系统康复护理在肱骨外科颈骨折的应用效果
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摘要
目的探讨系统康复护理在肱骨外科颈骨折的应用效果。方法选取2016年6月～2017年5月我院急诊科收治的80例肱骨外科颈骨折患者作为研究对象,随机分为常规护理组与系统康复护理组,每组各40例。常规护理组进行手法整复加改良超肩小夹板固定治疗,术后进行小夹板固定后护理、体位护理及饮食护理;系统康复护理组在此基础上,配合康复训练指导及心理护理。比较两组治疗前后肩关节Constant-Murley评分(C-M评分)、骨折愈合时间以及护理总满意度。结果两组患者护理后C-M评分高于护理前,系统康复护理组护理后的C-M评分高于常规护理组,差异均有统计学意义(P<0.05);系统康复护理组骨折愈合时间为(7.80±1.56)周,短于常规护理组的(9.68±1.33)周,差异有统计学意义(P<0.05);系统康复护理组护理满意度为85.60%,高于常规护理组的78.50%,差异有统计学意义(P<0.05)。结论系统康复护理治疗肱骨外科颈骨折,可有效提高临床疗效,缩短骨折愈合时间,提高患者的护理满意度。
Objective To explore the application effect of systematic rehabilitation nursing in the treatment of humeral surgical neck fracture. Methods Eighty patients with humeral surgical neck fracture admitted to the emergency department of our hospital from June 2016 to May 2017 were randomly divided into routine nursing group and systematic rehabilitation nursing group, with 40 cases in each group. The routine nursing group was treated with manipulative reduction and modified over-shoulder splint fixation, after operation, the patients were treated with small splint fixation, postural nursing and dietary nursing. On this basis, the systematic rehabilitation nursing group cooperated with rehabilitation training guidance and psychological nursing. The shoulder Constant-Murley score(C-M score), fracture healing time and total nursing satisfaction were compared between the two groups before and after treatment. Results The C-M scores of the two groups after nursing were higher than those before nursing, and the C-M scores of the systemic rehabilitation nursing group after nursing were higher than those of the conventional nursing group, the differences were statistically significant(P<0.05). The healing time of fracture in the systemic rehabilitation nursing group was(7.80±1.56)weeks, which was shorter than(9.68±1.33) weeks in the routine nursing group, the difference was statistically significant(P<0.05). The nursing satisfaction rate of the systematic rehabilitation nursing group was 85.60%, which was higher than 78.50% of the routine nursing group, the difference was statistically significant(P<0.05). Conclusion Systematic rehabilitation nursing for the treatment of humeral surgical neck fracture can effectively improve the clinical efficacy,shorten the healing time of fracture, and improve the patient's nursing satisfaction.
Objective To explore the application effect of systematic rehabilitation nursing in the treatment of humeral surgical neck fracture. Methods Eighty patients with humeral surgical neck fracture admitted to the emergency department of our hospital from June 2016 to May 2017 were randomly divided into routine nursing group and systematic rehabilitation nursing group, with 40 cases in each group. The routine nursing group was treated with manipulative reduction and modified over-shoulder splint fixation, after operation, the patients were treated with small splint fixation, postural nursing and dietary nursing. On this basis, the systematic rehabilitation nursing group cooperated with rehabilitation training guidance and psychological nursing. The shoulder Constant-Murley score(C-M score), fracture healing time and total nursing satisfaction were compared between the two groups before and after treatment. Results The C-M scores of the two groups after nursing were higher than those before nursing, and the C-M scores of the systemic rehabilitation nursing group after nursing were higher than those of the conventional nursing group, the differences were statistically significant(P<0.05). The healing time of fracture in the systemic rehabilitation nursing group was(7.80±1.56)weeks, which was shorter than(9.68±1.33) weeks in the routine nursing group, the difference was statistically significant(P<0.05). The nursing satisfaction rate of the systematic rehabilitation nursing group was 85.60%, which was higher than 78.50% of the routine nursing group, the difference was statistically significant(P<0.05). Conclusion Systematic rehabilitation nursing for the treatment of humeral surgical neck fracture can effectively improve the clinical efficacy,shorten the healing time of fracture, and improve the patient's nursing satisfaction.
