摘要
目的探讨扁平化责任制护理模式在小儿肱骨髁上骨折手术治疗中的应用价值。方法选取2018年12月—2021年1月郑州市某医院收治的138例肱骨髁上骨折患儿,采用随机数字表法分为对照组与实验组,每组69例。所有患儿均接受手术治疗,对照组患儿采用常规护理,实验组患儿在对照组基础上采用扁平化责任制护理模式。比较2组患儿的住院天数、骨折愈合时间、术后视觉模拟评分法(VAS)评分、治疗依从性及干预前后肘关节功能。结果实验组患儿遵医用药、配合锻炼及合理饮食评分高于对照组,差异均有统计学意义(P<0.05);实验组患儿住院天数、骨折愈合时间短于对照组,差异均有统计学意义(P<0.05);实验组患儿干预后肘关节功能评分高于对照组,差异均有统计学意义(P<0.05);实验组患儿肘关节功能障碍发生率2.90%(2/69)低于对照组的5.80%(4/69),但差异无统计学意义(P>0.05);实验组VAS评分低于对照组低,差异有统计学意义(P<0.05)。结论扁平化责任制护理模式应用于小儿肱骨髁上骨折手术治疗中,有助于提高患儿治疗依从性,减轻术后疼痛,改善肘关节功能,促进机体恢复。
Objective To explore the value of applying the flat responsibility care model in the surgical treatment of pediatric supracondylar humerus fractures.Methods One hundred and thirty-eight cases of children with supra-condylar humerus fractures admitted to a hospital in Zhengzhou from December 2018 to January 2021 were select-ed and divided into a control group and an experimental group using the random number table method,with 69 cases in each group.All children received surgical treatment,and the children in the control group were treated with conventional care,while the children in the experimental group were treated with flat responsibility care on the basis of the control group.The number of days of hospitalization,fracture healing time,postoperative visual analog scoring(VAS)score,treatment compliance and elbow function before and after the intervention were compared between the two groups.Results The compliance with medication,exercise and reasonable diet scores were higher in the experimental group than in the control group(P<0.05);the hospitalization days and fracture healing time were shorter in the experimental group than in the control group(P<0.05);the elbow function scores were higher in the experimental group than in the control group after the intervention(P<0.05);the inci-dence of elbow dysfunction in the experimental group was 2.90%(2/69)compared with 5.80%(4/69)in the control group,showing no statistically significant difference(P>0.05);2 weeks after surgery,the VAS scores were lower in the experimental group than in the control group(P<0.05).Conclusion When applied to the surgical treatment of pediatric supracondylar humerus fractures,the flat responsibility care model can help im-prove the children's treatment compliance,reduce postoperative pain,improve elbow joint function,and promote recovery of the body.
作者
王璐
胡玲玲
蒋卫贤
Wang Lu;Hu Lingling;Jiang Weixian(Children's Hospital Affiliated to Zhengzhou University/Henan Children's Hospital/Zhengzhou Children's Hospital,Zhengzhou 450000,China)
出处
《保健医学研究与实践》
2022年第4期94-97,共4页
Health Medicine Research and Practice
基金
河南省医学科技攻关项目(LHGJ20190902)。
关键词
肱骨髁上骨折
扁平化责任制护理
肘关节功能障碍
小儿
Supracondylar humerus fracture
Flat responsibility care
Elbow joint dysfunction
Pediatric
