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| Effects of family-centered clinical nursing programs on limb function rehabilitation and family satisfaction after developmental hip dislocation in children |
| ZHOU Xiaoyu LI Lianyong |
| Department of Pediatric Orthopaedics, Shengjing Hospital of China Medical University, Liaoning Province, Shenyang 110001, China |
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Abstract Objective To investigate the effect of family-centered clinical nursing program on limb function rehabilitation and family satisfaction of children with developmental dislocation of the hip. Methods A total of 88 patients with pediatric developmental dislocation of the hips who underwent surgical treatment from April 2006 to April 2018 in Shengjing Hospital of China Medical University were divided into control group and observation group by random number table. There were 44 cases in each group. The control group received routine care after surgery, and the observation group added a family-centered clinical care program based on the control group. The rehabilitation of limb function, the satisfaction score of family members and the incidence of postoperative complications were compared between the two groups. Results The simplified Fugl-Meyer assessment (FMA) and Barthel scores of the two groups were significantly higher than those before the nursing, and the differences were statistically significant (P ＜ 0.05). The nursing attitude score, nursing comfort score, communication ability score and comprehensive score of the family members in the observation group were higher than the control group, and the differences were statistically significant (P ＜ 0.05). The incidence of constipation, abdominal distension, skin damage and wound infection in the observation group was lower than that in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The family-centered clinical nursing program is superior to conventional nursing. It can improve the limb function of children after developmental dislocation of the hip, and the incidence of various complications is low. The family members′ satisfaction in all aspects has improved.
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