复杂胫骨平台骨折内固定术后出院准备度的相关因素

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Abstract Objective To explore the related factors of readiness for hospital discharge after internal fixation of complex tibial plateau fracture (CTPF). Methods A total of 100 patients with CTPF treated in the First Affiliated Hospital of Xinjiang Medical University from January 2018 to December 2020 were selected, all patients were treated with internal fixation, the readiness for hospital discharge scale (RHDS) was used to evaluate the postoperative readiness for hospital discharge. The data of all patients was collected, the RHDS scores of CTPF patients with different data characteristics after internal fixation were compared, the factors that might affect the readiness for hospital discharge of CTPF patients were analyzed. Results The mean RHDS score of 100 CTPF patients after internal fixation was (69.48±7.82) points. The RHDS scores of CTPF patients with college education or above, mild to moderate pain, normal post-traumatic growth level, and mild to moderate dependence were higher than those of CTPF patients with high school or technical secondary school or below, severe pain, low post-traumatic growth level, and severe dependence after internal fixation, the differences were statistically significant (P ＜ 0.05). The results of multiple linear regression analysis showed that education level (X1), pain level (X2), post-traumatic growth level (X3), and dependence level (X4) might be the influencing factors for the discharge readiness of CTPF patients after internal fixation (P ＜ 0.05). The equation was as follows: Y = 58.446+11.804X1-10.750X2+18.464X3+15.740X4 (F = 350.183, R2 = 0.936, adjusted R2 = 0.934, P ＜ 0.05). Conclusion The degree of education, pain, post-traumatic growth, and dependence may affect the discharge readiness of CTPF patients after internal fixation.

Key words： Complex tibial plateau fracture Internal fixation Readiness for hospital discharge Postraumatic growth Pain

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	CAI Rui HU Yanhua

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CAI Rui HU Yanhua. Related factors of readiness for hospital discharge after internal fixation of complex tibial plateau fractures#br#[J]. 中国医药导报, 2022, 19(6): 68-71.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I6/68

[1] Tao X，Chen N，Pan F，et al. External fixation combined with delayed internal fixation in treatment of tibial plateau fractures with dislocation [J]. Medicine，2017，96（41）：e8221.
[2] Konda SR，Driesman A，Manoli A，et al. Tibial Eminence Involvement With Tibial Plateau Fracture Predicts Slower Recovery and Worse Postoperative Range of Knee Motion [J]. J Orthop Trauma，2017，31（7）：387-392.
[3] Singleton N，Sahakian V，Muir D. Outcome After Tibial Plateau Fracture：How Important Is Restoration of Articular Congruity？[J]. J Orthop Trauma，2017，31（3）：158-163.
[4] 刘海峰，赵小强，潘飞龙.康复训练干预对经内固定手术治疗的胫骨平台骨折预后的影响[J].临床外科杂志，2018，26（11）：78-81.
[5] 段丹，宁宁，陈佳丽，等.关节置换术后患者出院准备度与出院指导质量的相关性研究[J].华西医学，2018，33（9）：1181-1185.
[6] 高俊杰，张小燕，王颖.急性心肌梗死患者心肺复苏后出院准备度与社会功能关系的病例对照研究[J].中国慢性病预防与控制，2018，26（10）：776-779.
[7] Weiss ME，Costa LL，Yakusheva O，et al. Validation of Patient and Nurse Short Forms of the Readiness for Hospital Discharge Scale and Their Relationship to Return to the Hospital [J]. Health Serv Res，2014，49（1）：304-317.
[8] Waterfield J，Sim J. Clinical assessment of pain by the visual analogue scale [J]. Br J Ther Rehabil，2013，3（2）：94-97.
[9] Kaler ME，Erbes CR，Tedeschi RG，et al. Factor structure and concurrent validity of the Posttraumatic Growth Inventory-Short Form among veterans from the Iraq War [J]. J Trauma Stress，2011，24（2）：200-207.
[10] 李小峰，陈敏.改良Barthel指数评定量表的设计与应用[J].护理研究，2015，29（5）：1657-1658.
[11] Yang J，He Y，Jiang L，et al. Colorectal patients’readiness for hospital discharge following management of enhanced recovery after surgery pathway：A cross-sectional study from China [J]. Medicine，2020，99（8）：e19219.
[12] 陈小娇，施小俊，郑丽娜.老年髋关节置换术后患者出院准备度现状及影响因素研究[J].护理管理杂志，2019， 19（6）：398-401.
[13] 何丹，胡三莲，周玲，等.老年髋部骨折患者出院准备度的现况及影响因素分析[J].中华现代护理杂志，2020， 26（27）：3732-3737.
[14] 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）：1265-1268.
[15] 王慧，徐艳，牛璐，等.缺血性卒中病人出院准备度的影响因素研究[J].蚌埠医学院学报，2020，45（3）：414-417.
[16] 任张玲，苏婷，胡丹丹.慢性乙型肝炎患者出院准备度现状及影响因素分析[J].中华现代护理杂志，2018，24（3）：262-266.
[17] 章雪芳，郑林宏，李辉，等.胸腰椎骨质疏松性骨折患者出院准备度与疼痛程度的相关性分析[J].中国实用护理杂志，2017，33（21）：1615-1618.
[18] 孟娜，朱林，李宜敏，等.肺癌疼痛患者的出院准备度及其影响因素[J].广西医学，2017，39（10）：1604-1606， 1610.
[19] 黄应香，孙海萍，蒲玉梅.舌癌患者疼痛水平与自我效能感的相关性[J].临床与病理杂志，2019，39（12）：2810-2814.
[20] Kayo H，Hiroki F，Kanako T，et al. Posttraumatic growth in bereaved family members of patients with cancer：a qualitative analysis [J]. Support Care Cancer，2019，27（4）：1417-1424.
[21] Li L，Hou Y，Li L，et al. The mediating and moderating roles of resilience in the relationship between anxiety，depression，and post-traumatic growth among breast cancer patients based on structural equation modeling：An observational study [J]. Medicine，2020，99（50）：e23273.
[22] 燕菲，徐思蕊，刘心.意外创伤骨折病人出院准备度和创伤后成长的相关性研究[J].护理研究，2020，34（1）：45-49.
[23] 赵志明，刘鹏，于桂泳，等.早期系统康复治疗在胫骨平台Schatzker Ⅳ～Ⅵ型骨折环形外固定术后对膝关节功能的影响[J].中国医药导报，2017，14（6）：104-107.
[24] 王芳，袁丽.骨质疏松症患者出院准备度与社会支持的相关性分析[J].护理管理杂志，2017，17（1）：26-28.
[25] 沈秋，马云萍.快速康复护理模式对骨折术后患者生活自理能力的影响分析[J].中国药物与临床，2019，19（23）：4211-4213.