引文
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[10]Koval KJ,Gallagher MA,Marsicano JG,et al.Functional outcome after minimal displaced fractures of the proximal part of the humerushe proximal part of the humerus[J].J Bone Joint Surg Am,1997,79(2):203-207.
[11]王海云,武进华,王凯,等.围手术期护理干预对肱骨近端骨折患者心理状态及应激因子的影响[J].中国医药导报,2017,14(31):170-172.
[12]李翠娥,胡秀学,黄波,等.康复护理模式对肱骨外科颈骨折患者关节功能及护理满意度的影响[J].现代中西医结合杂志,2017,26(13):1473-1475.
[13]陈丽冰,吴彩勤.肱骨外科颈骨折手法复位后联合小夹板外固定治疗的临床护理观察[J].吉林医学,2014,35(30):139-140.
[14]杨华元.生物力学[M].北京:人民卫生出版社,2012:54-63.
[15]张俐.中医正骨学[M].10版.北京:中国中医药出版社,2010:34-38.
[16]樊粤光.中医骨伤科学[M].北京:人民卫生出版社,2012:92-94.
[17]何春红,孙佩霞,钟小芳.肱骨外科颈骨折手法整复术后小夹板外固定的包扎技巧及注意事项[J].现代医院,2004,1(1):26-27.
[2]梅伟,王培民,张立.甩肩法配合"易层"贴敷治疗肱骨外科颈骨折20例临床研究[J].江苏中医药,2017,49(12):45-47.
[3]李翠娥,胡秀学,黄波.康复护理模式对肱骨外科颈骨折患者关节功能及护理满意度的影响[J].现代中西医结合杂志,2017,26(13):1473-1475.
[4]张文杰.肱骨外科颈骨折的临床护理[J].心理医生,2016,22(35):188-189.
[5]王亦璁,姜保国.骨与关节损伤[M].5版.北京:人民卫生出版社,2012:705-717.
[6]胥少汀,葛宝丰,徐印坎.实用骨科学[M].4版.北京:人民卫生出版社,2012:516-521.
[7]王广伟,霍力为,庾伟中,等.正骨手法配合夹板外固定治疗儿童孟氏骨折的效果观察[J].中国当代医药,2016,23(31):56-59.
[8]汪习奎,刘绍海.手法整复配合超肩小夹板外固定治疗老年肱骨外科颈骨折78例临床观察[J].四川中医,2015,33(6):141-143.
[9]顾珺,芮永军,吴永伟.肩胸绷带固定法治疗老年肱骨近端骨折48例[J].中国中医骨伤科杂志,2018,26(9):54-56.
[10]Koval KJ,Gallagher MA,Marsicano JG,et al.Functional outcome after minimal displaced fractures of the proximal part of the humerushe proximal part of the humerus[J].J Bone Joint Surg Am,1997,79(2):203-207.
[11]王海云,武进华,王凯,等.围手术期护理干预对肱骨近端骨折患者心理状态及应激因子的影响[J].中国医药导报,2017,14(31):170-172.
[12]李翠娥,胡秀学,黄波,等.康复护理模式对肱骨外科颈骨折患者关节功能及护理满意度的影响[J].现代中西医结合杂志,2017,26(13):1473-1475.
[13]陈丽冰,吴彩勤.肱骨外科颈骨折手法复位后联合小夹板外固定治疗的临床护理观察[J].吉林医学,2014,35(30):139-140.
[14]杨华元.生物力学[M].北京:人民卫生出版社,2012:54-63.
[15]张俐.中医正骨学[M].10版.北京:中国中医药出版社,2010:34-38.
[16]樊粤光.中医骨伤科学[M].北京:人民卫生出版社,2012:92-94.
[17]何春红,孙佩霞,钟小芳.肱骨外科颈骨折手法整复术后小夹板外固定的包扎技巧及注意事项[J].现代医院,2004,1(1):26-27.
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