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基于骨科损害控制的风险预防护理对腕舟骨骨折患者术后恢复效果的影响

The Impact of Risk Prevention Nursing Based on Orthopedic Damage Control on Postoperative Recovery of Patients with Scaphoid Bone Fractures
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摘要 【目的】探讨基于骨科损害控制的风险预防护理对腕舟骨骨折患者术后恢复效果的影响。【方法】选择2019年6月至2023年6月本院收治的137例腕舟骨骨折患者,采用分层随机抽样法分为观察组(接受常规护理联合基于骨科损害控制的风险预防护理,n=68)和对照组(接受常规护理,n=69)。比较两组Gartland-Weirey腕关节功能评分、视觉模拟评分法(VAS)评分、腕关节活动度、生活质量综合评定问卷(GQOLI-74)评分和并发症发生率。【结果】干预后,观察组Gartland-Weirey腕关节功能评分、VAS评分低于对照组(P<0.05),腕关节活动度和GQOLI-74评分高于对照组(P<0.05);观察组并发症总发生率低于对照组(P<0.05)。【结论】基于骨科损害控制的风险预防护理可显著提升腕舟骨骨折患者的腕关节功能,减轻患者术后疼痛,提高患者生活质量,并降低并发症总发生率,对腕舟骨骨折患者的术后恢复具有积极作用。 【Objective】To explore the effect of risk prevention nursing based on orthopedic damage control on postoperative recovery of patients with scaphoid bone fractures.【Methods】A total of 137 patients with scaphoid fractures admitted to our hospital from June 2019 to June 2023 were selected and randomly divided into an observation group(receiving routine nursing combined with risk prevention nursing based on orthopedic damage control,n=68)and a control group(receiving routine nursing,n=69)using a stratified random sampling method.The Gartland-Weirey wrist joint function score,visual analog scale(VAS)score,wrist joint range of motion,quality of life comprehensive assessment questionnaire(GQOLI-74)score,and incidence of complications were compared between the two groups.【Results】After intervention,the Gartland-Weirey wrist joint function score and VAS score in the observation group were lower than those in the control group(P<0.05),while the wrist joint range of motion and GQOLI-74 score were higher than those in the control group(P<0.05);The total incidence of complications in the observation group was lower than that in the control group(P<0.05).【Conclusion】Risk prevention nursing based on orthopedic damage control can significantly improve wrist joint function,alleviate postoperative pain,improve patients'quality of life,and reduce the overall incidence of complications in patients with scaphoid fractures.It has a positive effect on postoperative recovery of patients with scaphoid fractures.
作者 钱玉雯 王会方 赵霞 郏沛文 王雅惠 江小萌 QIAN Yuwen;WANG Huifang;ZHAO Xia(Department of Orthopaedics,The 988th Hospital of Logistics Support Force of PLA,Henan Zhengzhou 450042)
出处 《医学临床研究》 CAS 2024年第7期980-983,共4页 Journal of Clinical Research
基金 河南省卫生与健康委员会联合共建项目(LHGJ20220912)。
关键词 腕损伤/外科学 骨折/外科学 骨折/护理 Wrist Injuries/SU Fractures/SU Fractures/NU
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