摘要
目的:探讨ADOPT问题解决模式联合细节护理对骨折疗养员术后愈合、功能恢复及生活质量影响。方法:选取该院2020年2月-2022年8月收治的80例踝、膝关节骨折疗养员为研究对象,按随机数字表法将其分为对照组与观察组,各40例。所有疗养员均采取固定手术治疗,对照组术后采用常规护理,观察组在对照组基础上采用ADOPT问题解决模式联合细节护理。对比2组疼痛、肿胀程度及骨折愈合时间、并发症发生情况、运动功能及日常生活能力、生活质量。结果:观察组骨折愈合时间、肿胀程度均短于对照组,疼痛视觉模拟评分低于对照组,组间差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。干预后,2组疗养员日常生活活动能力评分、Fugl-Meyer评分均较干预前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。2组疗养员生活质量的各个维度评分均较干预前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:ADOPT问题解决模式联合细节护理对骨折疗养员效果显著,能够缩短其骨折愈合时间,减轻术后疼痛情况和肢体肿胀程度,降低并发症发生率,促进肢体功能水平恢复,提升其生活质量,具有应用价值。
Objective:To explore the effects of ADOPT and detailed intervention on postoperative healing,functional recovery and quality of life of fracture patients.Methods:80 patients with ankle and knee fracture admitted to the hospital from February 2020 to August 2022 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 40 cases in each group.All convalescent patients were treated with fixed surgery,the control group was treated with routine nursing after surgery,and the observation group was treated with ADOPT problem solving mode combined with detailed intervention on the basis of the control group.The pain,swelling degree,fracture healing time,complications,motor function,ability of daily living and quality of life were compared between the two groups.Results:The fracture healing time and swelling degree in the observation group were shorter than those in the control group,and the visual simulation score was lower than that in the control group,with statistical significance(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the daily living ability score and Fugl-Meyer score of the 2 groups were higher than before intervention,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).The scores of all dimensions of the quality of life of the two groups were higher than before intervention,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion:ADOPT and detailed intervention have significant effects on fracture convalescent patients,which can shorten the healing time of fracture,reduce postoperative pain and limb swelling,reduce the incidence of complications,promote the recovery of limb function and improve their quality of life,and have practical value.
作者
曹宏妍
马静
张雅娜
李文芳
CAO Hongyan;MA Jing;ZHANG Yana;LI Wenfang(Department of convalescence Tianjin rehabilitation convalescence center second,Tianjin 300191)
出处
《中国伤残医学》
2024年第7期101-104,共4页
Chinese Journal of Trauma and Disability Medicine
