摘要
目的:探讨延续护理联合递进式功能锻炼对军事训练中膝关节骨折术后患者加快康复的效果.方法:选取该院2022年3月—2023年2月收治的82例在军事训练中膝关节骨折患者为研究对象,按随机数字表法将其分为对照组与观察组,各41例.所有患者均采取手术治疗,对照组术后采用常规护理与康复锻炼,观察组在对照组基础上增加延续护理联合递进式功能锻炼.对比2组康复积极性、并发症发生情况、胫骨平台后倾角(PA)及内翻角(TPA)大小、膝关节功能.结果:干预后,观察组康复护理配合度、积极举动评分均高于对照组,消极举动评分低于对照组,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).观察组PA高于对照组,TPA低于对照组,组间差异有统计学意义(P<0.05).观察组HSS评分、KSS评分均高于对照组,组间差异有统计学意义(P<0.05).结论:延续护理联合递进式功能锻炼对军事训练中膝关节骨折术后患者干预效果显著,可提升患者康复积极性,降低术后并发症发生率,改善胫骨平台后倾角及内翻角水平,提升膝关节功能,具有应用价值.
Objective:To explore the effect of continuous nursing combined with progressive functional exercise on the rehabilitation of patients after knee fracture operation in military training.Methods:82 patients with knee joint fracture during military training admitted to the hospital from March 2022 to February 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 41 cases in each group.All patients received surgical treatment,the control group received routine nursing and rehabilitation exercise after surgery,and the observation group added continuous nursing combined with progressive functional exercise on the basis of the control group.Rehabilitation enthusiasm,complications,Posterior Tibial Plateau Angle(PA)and Varus Angle(TPA)size,knee joint function were compared between the two groups.Results:After intervention,the rehabilitation nursing cooperation and positive behavior score of the observation group were higher than those of the control group,and the negative behavior score was lower than that of 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).The PA of the observation group was higher than that of the control group,and the TPA of the control group was lower,with statistical significance(P<0.05).HSS score and KSS score in observation group were higher than those in control group,and the differences between groups were statistically significant(P<0.05).Conclusion:Continuous nursing combined with progressive functional exercise has a significant effect on the intervention of postoperative patients with knee fracture in military training,which can improve the rehabilitation enthusiasm of patients,reduce the incidence of postoperative complications,improve the posterior inclination of tibial plateau and varus angle,and enhance the knee joint function,and has application value.
作者
戴会
栾敏
马晶
丰丽娟
马静
DAI Hui;LUAN Min;MA Jing;FENG Lijing;MA Jing(Tianjin rehabilitation convalescence center second department of convalescence,Tianjin 343200;Tianjin rehabilitation and convalescence center medical department)
出处
《中国伤残医学》
2024年第8期127-130,共4页
Chinese Journal of Trauma and Disability Medicine
关键词
膝关节骨折
军事训练
延续护理
递进式功能锻炼
膝关节功能
Knee fracture
Military training
Extended care
Progressive functional exercise
Knee joint function
