019,21(10):864-868. |
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